A client who visits the physician's office for a routine physical reports new onset of intolerance to cold. Knowing that this is a frequent complaint associated with hypothyroidism, the nurse continues to assess for which of the following?
1. Weight loss and thinning skin
2. Complaints of weakness and lethargy
3. Increased heart rate and respiratory rate
4. Diaphoresis and increased hair growth
2
Rationale: Weakness and lethargy are common complaints associated with hypothyroidism. Other common symptoms include weight gain, bradycardia, decreased respiratory rate, dry skin, and hair loss.
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The patient asks the nurse, "Is it safe to take over-the-counter (OTC) medications with prescription medications?" What is the nurse's best response? (Select all that apply.)
A) "OTC medications can interact with prescription medications." B) "It is important to tell your doctor all medications you take, including OTC." C) "OTC medications could mask or hide signs and symptoms of a disease." D) "You should avoid taking any OTC medication when taking prescription drugs." E) "Taking OTC medications can make your prescription medication more effective."
A nurse is assessing quality of life (QOL) in older individuals with chronic illnesses who attend a community center. What information is most important to assess?
a. How many days were lost to exacerba-tions in the last year b. How good each individual perceives his or her QOL to be c. How burdensome the patient's treatment regime is daily d. How often the patient needs to see a health care provider
A patient with bipolar disorder who wants to minimize the need for drug therapy asks the nurse what else can be done to treat the disorder. The nurse will recommend which measures? (Select all that apply.)
a. Electroconvulsive therapy b. Moderate use of alcohol to reduce stress c. Psychotherapy d. Regular sleep and exercise e. Using a chart to monitor mood changes
Critical-thinking nurses must develop which of the following specific attitudes or traits?
1. Independence. 2. Egocentricity. 3. Intellectual humility. 4. Fair-mindedness. 5. Confidence. 6. Perseverance.