A 32-year-old female patient has just had blood drawn; the results show a TSH level of 0.1 microunits/mL. After "feeling different" for longer than 6 months, the patient finally came to the clinic
Assessment reveals insomnia, rapid speech, muscle weakness, intolerance to heat, and in-creased appetite. The nurse suspects ______________ and anticipates that the most preferred treatment will include ____________________. a. myxedema; 1 year of suppressive medications
b. Graves' disease; thyroid supplements
c. Plummer's disease; surgery or radiation therapy
d. thyroid storm; long-term thyroid replacement medications
C
The signs and symptoms displayed are consistent with Plummer's disease. Antithyroid drugs are needed to manage the high T3 and T4 levels.
Myxedema is manifested by hair loss, fatigue, lethargy, intolerance to cold, brittle hair, and a puffy, pale face.
Graves' disease is similar to Plummer's disease but typically exhibits exophthalmos.
Thyroid storm is manifested by severe hyperdynamics that is life threatening, which this patient does not have. Thyroid storm may be brought on in patients with severe thyrotoxicosis if the pa-tient undergoes major surgery or develops a severe systemic illness.
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A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the:
a. Testes. b. Prostate. c. Epididymis. d. Vas deferens.
An infant with severe meconium aspiration syndrome is not responding to conventional treatment. Which highly technical method of treatment may be available at a level III facility for use with this infant?
a. Extracorporeal membrane oxygenation b. Respiratory support with ventilator c. Insertion of laryngoscope and suctioning of the trachea d. Insertion of an endotracheal tube
The client has been splashed in the eye with a weak acid and is to have the eye irrigated. The nurse should direct the flow to which area of the eye?
A. Against the center of the eye B. From the inner canthus to the outer canthus C. From the outer canthus to the inner canthus D. Against the inner aspect of the eyelid, avoiding direct contact with the corneal surface
Which of the following statements made by a client diagnosed with posttraumatic stress disorder (PTSD) leads the nurse to believe the client is experiencing dissociative symptoms?
A) "It's like I'm having flashbacks every time I fall asleep." B) "I describe my feelings like I'm having an out-of-body experience." C) "Loud noises always make me a little jittery now." D) "I feel guilty that I survived the attack and my friend didn't."