The clinic nurse is caring for an infant who has been diagnosed with primary hypothyroidism. The nurse is reviewing the results of the laboratory tests and would expect to note which of the following?
1. A normal T4 level
2. An elevated T4 level
3. An elevated thyroid-stimulating hormone (TSH) level
4. A decreased TSH level
3
Rationale: Diagnostic findings in primary hypothyroidism include a low T4 level and a high TSH level. "A normal T4 level," "an elevated T4 level," and "a decreased TSH level" are not diagnostic findings in this condition.
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The nurse is working with a group of clients in a weight loss clinic. The nurse recognizes that factors contributing to the obesity problem are related to environment. Which of the following is a factor related to the obesogenic environment?
A) Low-cost, high-calorie foods C) Use of slow cookers at home B) Increased activity levels D) More food choices
The nurse is working with a family who has recently immigrated to this country. The nurse has recently studied Purnell's Model for Cultural Competence (2002) and wants to respond to the family in a culturally acceptable manner
The most appropriate assessment question(s) would be: 1. "In what places have you lived?" and "What do you miss about your native land?" 2. "When I discuss your child's problem with you, how close to you should I stand?" 3. "What is the school system like in your native land?" 4. "What does eye contact indicate?" and "When do you want me to make eye contact?"
A community health nurse is contracting with a client receiving services in the home. The nurse and client are negotiating the activities for which each will be responsible. This activity would correlate to which phase of the nursing process?
A) Assessment B) Nursing diagnosis C) Planning D) Evaluation
When teaching a client about the risk factors for hypertension, the nurse realizes further instruction is needed when the client identifies which as a risk factor?
a. smoking. c. low serum cholesterol. b. age over 60. d. family history of heart disease.