The nurse is reviewing the laboratory findings for a group of patients. The nurse knows that which set of diagnostic results is consistent with a diagnosis of primary hypothyroidism?
1. Elevated TSH, depressed T3 and T4
2. Elevated TSH, elevated T3 and T4
3. Depressed TSH, elevated T3 and T4
4. Depressed TSH, depressed T3 and T4
1
Rationale 1: Laboratory analysis will indicate an elevated TSH, as the pituitary attempts to stimulate the thyroid gland to produce thyroid hormone. Because of the disorder, the thyroid hormone levels T3 and T4 will be low.
Rationale 2: T3 and T4 are not elevated in hypothyroidism.
Rationale 3: T3 and T4 are not elevated in hypothyroidism.
Rationale 4: TSH is elevated in hypothyroidism as the pituitary gland attempts to stimulate the thyroid gland to produce thyroid hormone.
You might also like to view...
A 13-year-old boy has had a sore throat for at least a week and has been vomiting for 2 days. His glands are swollen, and he moves stiffly because his joints hurt
His parents, who believe in "natural remedies," have been treating him with various herbal preparations without success and are now seeking antibiotic treatment. Throat cultures show infection with group A streptococci. This child is at high risk for A) myocarditis. B) mitral valve stenosis. C) infective endocarditis. D) vasculitis.
A nurse is preparing to discharge an emergency department patient who has been fitted with a sling to support her arm after a clavicle fracture. What should the nurse instruct the patient to do?
A) Elevate the arm above the shoulder 3 to 4 times daily. B) Avoid moving the elbow, wrist, and fingers until bone remodeling is complete. C) Engage in active range of motion using the affected arm. D) Use the arm for light activities within the range of motion.
The nursing action that takes priority when working with a client who has a problem of sexual
functioning is a. acquiring knowledge of client's sexual roles. b. developing an understanding of human sexual response. c. clarifying the nurse's personal values. d. assessing the client's sexual functioning.
A child has recurrent abdominal pain (RAP) and a dairy-free diet has been prescribed for 2 weeks. Which explanation is the reason for prescribing a dairy-free diet?
a. To rule out lactose intolerance b. To rule out celiac disease c. To rule out sensitivity to high sugar content d. To rule out peptic ulcer disease