A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to address first for this client?

a. Heat intolerance
b. Body image problems
c. Depression and withdrawal
d. Obesity and water retention


ANS: C
Hypothyroidism causes many problems in psychosocial functioning. Depression is the most common reason for seeking medical attention. Memory and attention span may be impaired. The client's family may have great difficulty accepting and dealing with these changes. The client is often unmotivated to participate in self-care. Lapses in memory and attention require the nurse to ensure that the client's environment is safe. Heat intolerance is seen in hyperthyroidism. Body image problems and weight issues do not take priority over mental status and safety.

Nursing

You might also like to view...

The nurse is assessing a client who reports severe knee pain after a fall. Which question does the nurse ask to determine the radiation of the pain?

a. "What makes the pain better or worse?" b. "Are you able to bear any weight on the knee at all?" c. "Does the pain move to another area from your knee?" d. "How would you rate the pain on a scale of 1 to 10?"

Nursing

The nurse is caring for a newborn newly diagnosed with a terminal illness. The parents want to talk with the nurse about the diagnosis. The nurse should:

A) listen to what the parents have to say, explore their concerns, document the conversation, and involve a social worker and chaplain in their care team, if the family agrees. B) refuse to discuss any issues with the parents, and refer them back to the physician. C) recommend they talk to the hospice nurse who will be assigned to their child. D) tell the parents that it is best that they speak to a chaplain or clergy from their church.

Nursing

There are several knowledge domains essential for case management. These include:

1. Legal issues involving malpractice recognition 2. Teaching, counseling, and education skills 3. Political campaigning 4. Grant and contracts

Nursing

A 12-year-old boy will soon begin psychotherapy with a nurse–therapist. Why do most children and adolescents begin treatment?

A) They present to an emergency department in an acute crisis. B) They call a crisis line or log on to a similar Web site. C) They are referred by a family member, educator, or health care professional. D) They seek care because of the encouragement or prompting of their peers.

Nursing