The nurse is reinforcing teaching to a patient with Hashimoto's thyroiditis. Which of the following would the nurse explain occurs initially in Hashimoto's thyroiditis?
a. Thyroid-stimulating hormone production decreases.
b. Thyroid-stimulating hormone production increases.
c. Thyroid hormone production increases.
d. Thyroid hormone production decreases.
ANS: C
Autoantibodies for thyroid-stimulating hormone form, bind with the hormone receptors on the thyroid gland, and initially stimulate the thyroid gland to secrete thyroid hormones.
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A nursing history on a 17-year-old female reveals that the adolescent takes a multivitamin with 0.5 mg of fluoride each day and one with 0.4 mg of folic acid each day. What concern should the nurse bring to the attention of the physician?
1. The presence of fluoride in the multivitamin 2. The amount of fluoride in the multivitamin; it should be increased to 1.0 mg each day. 3. The intake of folic acid 4. The need for a daily iron tablet
The nursery has just admitted a new infant born 1 hour ago. While performing an assessment, the nurse suspects the infant may have hypoglycemia based on which of the following assessment data? Select all that apply
A) Heel stick glucose value of 50 mg/dL B) Infant having periods of apnea requiring physical stimulation C) Muscle twitching noted while lying in crib undisturbed by nurses D) Hyperactive reflexes noted especially when crying E) Poor suck reflex resulting in an inability to feed properly
When supervising a certified nursing assistant (CNA) caring for a toddler, a nurse intervenes when
1. The CNA leaves the toddler alone in the bathtub. 2. The CNA feeds the toddler pieces of cheese for a snack. 3. The CNA removes small objects from the toddler's crib. 4. The CNA puts the crib side rails up when the toddler is resting.
A nurse assesses for a sign of low levels of ionized calcium in the blood by tapping in front of the ear. The nurse is assessing which of the following?
1. Chvostek's sign 2. Patellar reflex 3. Tinel's sign 4. Trousseau's sign