The nurse, developing a care plan for a patient diagnosed with hypothyroidism, creates what appropriate nursing diagnosis?

A) Imbalanced nutrition: Less than body requirements
B) Ineffective thermoregulation: Excess or ineffective airway clearance
C) Decreased cardiac output
D) Ineffective airway clearance


C
Feedback:
Decreased cardiac output is related to hypothyroidism. Hyperthyroidism results in increased caloric needs and the nursing diagnosis of Imbalanced nutrition: Less than body requirements. Thyroid dysfunction would not normally result in Ineffective thermoregulation: Excess or ineffective airway clearance.

Nursing

You might also like to view...

Of the following interventions, which are prevention oriented? (Select all that apply.)

a. Immunization programs b. Cleansing an incision c. Cardiac education related to risk factor modification d. Placing infants prone when they sleep e. Teaching patients to ask their physicians to wash their hands

Nursing

The nurse observes an 83-year-old resident of a nursing home scratching repeatedly over the last several days. The resident states, "I'm so itchy these days it drives me crazy.". Which of the following measures should the nurse prioritize?

A) Referral to the resident's physician for oral corticosteroids. B) Increasing the frequency of the residents bathing schedule. C) Closer monitoring for a better control of the resident's blood pressure. D) Dietary changes and application of zinc oxide.

Nursing

You determine that a patient's diaphragmatic excursion is 5 cm with the diaphragm at T12 on inspiration and T10 on expiration. This finding

a. is abnormally low, indicating hypoventilation. b. is normal. c. indicates a high diaphragm level with displacement possibly by ascites. d. indicates the presence of atelectasis or pleural effusion in the lower lobes, producing a dull sound on percussion and leading to a false determination of high diaphragm level.

Nursing

An older adult patient has presented to the emergency department (ED) with a 12-hour history of copious bloody diarrhea. Following the appropriate assessments, what intervention should the ED nurse prioritize?

A) Position the patient in the Trendelenburg position to maximize cerebral perfusion. B) Establish intravenous access to administer fluid replacement. C) Immobilize the patient to minimize metabolic activity. D) Administer oral ferrous sulfate.

Nursing