Which of the following symptoms should a nurse associate with the development of increased levels of thyroid-stimulating hormone (TSH) in a newly admitted client? (Select all that apply.)
1. Depression2. Fatigue3. Increased libido4. Mania5. Hyperexcitability
1, 2
Rationale: The nurse should associate depression and fatigue with increased levels of TSH. TSH is only increased when thyroid levels are low, as in the diagnosis of hypothyroidism. In addition to depression and fatigue, other symptoms, such as decreased libido, memory impairment, and suicidal ideation are associated with chronic hypothyroidism.
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The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?
a. Tilting the person's head forward during the examination b. Once the speculum is in the ear, releasing the traction c. Pulling the pinna up and back before inserting the speculum d. Using the smallest speculum to decrease the amount of discomfort
The nurse is preparing a preschooler for IV insertion. Age appropriate considerations for the 3-6 year old include:
1. Using distraction, such as shaking a rattle 2. Having the child push his or her hands together 3. Explain procedure shortly beforehand 4. Consider appearance of IV infusion line
After an acute myocardial infarction, a 59-year-old patient develops a new dysrhythmia. Antidysrhythmic drugs, such as beta blockers, are first-line treatment for:
a. supraventricular tachycardia. b. ventricular premature beats. c. atrial flutter. d. atrial fibrillation.
When is the earliest that chorionic villus sampling can be performed during pregnancy?
a. 4 weeks b. 8 weeks c. 10 weeks d. 12 weeks