A nurse practitioner is aware of the high incidence and prevalence of hypothyroidism and regularly encourages many patients to undergo screening of their thyroid secreting hormone (TSH) levels
Which of the following individuals likely faces the greatest risk of developing hypothyroidism?
A) A 49-year-old man who works in an iron smelter
B) A 55-year-old woman who complains of fatigue
C) A 30-year-old man with poorly controlled type 2 diabetes
D) A 71-year-old man who has experienced nausea and vomiting secondary to influenza
B
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The parents of a child with chronic kidney disease ask the nurse why the child is prescribed epoetin alfa (Epogen). Which response by the nurse is the most accurate?
A. "It binds with and removes phosphorus." B. "It will help his body to make more red blood cells." C. "It will help to boost his white blood cell count." D. "It will help his body to make more platelets so he doesn't bleed."
A nurse is administering an anti-inflammatory medication to a patient who has severe rheumatoid arthritis. Which of the following would the nurse question if ordered by the physician?
A) Oral antidiabetic agent B) Oral anticoagulant C) Antihypertensive agent D) Antibiotic
The nurse is working with a patient who has been diagnosed with restless leg syndrome (RLS). The nurse recognizes this disorder may result in which symptoms or complications for the patient in the psychological domain? Select all that apply
1. Irritability and inability to concentrate 2. Disruption of bed partner's sleep 3. Inability to attend social functions due to discomfort 4. Fragmented sleep 5. Anxiety and mood changes
An older adult client who has a history of falls has been placed in physical restraints after the failure of all other alternatives for fall prevention. What actions should the nurse take to en-sure the safety of the client in restraints?
A. Check the client every hour, while keeping the restraints in place. B. Check the client every 30 to 60 minutes, releasing the restraints every 2 hours. C. Check the client once each shift, releasing the restraints for feeding only. D. Check the client twice each shift, keeping the restraints in place.