The nurse is reinforcing teaching provided to a patient with Hashimoto's thyroiditis. What should the nurse explain as occurring initially in this health problem?
a. Thyroid hormone production increases.
b. Thyroid hormone production decreases.
c. Thyroid-stimulating hormone production increases.
d. Thyroid-stimulating hormone production decreases.
ANS: A
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. B. C. D. These statements do not explain the initial action in Hashimoto's thyroiditis.
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In developing a nursing plan of care for a client who has a venous access device, which of these notations is essential to include?
a. "Do not measure blood pressure on the involved side." b. "Maintain accurate measurement of intake and output at all times." c. "Provide assistance with activities of daily living." d. "Require a family member to remain with the client overnight to ensure assistance."
A client is being discharged with a prescription for procainamide to treat atrial fibrillation. An important self-care measure the nurse would explain about this medication is to
a. avoid milk products. b. drink large amounts of citrus juice. c. have blood pressure monitored frequently. d. take the medication with meals.
Community-based healthcare is best defined as
A) Home care in a community setting B) Healthcare developed in partnership with communities C) Patient-centered care in a senior citizen complex D) Healthcare directed to the community at large
The nurse is caring for a 2-year-old boy with hemophilia. His parents are upset by the possibility that he will become infected with hepatitis or HIV from the clotting factor replacement therapy. Which response by the nurse would be most appropriate?
A) "Parents commonly fear the worst; however, the factor will help your child lead a normal life." B) "There are risks with any treatment including using blood products, but these are very minor." C) "Although factor replacement is expensive, there's more financial strain from missing work if he has a bleeding episode." D) "Since dry heat treatment of the factor began in 1986, there have been no reports of virus transmission."