The nurse is contributing to the teaching plan for a patient diagnosed with Hashimoto's thyroiditis who has progressed to hypothyroidism with a goiter. Which self-care instructions should the nurse recommend? (Select all that apply.)
a. Eat a soft diet.
b. Increase activity slowly.
c. Eat more foods high in iodine.
d. Keep home at a cool temperature.
e. Eat a high-carbohydrate, high-protein diet.
f. During low-energy periods, use anti-embolism stockings.
ANS: A, B, F
If the patient has a goiter, a soft diet may be necessary for comfort. Frequent rest periods may be necessary as well as slowly increasing patient activity. Anti-embolic stockings may help prevent venous stasis during the low-energy, decreased-activity phase. E. During the hyperthyroidism phase, a diet high in protein and carbohydrates encourages weight gain. D. The patient will be sensitive to cold, so room temperature will need to be increased for comfort. C. Foods high in iodine should be avoided.
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A 72-year-old woman from the Dominican Republic is hospitalized after fainting while visiting her daughter
The staff has voiced complaints regarding the family ignoring hospital rules regarding visiting hours and number of visitors allowed in the room. In addition, the daughter brings food to the mother from home that is not a part of the client's prescribed diet. How can the staff deal with these issues in a professional manner? a. Meet with the patient and family to determine how to provide support for cultural practices. b. Have security remove the family and focus on the client's care and needs. c. Accept the food from the family and throw it out without informing them. d. Allow family presence to take priority over treatments and therapies.
A positive Homans' sign is present when the patient complains of pain in the
a. ankle upon dorsiflexion of the foot. c. calf upon flexion of the knee. b. calf upon dorsiflexion of the foot. d. thigh upon elevation of the leg.
When examining your patient's head, you note that the patient's skull has an abnormal shape. The patient also has exophthalmos and drooping eyes. You suspect that the patient has which of the following conditions?
a. craniotabes c. hydrocephalus b. acromegaly d. craniosynostosis
What is the primary purpose of putting high-top tennis shoes on the immobilized patient who is positioned in Fowler's and supine position?
a. to help prevent foot drop b. to promote comfort c. to prevent decubitus formation on the heels d. to aid in turning the patient