A patient with hypothyroidism is prescribed levothyroxine sodium (Synthroid). What dietary adjustments should the nurse instruct the patient to make?
Select all that apply.
1. Avoid eating walnuts.
2. Avoid all grapefruit or citrus fruits.
3. Restrict the intake of foods high in fiber.
4. Reduce the intake of green leafy vegetables.
5. Take the medication 30 minutes before eating breakfast in the morning.
Question 2A patient with hyperthyroidism is experiencing vision changes. What teaching should the nurse provide to preserve this patient's sight?
Select all that apply.
1. Apply eye shields.
2. Instill artificial tears.
3. Wear eyeglasses with tinted lenses.
4. Apply warm compresses to the eyes every 4 hours.
5. Notify the health care provider about vision changes.
Question 3A patient recovering from a closed head injury has a urine specific gravity of 1.010 g/mL. The previous intake and output totals were 1,200 mL intake and 10,000 mL output.
Which order from the health care provider should the nurse question for this patient?
1. desmopressin (Minirin) 0.2 mg by mouth daily
2. oral fluid restriction of 800 mL per day
3. 3 normal saline at 100 mL per hour
4. computed tomography scan of head
Question 4A patient with Addison disease is experiencing weakness and abdominal pain and has an oral temperature of 102F and blood pressure of 70/35. Which patient information should the nurse identify as potentially causing these manifestations?
Select all that apply.
1. I had my tonsils out last week.
2. I have a pressure ulcer from sleeping in my recliner.
3. I have been using a tanning bed.
4. I take my prednisone (Deltasone) every day.
5. I have been increasing my intake of calcium-rich foods.
Question 5The nurse is reviewing information in the medical record of a patient with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of these manifestations should the nurse investigate first when assessing this patient?
Laboratory report:
Serum sodium 115 mEq/L
History and physical:
Patient reports fell from bicycle and struck head 5 days ago
Pulse:
100
Blood pressure:
140/95
Previous 24-hour intake and output:
3,500 mL in, 1,500 mL out
1. The patient is lethargic and difficult to wake.
2. The patient states, I feel thirsty.
3. The patient states, I have a headache.
4. The patient's urine is dark amber in color.
Question 6The manager observes a staff nurse instruct a patient with Cushing syndrome about the risk for infection. For which statement should the manager correct the nurse?
1. Epidermal hypertrophy restricts macrophage activity.
2. Cortisol affects protein synthesis.
3. Cortisol inhibits collagen synthesis.
4. The resulting edema impairs blood flow to tissues.
Question 7The nurse is planning a teaching session for a patient with a new diagnosis of adrenoleukodystrophy. What topic should the nurse include?
1. why genetic counseling is included in the plan of care
2. the role of autoimmunity in the development of the disorder
3. the role of anticoagulants in the development of the disorder
4. the surgical site for transsphenoidal entry, using a diagram
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