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mchico mchico
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Posts: 319
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6 years ago
The nurse is reviewing the laboratory results for an older patient experiencing a new-onset of atrial fibrillation. On which laboratory value should the nurse focus as a potential cause for this diagnosis?
 
  1. Hgb 13.8 g/dL
  2. Hgb 11.0 g/dL
  3. TSH 18 mU/mL
  4. TSH 0.25 mU/mL

Question 2

A client, age 60, has obtained physician approval to begin a light exercise program that will include walking and swimming. The client questions the nurse about his ability to actually have success in physical training.
 
  What response by the nurse is indicated?
  A) There may be a reduction in ability to train as a result of a lack of muscle regeneration.
  B) Muscle tissue is still able to be trained effectively.
  C) There will be some age-related changes, as you have lost half of your muscle mass.
  D) Muscle fibers atrophy, preventing training.

Question 3

The nursing instructor asks a student to describe Graves' disease. Which statement by the student indicates an accurate understanding of this disorder?
 
  1. It is associated with long-term use of amiodarone, a cardiac medication.
  2. It is an autoimmune disorder associated with sustained thyroid over activity.
  3. It is an autoimmune disorder associated with sustained thyroid under activity.
  4. It is associated with a tumor on the thyroid, which leads to thyroid over activity

Question 4

During a routine physical assessment, the nurse notes the 72-year-old female client has begun to exhibit some of the normal age-related changes related to posture.
 
  When preparing to document, which of the following is likely the best term to be used to describe the observations?
  A) Lordosis
  B) Kyphosis
  C) Scoliosis
  D) Sway back

Question 5

An older patient is being treated for hypothyroidism. Which manifestations will the nurse assess in this patient? Standard Text: Select all that apply.
 
  1. Dry skin
  2. Hair loss
  3. Vomiting
  4. Bradycardia
  5. Periorbital swelling
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Replies
wrote...
6 years ago
Answer to #1

4
Rationale: This is a normal hemoglobin level and would not help determine the cause of atrial fibrillation.

Answer to #2

B

Answer to #3

2
Rationale: Hyperthyroidism may be medication induced as a result of taking amiodarone, a cardiac drug containing iodine that deposits in tissue and delivers iodine to the general circulation over long periods but this does not describe Graves' disease.

Answer to #4

B

Answer to #5

1,2,4,5
Rationale: Dry skin is a manifestation of hypothyroidism.
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