ATI CARE OF PATIENTS WITH PROBLEMS OF THE THYROID AND
PARATHYROID GLANDS EXAM - COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: After teaching a client who has diverticulitis, a nurse
assesses the client's understanding. Which statement made by the
client indicates a need for further teaching?
A. "I'll ride my bike or take a long walk at least three times a week."
B. "I must try to include at least 25 g of fiber in my diet every day."
C. "I will take a laxative nightly at bedtime to avoid becoming
constipated."
D. "I should use my legs rather than my back muscles when I lift
heavy objects."
Answer:
c. "I will take a laxative nightly at bedtime to avoid becoming
constipated."
Rationale: Laxatives are not recommended for patients with diverticulitis
because they can increase pressure in the bowel, causing additional
outpouching of the lumen. Exercise and a high-fiber diet are
recommended for clients with diverticulitis because they promote regular
bowel function. Using the leg muscles rather than the back for lifting
prevents abdominal straining.
Question 2: A nurse cares for an older adult who is admitted to the
hospital with complications of diverticulitis. Which actions would
the nurse include in the client's plan of care? (Select all that apply.)
A. Administer pain medications as prescribed.
B. Palpate the abdomen for distention.
C. Assess for sudden changes in mental status.
D. Provide the client with a high-fiber diet.
, E. e. Evaluate stools for occult blood.
Answer:
a. Administer pain medications as prescribed.
Rationale: b. Palpate the abdomen for distention. c. Assess for sudden
changes in mental status. e. Evaluate stools for occult blood. When
caring for an older adult who has diverticulitis, the nurse would
administer analgesics as prescribed, palpate the abdomen for distention
and tenderness, assess for confusion and sudden changes in mental
status, and check stools for occult or frank bleeding. A low-fiber/residue
diet would be provided when symptoms are present and a high-fiber diet
when inflammation resolves.
Question 3: A nurse is providing health teaching to a middle-age
male-to-female (MtF) client who has undergone gender-reaffirming
surgery. What information is most important to this patient?
A. "Be sure to have an annual prostate examination."
B. "Continue your normal health screenings."
C. "Try to avoid being around people who are ill."
D. "You should have an annual flu vaccination."
Answer:
a. "Be sure to have an annual prostate examination."
Rationale: The MtF client retains the prostate, so annual screening
examinations for prostate cancer remain important. The other
statements are good general health teaching ideas for any patient.
Question 4: A transgender client is taking transdermal estrogen.
What assessment finding does the nurse report immediately to the
primary health care provider?
A. Breast tenderness
, B. Headaches
C. Red, swollen calf
D. Swollen ankles
Answer:
c. Red, swollen calf
Rationale: Rational : A red, swollen calf could be a sign of a deep-vein
thrombosis, a known adverse effect of estrogen. The nurse reports this
finding immediately. The other signs and symptoms are also side effects
of estrogen, but do not need to be reported as a priority.
Question 5: A transgender client taking spironolactone is in the
internal medicine clinic reporting heart palpitations. What action by
the nurse takes priority?
A. Draw blood to test serum potassium.
B. Have the client lie down and rest.
C. Obtain a STAT electrocardiogram (ECG).
D. Take a set of vital signs.
Answer:
c. Obtain a STAT electrocardiogram (ECG).
Rationale: Spironolactone is a potassium-sparing diuretic, and
hyperkalemia can cause cardiac dysrhythmias. The nurse's priority is to
obtain an ECG, and then to facilitate a serum potassium level being
drawn. Having the client lie down and obtaining vital signs are also
important care measures, but are not the most important at this time.
Question 6: The nurse is teaching a transgender client about taking
testosterone. What statement by the client indicates good
understanding?
A. "My periods should stop immediately."
, B. "Some effects can take up to a year to see."
C. "I am glad I don't have to watch my diet."
D. "There are very few side effects since it's a normal hormone."
Answer:
b. "Some effects can take up to a year to see."
Rationale: Testosterone is used as masculinizing drug therapy. Some
desired effects may take up to a year to be noticed. Menses should stop
within the first few months of therapy. Testosterone increases the risk of
heart disease, so clients should follow a heart-healthy diet. Testosterone
has several side effects, including acne, seborrhea, weight gain, edema,
headaches, and possible psychosis.
Question 7: A client is preparing for MtF gender-affirming surgery.
The client is worried about the voice not sounding feminine
enough. What action by the nurse is best?
A. Ask if the client has considered vocal cord surgery to change the
voice.
B. Refer the client for vocal therapy with a speech-language
pathologist.
C. Teach the client that there will be no effect on the patient's voice.
D. Tell the client that the use of hormones will eventually change the
voice.
Answer:
b. Refer the client for vocal therapy with a speech-language pathologist.
Rationale: Male-to-female clients can consult with a speech-language
pathologist for vocal training to help with intonation and pitch. While
vocal surgery is possible, it may not be the best first option due to cost
and invasiveness. Telling the client that there will be no change to the
voice does not give the client information to address the concern. While
the hormones this client is taking will not affect the voice, simply stating
PARATHYROID GLANDS EXAM - COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: After teaching a client who has diverticulitis, a nurse
assesses the client's understanding. Which statement made by the
client indicates a need for further teaching?
A. "I'll ride my bike or take a long walk at least three times a week."
B. "I must try to include at least 25 g of fiber in my diet every day."
C. "I will take a laxative nightly at bedtime to avoid becoming
constipated."
D. "I should use my legs rather than my back muscles when I lift
heavy objects."
Answer:
c. "I will take a laxative nightly at bedtime to avoid becoming
constipated."
Rationale: Laxatives are not recommended for patients with diverticulitis
because they can increase pressure in the bowel, causing additional
outpouching of the lumen. Exercise and a high-fiber diet are
recommended for clients with diverticulitis because they promote regular
bowel function. Using the leg muscles rather than the back for lifting
prevents abdominal straining.
Question 2: A nurse cares for an older adult who is admitted to the
hospital with complications of diverticulitis. Which actions would
the nurse include in the client's plan of care? (Select all that apply.)
A. Administer pain medications as prescribed.
B. Palpate the abdomen for distention.
C. Assess for sudden changes in mental status.
D. Provide the client with a high-fiber diet.
, E. e. Evaluate stools for occult blood.
Answer:
a. Administer pain medications as prescribed.
Rationale: b. Palpate the abdomen for distention. c. Assess for sudden
changes in mental status. e. Evaluate stools for occult blood. When
caring for an older adult who has diverticulitis, the nurse would
administer analgesics as prescribed, palpate the abdomen for distention
and tenderness, assess for confusion and sudden changes in mental
status, and check stools for occult or frank bleeding. A low-fiber/residue
diet would be provided when symptoms are present and a high-fiber diet
when inflammation resolves.
Question 3: A nurse is providing health teaching to a middle-age
male-to-female (MtF) client who has undergone gender-reaffirming
surgery. What information is most important to this patient?
A. "Be sure to have an annual prostate examination."
B. "Continue your normal health screenings."
C. "Try to avoid being around people who are ill."
D. "You should have an annual flu vaccination."
Answer:
a. "Be sure to have an annual prostate examination."
Rationale: The MtF client retains the prostate, so annual screening
examinations for prostate cancer remain important. The other
statements are good general health teaching ideas for any patient.
Question 4: A transgender client is taking transdermal estrogen.
What assessment finding does the nurse report immediately to the
primary health care provider?
A. Breast tenderness
, B. Headaches
C. Red, swollen calf
D. Swollen ankles
Answer:
c. Red, swollen calf
Rationale: Rational : A red, swollen calf could be a sign of a deep-vein
thrombosis, a known adverse effect of estrogen. The nurse reports this
finding immediately. The other signs and symptoms are also side effects
of estrogen, but do not need to be reported as a priority.
Question 5: A transgender client taking spironolactone is in the
internal medicine clinic reporting heart palpitations. What action by
the nurse takes priority?
A. Draw blood to test serum potassium.
B. Have the client lie down and rest.
C. Obtain a STAT electrocardiogram (ECG).
D. Take a set of vital signs.
Answer:
c. Obtain a STAT electrocardiogram (ECG).
Rationale: Spironolactone is a potassium-sparing diuretic, and
hyperkalemia can cause cardiac dysrhythmias. The nurse's priority is to
obtain an ECG, and then to facilitate a serum potassium level being
drawn. Having the client lie down and obtaining vital signs are also
important care measures, but are not the most important at this time.
Question 6: The nurse is teaching a transgender client about taking
testosterone. What statement by the client indicates good
understanding?
A. "My periods should stop immediately."
, B. "Some effects can take up to a year to see."
C. "I am glad I don't have to watch my diet."
D. "There are very few side effects since it's a normal hormone."
Answer:
b. "Some effects can take up to a year to see."
Rationale: Testosterone is used as masculinizing drug therapy. Some
desired effects may take up to a year to be noticed. Menses should stop
within the first few months of therapy. Testosterone increases the risk of
heart disease, so clients should follow a heart-healthy diet. Testosterone
has several side effects, including acne, seborrhea, weight gain, edema,
headaches, and possible psychosis.
Question 7: A client is preparing for MtF gender-affirming surgery.
The client is worried about the voice not sounding feminine
enough. What action by the nurse is best?
A. Ask if the client has considered vocal cord surgery to change the
voice.
B. Refer the client for vocal therapy with a speech-language
pathologist.
C. Teach the client that there will be no effect on the patient's voice.
D. Tell the client that the use of hormones will eventually change the
voice.
Answer:
b. Refer the client for vocal therapy with a speech-language pathologist.
Rationale: Male-to-female clients can consult with a speech-language
pathologist for vocal training to help with intonation and pitch. While
vocal surgery is possible, it may not be the best first option due to cost
and invasiveness. Telling the client that there will be no change to the
voice does not give the client information to address the concern. While
the hormones this client is taking will not affect the voice, simply stating
