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A client has been admitted to the postsurgical unit following a thyroidectomy. To promote
comfort and safety, how should the nurse best position the client?
A. Side-lying with one pillow under the head
B. Head of the bed elevated 30 degrees and no pillows placed under the head
C. Semi-Fowler with the head supported on two pillows
D. Supine, with a small roll supporting the neck - ANSWER C. Semi-Fowler with the head
supported on two pillows
A client with thyroid cancer has undergone surgery and a significant amount of parathyroid
tissue has been removed. The nurse caring for the client should prioritize what question when
addressing potential complications?
A. "Do you feel any muscle twitches or spasms?"
B. "Do you feel flushed or sweaty?"
C. "Are you experiencing any dizziness or lightheadedness?"
D. "Are you having any pain that seems to be radiating from your bones?" - ANSWER A. "Do you
feel any muscle twitches or spasms?"
The nurse is caring for a client with a diagnosis of Addison disease. What sign or symptom is
most closely associated with this health problem?
A. Truncal obesity
B. Hypertension
C. Muscle weakness
D. Moon face - ANSWER C. Muscle weakness
, The nurse is caring for a client with Addison disease who is scheduled for discharge. When
teaching the client about hormone replacement therapy, the nurse should address what topic?
A. The possibility of precipitous weight gain
B. The need for lifelong steroid replacement
C. The need to match the daily steroid dose to immediate symptoms
D. The importance of monitoring liver function - ANSWER B. The need for lifelong steroid
replacement
A client is prescribed corticosteroid therapy. What would be priority information for the nurse
to give the client who is prescribed long-term corticosteroid therapy?
A. The client's diet should be low protein with ample fat.
B. The client may experience short-term changes in cognition.
C. The client is at an increased risk for developing infection.
D. The client is at a decreased risk for development of thrombophlebitis and thromboembolism
- ANSWER C. The client is at an increased risk for developing infection.
A nurse caring for a client with diabetes insipidus is reviewing laboratory results. What is an
expected urinalysis finding?
A. Glucose in the urine
B. Albumin in the urine
C. Highly dilute urine
D. Leukocytes in the urine - ANSWER C. Highly dilute urine
The nurse caring for a client with Cushing syndrome is describing the dexamethasone
suppression test scheduled for tomorrow. What does the nurse explain that this test will
involve?
A. Administration of dexamethasone orally, followed by a plasma cortisol level every hour for 3
hours