CHAPTER 45 BRUNNER AND SUDDHARTH EXAMS
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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
ANS: C
Rationale: When moving and turning the client, the nurse carefully
supports the client's head and avoids tension on the sutures. The most
comfortable position is the semi-Fowler position, with the head
elevated and supported by 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?"
,CHAPTER 45 BRUNNER AND SUDDHARTH EXAMS
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ANS: A
Rationale: As the blood calcium level falls, hyperirritability of the nerves
occurs, with
spasms of the hands and feet and muscle twitching. This is
characteristic of hypoparathyroidism. Flushing, diaphoresis, dizziness,
and pain are atypical signs of the resulting hypocalcemia.
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
ANS: C
Rationale: Clients with Addison disease demonstrate muscular
weakness, anorexia, gastrointestinal symptoms, fatigue, emaciation,
dark pigmentation of the skin, and hypotension. Clients with Cushing
syndrome demonstrate truncal obesity, "moon" face, acne, abdominal
striae, and hypertension.
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
, CHAPTER 45 BRUNNER AND SUDDHARTH EXAMS
ALL ANSWERS 100% CORRECT VERIFIED LATEST
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SUCCESS
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
ANS: B
Rationale: Because of the need for lifelong replacement of adrenal
cortex hormones to prevent addisonian crises, the client and family
members receive explicit education about the rationale for replacement
therapy and proper dosage. Doses are not adjusted on a short-term
basis. Weight gain and hepatotoxicity are not common adverse effects.
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.
ANS: C
Rationale: The client is at increased risk of infection and masking of
signs of infection. The cardiovascular effects of corticosteroid therapy
may result in development of thrombophlebitis or thromboembolism.
The diet should be high in protein with limited fat. Changes in
ALL ANSWERS 100% CORRECT VERIFIED LATEST
DOWNLOADED 2025/2026 BEST RATED A+ FOR
SUCCESS
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
ANS: C
Rationale: When moving and turning the client, the nurse carefully
supports the client's head and avoids tension on the sutures. The most
comfortable position is the semi-Fowler position, with the head
elevated and supported by 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?"
,CHAPTER 45 BRUNNER AND SUDDHARTH EXAMS
ALL ANSWERS 100% CORRECT VERIFIED LATEST
DOWNLOADED 2025/2026 BEST RATED A+ FOR
SUCCESS
ANS: A
Rationale: As the blood calcium level falls, hyperirritability of the nerves
occurs, with
spasms of the hands and feet and muscle twitching. This is
characteristic of hypoparathyroidism. Flushing, diaphoresis, dizziness,
and pain are atypical signs of the resulting hypocalcemia.
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
ANS: C
Rationale: Clients with Addison disease demonstrate muscular
weakness, anorexia, gastrointestinal symptoms, fatigue, emaciation,
dark pigmentation of the skin, and hypotension. Clients with Cushing
syndrome demonstrate truncal obesity, "moon" face, acne, abdominal
striae, and hypertension.
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
, CHAPTER 45 BRUNNER AND SUDDHARTH EXAMS
ALL ANSWERS 100% CORRECT VERIFIED LATEST
DOWNLOADED 2025/2026 BEST RATED A+ FOR
SUCCESS
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
ANS: B
Rationale: Because of the need for lifelong replacement of adrenal
cortex hormones to prevent addisonian crises, the client and family
members receive explicit education about the rationale for replacement
therapy and proper dosage. Doses are not adjusted on a short-term
basis. Weight gain and hepatotoxicity are not common adverse effects.
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.
ANS: C
Rationale: The client is at increased risk of infection and masking of
signs of infection. The cardiovascular effects of corticosteroid therapy
may result in development of thrombophlebitis or thromboembolism.
The diet should be high in protein with limited fat. Changes in
