BSN 246 exam
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, BSN 246
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1. 1. The nurse is complet- 2. Graves' disease, the most common type of thyrotoxicosis, is a state
ing a health assessment of
of a 42-year-old female hypermetabolism. The increased metabolic rate generates heat and
with produces tachycardia
suspected Graves' dis- and fine muscle tremors. Anorexia is associated with hypothyroidism.
ease. The nurse should Loss of weight,
assess this client for: despite a good appetite and adequate caloric intake, is a common
1. Anorexia. feature of
2. Tachycardia. hyperthyroidism. Cold skin is associated with hypothyroidism.
3. Weight gain. CN: Physiological adaptation; CL: Analyze
4. Cold skin.
2. 2. When conducting a 3. A change in the menstrual interval, diminished menstrual flow
health history with a fe- (oligomenorrhea), or even the absence of menstruation (amenorrhea)
male client with thyro- may result from the
toxicosis, the hormonal imbalances of thyrotoxicosis. Oligomenorrhea in women
nurse should ask about and decreased libido
which of the following and impotence in men are common features of thyrotoxicosis. Dys-
changes in the menstru- menorrhea is painful
al cycle? menstruation. Metrorrhagia, blood loss between menstrual periods, is
1. Dysmenorrhea. a symptom of
2. Metrorrhagia. hypothyroidism. Menorrhagia, excessive bleeding during menstrual
3. Oligomenorrhea. periods, is a
4. Menorrhagia. symptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
3. 3. A 34-year-old female 2, 3, 5, 6. Clients with hypothyroidism exhibit symptoms indicating a
is diagnosed with hy- lack of
pothyroidism. The nurse thyroid hormone. Bradycardia, decreased energy and lethargy, mem-
should assess ory problems,
the client for which of weight gain, coarse hair, constipation, and menorrhagia are common
the following? Select all signs and
, BSN 246
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that apply. symptoms of hypothyroidism.
1. Rapid pulse. CN: Physiological adaptation; CL: Analyze
2. Decreased energy and
fatigue.
3. Weight gain of 10 lb
(4.5 kg).
4. Fine, thin hair with
hair loss.
5. Constipation.
6. Menorrhagia.
4. 4. Propylthiouracil (PTU) 1. The most serious adverse effects of PTU are leukopenia and agran-
is prescribed for a client ulocytosis,
with Graves' disease. which usually occur within the first 3 months of treatment. The client
The nurse should be taught to
should teach the client promptly report to the health care provider signs and symptoms of
to immediately report infection, such as a
which of the following? sore throat and fever. Clients having a sore throat and fever should have
1. Sore throat. an immediate
2. Painful, excessive white blood cell count and differential performed, and the drug must
menstruation. be withheld until
3. Constipation. the results are obtained. Painful menstruation, constipation, and in-
4. Increased urine out- creased urine output
put. are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
5. 5. A client with thyrotox- 2. A typical sign of thyrotoxicosis is irritability caused by the high levels
icosis says to the nurse, of
"I am so irritable. I am circulating thyroid hormones in the body. This symptom decreases as
having the client responds
problems at work be- to therapy. Thyrotoxicosis does not cause confusion. The client may be
cause I lose my temper worried about
, BSN 246
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very easily." Which of the her illness, and stress may influence her mood; however, irritability is
following a common
responses by the nurse symptom of thyrotoxicosis and the client should be informed of that
would give the client the fact rather than
most accurate explana- blamed.
tion of her CN: Psychosocial integrity; CL: Synthesize
behavior?
1. "Your behavior is
caused by temporary
confusion brought on by
your illness."
2. "Your behavior is
caused by the excess
thyroid hormone in your
system."
3. "Your behavior is
caused by your worrying
about the seriousness of
your
illness."
4. "Your behavior is
caused by the stress of
trying to manage a ca-
reer and cope
with illness."
6. 6. The nurse is evaluat- 2. PTU is a prototype of thioamide antithyroid drugs. It inhibits produc-
ing a client with hyper- tion of
thyroidism who is tak- thyroid hormones and peripheral conversion of T4 to the more active
ing T3. A client taking
Propylthiouracil (PTU) this antithyroid drug should be able to sleep and rest well at night since
100 mg/day in three di- the level of
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 246
Study online at https://quizlet.com/_9ndyln
1. 1. The nurse is complet- 2. Graves' disease, the most common type of thyrotoxicosis, is a state
ing a health assessment of
of a 42-year-old female hypermetabolism. The increased metabolic rate generates heat and
with produces tachycardia
suspected Graves' dis- and fine muscle tremors. Anorexia is associated with hypothyroidism.
ease. The nurse should Loss of weight,
assess this client for: despite a good appetite and adequate caloric intake, is a common
1. Anorexia. feature of
2. Tachycardia. hyperthyroidism. Cold skin is associated with hypothyroidism.
3. Weight gain. CN: Physiological adaptation; CL: Analyze
4. Cold skin.
2. 2. When conducting a 3. A change in the menstrual interval, diminished menstrual flow
health history with a fe- (oligomenorrhea), or even the absence of menstruation (amenorrhea)
male client with thyro- may result from the
toxicosis, the hormonal imbalances of thyrotoxicosis. Oligomenorrhea in women
nurse should ask about and decreased libido
which of the following and impotence in men are common features of thyrotoxicosis. Dys-
changes in the menstru- menorrhea is painful
al cycle? menstruation. Metrorrhagia, blood loss between menstrual periods, is
1. Dysmenorrhea. a symptom of
2. Metrorrhagia. hypothyroidism. Menorrhagia, excessive bleeding during menstrual
3. Oligomenorrhea. periods, is a
4. Menorrhagia. symptom of hypothyroidism.
CN: Physiological adaptation; CL: Analyze
3. 3. A 34-year-old female 2, 3, 5, 6. Clients with hypothyroidism exhibit symptoms indicating a
is diagnosed with hy- lack of
pothyroidism. The nurse thyroid hormone. Bradycardia, decreased energy and lethargy, mem-
should assess ory problems,
the client for which of weight gain, coarse hair, constipation, and menorrhagia are common
the following? Select all signs and
, BSN 246
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that apply. symptoms of hypothyroidism.
1. Rapid pulse. CN: Physiological adaptation; CL: Analyze
2. Decreased energy and
fatigue.
3. Weight gain of 10 lb
(4.5 kg).
4. Fine, thin hair with
hair loss.
5. Constipation.
6. Menorrhagia.
4. 4. Propylthiouracil (PTU) 1. The most serious adverse effects of PTU are leukopenia and agran-
is prescribed for a client ulocytosis,
with Graves' disease. which usually occur within the first 3 months of treatment. The client
The nurse should be taught to
should teach the client promptly report to the health care provider signs and symptoms of
to immediately report infection, such as a
which of the following? sore throat and fever. Clients having a sore throat and fever should have
1. Sore throat. an immediate
2. Painful, excessive white blood cell count and differential performed, and the drug must
menstruation. be withheld until
3. Constipation. the results are obtained. Painful menstruation, constipation, and in-
4. Increased urine out- creased urine output
put. are not associated with PTU therapy.
CN: Pharmacological and parenteral therapies; CL: Synthesize
5. 5. A client with thyrotox- 2. A typical sign of thyrotoxicosis is irritability caused by the high levels
icosis says to the nurse, of
"I am so irritable. I am circulating thyroid hormones in the body. This symptom decreases as
having the client responds
problems at work be- to therapy. Thyrotoxicosis does not cause confusion. The client may be
cause I lose my temper worried about
, BSN 246
Study online at https://quizlet.com/_9ndyln
very easily." Which of the her illness, and stress may influence her mood; however, irritability is
following a common
responses by the nurse symptom of thyrotoxicosis and the client should be informed of that
would give the client the fact rather than
most accurate explana- blamed.
tion of her CN: Psychosocial integrity; CL: Synthesize
behavior?
1. "Your behavior is
caused by temporary
confusion brought on by
your illness."
2. "Your behavior is
caused by the excess
thyroid hormone in your
system."
3. "Your behavior is
caused by your worrying
about the seriousness of
your
illness."
4. "Your behavior is
caused by the stress of
trying to manage a ca-
reer and cope
with illness."
6. 6. The nurse is evaluat- 2. PTU is a prototype of thioamide antithyroid drugs. It inhibits produc-
ing a client with hyper- tion of
thyroidism who is tak- thyroid hormones and peripheral conversion of T4 to the more active
ing T3. A client taking
Propylthiouracil (PTU) this antithyroid drug should be able to sleep and rest well at night since
100 mg/day in three di- the level of
