You have a 31-year-old female come into your office. It is 45-degrees outside and you notice she is not wearing a coat. She states she has been feeling warm all the time though she does not actually have a fever. She complains of weight loss, thinning hair, difficulty sleeping, and feeling anxious for the last 6 months. She complains of palpitations and sometimes feeling like her heart will beat right out of her chest. She complains of her eyes feeling gritty. On exam you note that she is 66 inches tall and 105 lb. This is down from 130 lbs when you saw her for a well-woman physical 3 years ago. You see a slight rim of the sclera above her iris on both eyes. She has a slight lid lag when you ask her to look downward. Her neck shows a diffusely enlarged thyroid gland. It is non-tender. There are no discrete nodules. Cardiac exam shows a regular rate of 105 beats per minute. BP 135/85. No murmurs. The rest of her exam is normal except for very brisk patellar reflexes. A. You suspect thyroid disease. Are you suspecting hyperthyroidism or hypothyroidism? B. The most common cause of her condition is an autoimmune disease that produces an abnormal antibody that mimics a naturally occurring hormone. What hormone does this antibody mimic? C. You check her TSH. Is it high, normal, or low? D. You do a radioactive iodine scan. Do you expect to see increased diffuse uptake, nodular uptake, or no uptake of the tagged iodine?
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List two drug interactions known with the phosphodiesterase…
List two drug interactions known with the phosphodiesterase (PDE5) inhibitors and list the effects for each drug.
The luteal ovarian phase coincides with the __________ uteri…
The luteal ovarian phase coincides with the __________ uterine phase.
The nurse is checking a client’s vital signs. The client’s r…
The nurse is checking a client’s vital signs. The client’s radial pulse is irregular and the rate is 115 beats/minute. What is the nurse’s next action?
Nurses are at risk of compassion fatigue. Which of the foll…
Nurses are at risk of compassion fatigue. Which of the following is a finding of compassion fatigue?
A nurse palpates a client’s radial pulse and determines the…
A nurse palpates a client’s radial pulse and determines the pulse to be weak and diminished. What pulse strength would the nurse document.
Communication plays an important role in building a therapeu…
Communication plays an important role in building a therapeutic relationship. Which of the following are characteristics of nonverbal communication? (Select all that apply)
Which term is associated with a member of the interdisciplin…
Which term is associated with a member of the interdisciplinary team who assesses and plans for clients to regain activities of daily living skills?
A client has an order for a urinary catheter to be inserted….
A client has an order for a urinary catheter to be inserted. If an LPN was assigned the task and wasn’t sure if it was included in their scope of practice, where would the nurse obtain this information?
Which of the following manifestations must be present in ord…
Which of the following manifestations must be present in order to diagnose depression?