NR 511 Quiz week 6 Exam
NR511 Quiz week 6 Exam
QUIZ 6- NR 511
1. A client with hyperthyroidism presents with a complaint of a “gritty” feeling in
... [Show More] her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind her eyes. The next step for the NP is to:
REFER THE CLIENT FOR IMMEDIATE EVALUATION BY AN OPTHOMOLOGIST
2. A low thyroid-stimulating hormone (TSH) can lead to:
OSTEOPOROSIS
3. Which of the following statements about hypothyroidism is not true?
THE RATE OF HYPOTHYROIDISM DECREASES WITH AGE.
4. Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
WATCHFUL WAITING WITH ANNUAL FOLLOW-UP
5. An elderly client present with atrial fibrillation. Which of the following lab tests is important in forming the diagnosis?
TSH THYROID-STIMULATING HORMONE
6. A 6-year-old girl was bitten by a friend’s dog. Her mother asks the clinician if the child needs anti-rabies treatment. Which of the following the clinician advise?
IF THE DOG IS A DOMESTIC PET THAT HAS BEEN VACCINATED, WOUND CLEANSING AND IRRIGATION IS THE ONLY TREATMENT NEEDED
7. The most common cause of hyperthyroidism is:
GRAVES DISEASE
8. A 24-year-old female is preparing for radioactive iodine therapy to treat Graves disease. Which test must she undergo first?
BETA-HUMAN CHORIONIC GONADOTROPIN
9. Which of the following BMI values defines class 1 obesity?
30
10. What is the medication of choice for an initial acute attack of gout?
NSAID-INDOMETHACIN
11. Which of the following objective findings in a 49-year-old female is a gin of hyperthyroidism?
EXOPHTHALMOS
12. A 72-year-old obese male has gout. When teaching him about diet, which of the following should the clinician advise?
FLUID INTAKE SHOULD EXCEED THREE THOUSAND MILLILITERS DAILY TO PREVENT FORMATION OF URIC ACID KIDNEY STONES
13. A 46-year old male presents with a tender, red and swollen knee. The clinician orders a CBC with diff, uric acid level and ESR. Which results would make the clinician suspect a septic joint rather than gout?
ELEVATED WBC AND ELEVATED ERYTHROCYTE SEDIMENTATION RATE (ESR)
14. A client presents with clinical manifestations of hyperthyroidism. The differential diagnosis includes Graves disease and subacute thyroiditis. Which of the following findings is consistent with subacute thyroiditis?
A 24-HOUR RADIOACTIVE IODINE UPTAKE (RAIU) DEMONSTRATING DECREASED UPTAKE
15. A 23-year-old female complains of palpitations that started a few weeks ago; they occur 2-4 times a day and last 5 to 10 minutes. She feels nervous and is having trouble sleeping. Her stools have been frequent (1-3 per day) and loose. She is taking levothyroxine 150mcg daily. Her labs indicate free thyroxine (FT4) 2.28 and thyroid replacement for 2 months. Based on these findings, what should the clinician do next?
DECREASE THE LEVOTHYROXINE DOSAGE [Show Less]