BSN HESI 266 MED SURG EXAM / BSN 266 HESI MED SURG LATEST 2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS ALREADY GRADED A+)

BSN HESI 266 MED SURG EXAM / BSN 266 HESI MED SURG LATEST 2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS ALREADY GRADED A+)
1. The nurse is completing a health assessment of a 42-year-old female with suspected Graves' disease. The nurse should assess this client for:
1. Anorexia.
2. Tachycardia.
3. Weight gain.
4. Cold skin. - Answer-1. 2. Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate generates heat and produces tachycardia and fine muscle tremors. Anorexia is associated with hypothyroidism. Loss of weight , despite a good appetite and adequate caloric intake, is a common feature of hyperthyroidism. Cold skin is associated with hypothyroidism.

2. When conducting a health history with a female client with thyrotoxicosis, the nurse should ask about which of the following changes in the menstrual cycle?
1. Dysmenorrhea.
2. Metrorrhagia.
3. Oligomenorrhea.
4. Menorrhagia. - Answer-2. 3. A change in the menstrual interval, diminished menstrual flow (oligomenorrhea), or even the absence of menstruation (amenorrhea) may result from the hormonal imbalances of thyrotoxicosis. Oligomenorrhea in women and decreased libido and impotence in men are common features of thyrotoxicosis. Dysmenorrhea is painful menstruation. Metrorrhagia, blood loss between menstrual periods , is a symptom of hypothyroidism. Menorrhagia, excessive bleeding during menstrual periods, is a symptom of hypothyroidism.

3. A 34 -year-old female is diagnosed with hypothyroidism. The nurse should assess the client for which of the following? Select all that apply.
1. Rapid pulse
.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. - Answer-3. 2, 3, 5, 6. Clients with hypothyroidism exhibit symptoms indicating a lack of thyroid hormone. Bradycardia, decreased energy and lethargy, memory problems, weight gain, coarse hair, constipation, and menorrhagia are common signs and symptoms of hypothyroidism.

with Graves' disease. The nurse should teach the client to immediately report which of the following?
1. Sore throat.
2. Painful, excessive menstruation.
3. Constipation
. 4. Increased urine output. - Answer-4. 1. The most serious adverse effects of PTU are leukopenia and agranulocytosis, which usually occur within the first 3 months of treatment. The client should be taught to promptly report to the health care provider signs and symptoms of infection, such as a sore throat and fever. Clients having a sore throat and fever should have an immediate white blood cell count and differential performed, and the drug must be withheld until the results are obtained. Painful menstruation, constipation, and increased urine