a nurse is assisting a client who has hypothyroidism with meal planning. Which of the following foods should the nurse recommend that the client add to her diet? Multiple Choice Whole grains Yes Dhillon, Sunpreet K A nurse is monitoring a client who is postoperative following a thyroidectomy. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of case management in order to: Explore resources available to assist the client with achieving or maintaining independence. A nurse aide can assist clients with their spiritual needs by: (A) taking clients to the nurse aide’s church (B) allowing clients to talk about their beliefs (C) avoiding any religious discussions (D) talking about the nurse aide’s own spiritual beliefs. 1 How do clients experiencing angina? Describe that pain. Meal planning is more than just what you’ll be eating. Your role involves many duties, the top five listed as feeding, bathing and dressing patients; taking patient vital signs; serving meals, making beds and keeping patient rooms clean; setting up medical equipment and assisting with some medical. Stick to your list to: reduce food waste. Multiple trainers and over 1,000 clients. Early detection and treatment improves the likelihood of recovery. When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. Increase fluid intake to 3000 ml a day B. Hypothyroidism is a fairly common condition. The client starts to develop shortness of breath. The nurse can expect to find the presence of: The nurse is caring for a client admitted with multiple trauma. “This is a normal reaction after surgery. A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. 20…A nurse is assisting a client who has hypothyroidism with meal planning. The nurse is caring for a postoperative client who reports pain in the shoulder blades following laparoscopic cholecystectomy surgery. “Apply a cold compress to the client’s back. FIGURE 7-1 The community as client. Which of the following foods should the nurse NOT recommend that the client add to her diet? a. Levothyroxine is given when your thyroid does not produce enough of this hormone on its . Which of the following statements, if made by the mother, would require a need for further instruction? A client with hypothyroidism asks the nurse. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. No Dhillon, Sunpreet K A nurse is assisting a client who has hypothyroidism with meal planning. “Pain will become less each day. A client with Graves' disease has exophthalmos and is experiencing photophobia. Fill one quarter with carb foods. Assisting with ADL activities is one of the primary responsibilities you will have as a nursing assistant. A nurse is caring for a client who repeatedly refuses meals. Should be taken in the morning. Duke doctors perform thyroid surgery on a patient at Duke Raleigh Here are 8 essential questions to ask before you schedule thyroid . Option B: Calling the attention and speaking loudly is viewed as a rude gesture. This can interfere with the absorption of insulin, resulting in erratic blood glucose levels. providing emotional support to decrease fear B. Report the staff nurse to the supervisor so that remediation to resolve the problem occurs. Rest and exercise as tolerated through space activities. nurse is reviewing prescribed medications for a newly admitted client. To ensure proper use of the walker and the safety of the client, the nurse should A. The client may develop hypoglycemia quickly if they do not eat. This helps with swallowing and protects the airway (Dougherty and Lister, 2015). Nursing care for a patient with hypothyroidism includes assessing for clinical manifestations associated with hypothyroidism. Myxedema: Symptoms, treatment & coma. Why trust us? If you want to repeat a. Gastrointestinal Disorders Practice Test. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. Rationale: Small and frequent meals are easier to digest. A nurse is caring for a client who is being evaluated for. Designed for a business that has more than one trainer. Keep the head of the bed elevated at 90 degrees 61. When both sides are failing, it is called congestive heart failure (CHF). May decrease the client’s energy level. Which of the following findings indicates to the nurse that the client is experiencing decreased perfusion of the affected leg? A. a nurse is assisting a client who has hypothyroidism with meal planning. Spironolactone is a potassium-sparing diuretic that inhibits the action of aldosterone, resulting in an increased excretion of sodium. You can also use our revolutionary meal plan generator in order to create a personalized meal plan in seconds or create portion based meal plans. Make sure the client’s clothing is clean. A nurse is teaching a client who has Parkinson disease and prescribed monoxide inhibitors. Which of the following clients should the nurse see first? A. Nurses can identify these factors and plan health interventions by implementing an assessment of the entire aggregate or community. Management of Care (17-23%) category includes content that tests the nurse’s knowledge and ability to direct nursing care that enhances the care delivery setting in order to protect clients, significant others, and health care personnel. , balance, dexterity), and perceptual (including sensory) abilities. The client reports an inability to sit still. A nurse is planning care for a client who has pneumonia. if the client has never had influenza. Administer aspirin (Ecotrin) B. Ask the assistant to obtain a glucometer reading. providing a cool, quiet, and comfortable environment d. Safety and Infection Control - 9% to 15%. A pulse rate lower than 95 bpm but greater than 60 bpm. How Can I Create Meal Plans for Diabetes?. A nurse has provided a training session about disease prevention for staff at a community summer camp. Best Diet for Hypothyroidism: Foods to Eat, Foods to Avoid. the patient will likely experience the side effects of hypothyroidism (see above). Rationale: Weight gain is a manifestation of hypothyroidism. The nurse has given the male client with Bell’s palsy instructions on preserving muscle tone in the face and preventing denervation. The nurse should monitor the client for reports of tingling and numbness. Upon examination, the doctor's diagnosis was hypothyroidism. Pain rating of 8/10, with movement of the. Obtain dark glasses for the client. Contact the physician immediately C. Then adjust your meal plan as needed. The client may report anorexia and decreased dietary intake. Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position. Asking if the client has allergies to shellfish The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. Sims position with the head of the bed flat. com/nutrition/hypothyroidism-diet#foods-to-eat. The client has a CVA three years ago that resulted in right-sided hemiparesis. Suggestions for discussions: 1. Which of the following clinical findings are associated with this disorder? Hypothyroidism causes a decreased metabolic demand. 8 Questions to Ask Your Doctor Before Thyroid Surgery. A priority nursing assessment to be included in the plan regarding this medication is to assess for: a) relief of pain b) signs of renal toxicity c) signs and symptoms of hyperglycemia. Height, weight, activity level, and gender all play a role. A nurse is assessing a client who has been taking thioridazine for 2 weeks. On assessment, the nurse notes that the abdomen is distended and bowel sounds are diminished. The ability to perform ADLs and IADLs is dependent upon cognitive (e. The nurse is assisting a client with Crohn's disease to ambulate to the bathroom. Based on the nursing assessment, a nursing diagnosis for a patient suffering from hypothyroidism is initiated. It’s designed to be: Simple to follow for busy folks with many mouths to feed. Ability to fully edit and customize. 1200-1500 calories per day because weight gain can occur at normal rates of calorie intake. infections treatment case nursing essay, 3 hypothyroidism nursing care plans pinterest, pn nclex 6th edition adult endocrin flashcards quizlet, 5 nursing diagnosis and interventions nursing care plan, ulrich amp canale s nursing care planning guides, hypothyroidism myxedema nursing care plan and rnpedia, nanda care plan, nursing care plan a. A nurse is caring for a client who has hypothyroidism. administer thyroid hormone replacement c. You will never run out of dish ideas with this large collection of meal plans. The nurse should recognize that this medication can result in an adverse interaction when taken with which of the following over-the-counter supplements? Answer: B. Instruct the patient to avoid use of an external heat source. Take the medication with meals only. Assess the client's need for materials and equipment (e. The client has good control of her diabetes. To treat the fever, which of the following should the nurse include in the plan of care? A. Assist the client to ambulate for the first time following the procedure D. The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison’s disease. It is a challenging test that requires you to apply Nursing knowledge to practice and critical thinking skills. The nurse is caring for a client following an appendectomy. What might this plan consist of? Mr. NURSING 270 Hesi Exit Comprehensive Exam. Poached eggs Health Science Science Nursing MSN 6010 Answer & Explanation Solved by verified expert. Her Family Doctor sees her every 3-6 months for hypertension and hypothyroidism. as a priority in the plan of care? A. An elevated systolic blood pressure. Check the client for weight loss B. In the United States, almost 5 percent of people ages 12 years old and up have hypothyroidism. encourage to drink 6-8 glasses of water 62. Levothyroxine is used to treat hypothyroidism (low thyroid hormone). In general, the best diet for a person with hypothyroidism contains plenty of fruits, vegetables, filling proteins, healthy fats, and moderate amounts of healthy. Increase sodium in the diet CORRECT ANSWER: B. A client who has hyperparathyroidism is at risk for pathological fractures due to the release of calcium and phosphate into the blood, which reduces bone density and places the client at risk for pathologic fractures. Get the basics down and you'll be a pro in no time. As you know, your role of a certified nursing assistant/aide (CNA) is an important and essential one in the delivery of health care to patients. A nurse is assisting a client who has hypothyroidism with meal planning. Ensuring that dentures are in place. Lying in bed on the unaffected side. Assist with toileting and personal needs so the resident is comfortable on his/her transport. C: Teach the client how to cough up secretions. A thyroid stimulating hormone (TSH) level was obtained at that visit and was . Start with a 9-inch dinner plate (about the length of a business envelope): Fill half with nonstarchy vegetables, such as salad, green beans, broccoli, cauliflower, cabbage, and carrots. protecting the client from infection C. He asks the nurse if eating at a restaurant will affect diabetic control and if this is allowed. encouraging discussion about lifestyle changes. The goal of an NCP is to create a treatment plan that is specific to the patient. Causative elements might be physical or psychological, and they can be transitory or permanent. which technique is most appropriate? Assist the client to putting the shirt on the right arm then have the client put on the left sleeve. A nurse in the birthing unit is assisting with the care of a client who is at 38 weeks gestation and has bring red vaginal bleeding but denies pain. Symptoms, signs, and more critically, blood tests—are taken into consideration when. Massage the face with a gentle upward motion c. Liability and the Certified Nursing Assistant / Nursing Aide. The nurse plans to monitor for which of the following in the client. Get an idea for how many calories you need per day by plugging your information into the calculator below. ) Avoid eating high-protein meals. B Assist the client to ampulate for the first time following the procedure. Rationale: Helps control reflux and causes less irritation from reflux action into esophagus. “I will give you the pain medication the physician ordered. The diagnosis includes: Understanding the activity intolerance levels. The nurse instructs the client to make slow head movements to prevent worsening of the vertigo. Witness the client’s signature on the consent for the procedure 24. Imbalanced Nutrition: More Than Body Requirements. A nurse is planning nutritional care for a group of clients. It’s about making smart choices that work for your personal daily life and tastes, as well as what is safe for managing diabetes. Instruct patient to eat slowly and masticate foods well. The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath. assistance (ventilator), fluid replacement, and intensive-care nursing. The 14-Day Meal Plan For Hypothyroidism and Weight Loss is a Dietitian-made plan to help make life easier (and more delicious) when learning what you should and should not eat with an underactive thyroid. After the client has a bowel movement, the nurse should assess the stool for which characteristic that is expected with this disease? 1. Diagnosis of an underactive thyroid function is made based on a combination of thyroid blood test results, symptoms, and several other factors. Which of the following foods should the nurse recommend that the client add to her diet? whole grains constipation is a classic manifestation of hypothyroidism, therefore, this client should increase her fluid and fiber intake. The nurse is assisting in the assessment of the patient admitted with “extreme abdominal pain. The nurse should recommend a high- protein, commercially prepared liquid nutritional supplement for which of the following clients? a. Nurses can assist a client to relax by (a) gowning and/or. Which of the following foods should the nurse recommend that the client add to her diet? 21…A nurse is assessing a client who has hyperthyroidism. Identifying the cause will assist the nurse in guiding the nursing intervention. Phosphate binders are recommended with meals. Notify the dietician about the client’s request. The home care nurse is visiting a client newly diagnosed with diabetes mellitus. a) A client to receive a chemotherapy treatment or first national b) A client who has an appendectomy to these don’t has diminished all sounds c) A client is hypothyroidism and his stuporous d) A client who is a burn requiring a sterile dressing change The nurses planning care for newly admitted adolescent who has bacterial meningitis. Once in a nursing facility, more dependent patients may be a greater drain on the available resources than those who are ADL-independent (Arling & Williams 2003). A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7. • Assist a client in finding a qualified . A nurse is teaching about diet restrictions to a client who has acute kidney injury and is on hemodialysis. The nurse should administer lispro insulin 15 min before a meal, because lispro insulin is rapid-acting insulin that has an onset within 15 to 30 min. tell the charge nurse so she can check it. nurse is teaching a client who has Parkinson's disease and is prescribed a monoamine oxidase. However, the nurse should observe the nursing assistant to be sure that she has mastered this skill. which nursing diagnosis shoul be the nurse's first priority for this client. Provide the patient with an extra blanket or layer of clothing. Which of the following is the first action the nurse should take when assisting this client? 19. Report any special needs to the transport assistant. Because the client has been on insulin for many years, this is the most likely cause of poor control. Note that your specific calorie goal may vary. All Kenyan Nurses registering to work in the states must pass National Council Licensure Examinations for Registered Nurses (NCLEX-RN). The nurse should recheck the client's blood glucose level in 15 minutes. The client has brought her standard walker from home. (The nurse should remind the client to avoid drinking liquids at mealtimes to prevent the food from emptying into the small bowel too quickly. Common Board Questions (CBQ)in Nurse Licensure Examination (CARDIOVASCULAR SYSTEM) CBQ no. 0 Resident Assessment Instruments (RAI) Manual (v1. You are assisting the client with getting dressed in the morning. A nurse is assessing a client who has antisocial personality disorder. a nurse is planning care for a client with AIDS who has been hospitalized for Pneumocystitis carinii infection. Which of the following foods should the nurs Which of the following foods should the nurs Q: The nurse assesses a client who had bilateral total knee replacement (TKR) four hours ago. Prone with the head turned to the side and supported by a pillow. The Nursing Assistant, Fifth Edition is a concise, practical, affordable, and up-to-date guide to the skills today's nursing assistants need to master. a nurse is a providers office is collecting data from a client who has hypothyroidism blurred vision moist skin bradycardia* insomnia-hyperthyroidism a nurse is assisting with meal planning with a client who has hypothyroidism the nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients. The NCLEX-RN Test Plan is organized into four major Client Needs categories. Amino acids are protein and are lost in the dialysate. Management of Care - 17% to 23%. Make sure the resident is clean and properly dressed. Assessing and Planning Interventions to Meet the Client's Emotional and Spiritual Needs. Assist the patient with creating a meal plan: Introduce the patient to weekly meal planning and preparation Help set up a realistic meal plan that fits into the patient’s lifestyle Assist the patient in creating a menu and learning how to meal prep The patient is more likely to follow through with health changes if they are personalized. Thyroid Disorders and Pregnancy. After-Meal Care When the client has finished eating remove the dishes and napkin, towel or clothing protector. to mothers with hypothyroidism during pregnancy had lower IQ and impaired . The nurse aide should wash the area with soap and water and apply alcohol. A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. have the client move one leg forward with the walker. Organize your grocery list by headings that match the sections of the store. (A) Hypothyroidism evening, she had gotten up suddenly from the dinner table. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following? The nurse should recheck the client's blood glucose level in 15 minutes. Which of the following fings should the nurse expect? Tingling of the extremities. A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. This summer-friendly diet plan gets you out of the house with nutritious foods that are quick, easy, and portable We may earn commission from links on this page, but we only recommend products we back. , nurses or medical assistants) to complete . Parents continue to be responsible for major grocery shopping, laundry, meals, cath care/bowel regime and all care during non-service hours. Normally functioning hearts have an ejection. The nurse should identify alopecia as an adverse effect of some chemotherapy medications. Various medications taken by mouth can affect the alimentary tract. A nurse is planning care for a client who has a new prescription for total parenteral nutrition (TPN). The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2. Lie still and watch the television D. Buy the foods on your grocery list: Use your list to navigate the aisles. The nurse is assessing a client’s gastrointestinal tract. Your are assisting your client who has had a stroke. money to refill the prescription. Akathisia - unable to sit/stand still. Your favorite week-long meal plan is. The nurse should recognize which of the following clients has a. A nurse at a shelter assisting with client triage after tornado destroyed a community. Ask the Expert: Is Your Thyroid Functioning Properly?. Fill one quarter with a lean protein, such as chicken, turkey, beans, tofu, or eggs. persistent low-grade temperature. The lack of needed and wanted social contacts is a serious source of discomfort that can lead to further health problems. A client with Diabetes Mellitus asks the home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Provide support and identify the underlying cause of the staff nurse’s problem. The nurse is preparing to care for a client who has returned to the nursing unit following cardiac catheterization performed through the femoral artery. You and the nurse develop a plan of care. It is recommended to take at least 1-2 months to review. The nursing diagnosis is the nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs. A Nursing Assistant has several duties and responsibilities that they learn through studies and experience. A nurse is collecting data on a client in who has been in skeletal traction for treatment of a fractured femur for 2 days. A nurse is receiving change-of-shift report for four clients. Interactions between medications will cause abdominal pain. , reasoning, planning), motor (e. which of the following instructions should the nurse include. Check the client for bladder distention. The diagnosis reflects not only that the patient is in pain, but that the pain has caused other problems such as. Apply ice packs to the client's axillae. Clean and bathe patients or residents. Eating in a dining room also makes the meal a social occasion. A nurse is assisting a client who has hypothyroidism. Pathophysiology Eating disorders are a serious, sometimes fatal illness that cause a significant change in a client’s eating behaviors that most commonly occurs in young women (teens – 20s), but can occur in clients of any gender or age. The possibilities are endless! Take away the stress from meal planning and let your creativity and my cooking experience guide you. The nurse should advise the clients to receive an influenza vaccine A. The client tells the nurse that he is planning to eat a dinner meal at a local restaurant this week. A community health nurse is assisting with planning an immunization clinic for older adult clients. ” The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? a. A client who has burns over 21% of total body surface area d. As part of the teaching plan, the nurse emphasizes that this medication: 1. hypothyroidism occurs, the patient assistance that each patient requires. A client who has cholelithiasis and BMI of 31 b. Fractures include the pelvis, femur, and ulna. The nurse overhears an assistive personnel (AP) telling the client, “If you don’t eat, I’ll put restraints on your wrists and feed you. Personal Training Business Meal Planning Software. Hypothyroidism is evaluated and diagnosed by a physician, usually an endocrinologist or your primary care doctor. Take the tablet with a full glass of water. Heart failure can be left-sided, right-sided, or both. Place the client in a sitting position with the head hyperextended Pack the nares tightly with gauze to apply pressure to the source of bleeding Pinch the soft lower part of the nose for a minimum of 5 minutes Apply ice packs to the forehead and back of the neck A client has had a unilateral adrenalectomy to remove a tumor. A nurse is caring for a client who has a prescription for escitalopram. Administer methimazole (Tapazole) every 8 hours around the clock. There are three key words to keep in mind at all times during ADL procedures: comfort, safety and dignity. A nurse is caring for a client who has Addisons disease. A nurse is assisting a client who has HYPOTHYRODISMO with meal planning. Diet planning for a person with Prader-Willi Syndrome would include Hint: Calories at about 60% of normal are needed to prevent additional weight gain because a gain can occur even with calories restricted to normal. Which nursing response is most appropriate? 1. As with all other assessments and planning, the registered nurse, often in collaboration with others such as psychologists, psychiatrists, and members of the clergy, develops a plan of care for the client that is specific to the unique needs of the unique. Assist him to change his clothes if they are soiled. The nurse would incorporate which of the ff. Which of the following findings should the nurse expect? Muscle aches and tenderness. Decrease the amount of daily fluid intake. 6 is below the expected reference range, indicating hypocalcemia. Answers: Described as squeezing, heavy, burning, radiates to left arm or shoulder, transient or prolonged. Protein intake should include biologic sources of protein to include eggs, milk, meat, fish, poultry, and soy. Myxedema refers to both a form of severe hypothyroidism and a number of effects that hypothyroidism can have on the skin and other body tissues. Two of the four categories are divided into subcategories as shown below: Safe and Effective Care Environment. Serve foods while still at a hot temperature D. Realistic, with recipes that beginners can master. Electrolyte and fluid imbalance. 2 Develop a teaching plan for the client taking nitroglycerin. When you plan and cook your own meals, you are most likely saving money on each of those meals, compared to purchasing the same type of meal in a restaurant. A newly admitted client has sickle cell crisis. The chief purpose of the Jackson-Pratt drain is to: The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. administer sedative round the clock b. Question 1)A nurse is providing teaching to a client about high fiber foods. The nurse should expect a decreased sodium level. ADL care refers to "Activities of Daily Living," and includes bathing, washing, shaving, grooming, and dressing. Answer: (C) “With a pillow, apply pressure against the incision. The purpose of this guideline is to assist nurses with the provision of. Increase intake of high-fiber foods Correct D. A 25-year-old male client has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/day by mouth. Build your own plans from scratch. Maintain the client in a supine position with sandbags placed on either side of the head and neck. Hashimoto's disease, or Hashimoto's thyroiditis, is an autoimmune It is the most common cause of hypothyroidism (underactive thyroid). You can create daily meal plans and adjust them in real time based on your clients’ needs. The nurse should monitor the client for reports of tingling and numbness of the extremities and around the mouth, muscle tremors, cramps and cardiac dysryhythmias Nurse is teaching a client who has a new diagnosis of hyperparathyroidism. Note how much and what the client eats. WHich of the following interventions should the nurse include in the plan? A: Direct the client to perform incentive spirometry every 2 hr. Whole grains provide ample amounts of fiber. The nurse’s best response would be: A.