*NURSING > EXAM > NR 511 Week 6 Quiz Differential Diagnosis and Primary Care Practicum-Feehan (Download to score an A) (All)
An elderly client presents with atrial fibrillation. Which of the following lab tests is important in forming the diagnosis? C-reactive protein (CRP). Comprehensive metabolic panel (CMP). Thyroid... -stimulating hormone (TSH). Correct! Complete blood count (CBC). Atrial fibrillation is a common presentation in elderly clients with hyperthyroidism. If the TSH is suppressed, a free thyroxine (FT4) and triiodothyronine (T3) should be drawn. Top 4/5/2021 Week 6: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan https://chamberlain.instructure.com/courses/77585/quizzes/295763 2/12 Ques 1 / 1 pts tion 2 A 24-year-old female is preparing for radioactive iodine therapy to treat Graves disease. Which test must she undergo first? Basal metabolism rate. Lithium level. Serum calcium. Beta-human chorionic gonadotropin. Correct! Radioactive iodine therapy is the most commonly used treatment in the United States for Graves disease (hyperthyroidism); however, it is contraindicated during pregnancy. Therefore, for women, a pregnancy test (betahuman chorionic gonadotropin) needs to be performed before initiating therapy. Women of childbearing age should also be told to delay conception for a few months after radioactive iodine therapy. It is also contraindicated in women who are breastfeeding. Older adults or clients at risk of developing cardiac complications may be pretreated with antithyroid drugs (ATDs) before therapy to deplete the thyroid gland of stored hormone, thereby minimizing the risk of exacerbation of hyperthyroidism because of radioactive iodine (131I)– induced thyroiditis. Ques 1 / 1 pts tion 3 A 46-year-old male presents with a tender, red and swollen knee. The clinician orders a complete blood count (CBC) with differential, Top 4/5/2021 Week 6: Quiz: Differential Diagnosis and Primary Care Practicum-Feehan https://chamberlain.instructure.com/courses/77585/quizzes/295763 3/12 uric acid level and erythrocyte sedimentation rate (ESR). Which of the following results would make the clinician suspect a septic joint rather than gout? Decreased white blood cell (WBC) count and an elevated uric acid level. Elevated white blood cell (WBC) count and an elevated Erythrocyte Sedimentation Rate (ESR). [Show More]
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