Author Question: A nurse is providing care for clients in an ambulatory care setting. Which of the following is an ... (Read 88 times)

ARLKQ · **on:** Jul 16, 2018

A nurse is providing care for clients in an ambulatory care setting. Which of the following is an initial priority function for which this nurse is responsible?

A) Performing risk assessments
B) Identifying the client by several means
C) Interviewing the client for chief complaint
D) Triaging the client to determine clinical acuity

Question 2

A client is undergoing tests to confirm a diagnosis of hyperthyroidism. What test would be ordered for this client?

A) Thyroid scan
B) Thyroid suppression test
C) TSH stimulation test
D) TRH stimulation test

micaelaswann · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

D
Feedback:
Initially, nurses triage all clients to determine clinical acuity and the need to be seen immediately. In some states, initial triage must be performed by an RN. Triage by telephone is known as teletriage. Risk assessments, client identification, and client interviews would be performed by the nurse following triage.

Answer to Question 2

A
Feedback:
Thyroid scan (radioscan or scintiscan) is used. For this test, the client ingests radioactive iodine or receives it intravenously (IV). Then a scanogram (x-ray study) is obtained to indicate the amount of radioactivity in the entire body. If the thyroid absorbs a great deal of the radioactive iodine, the thyroid is hyperactive, suggesting possible hyperthyroidism. Thyroid suppression test measures levels of radioactive iodine uptake and serum T4 after 7 to 10 days of receiving thyroid hormone. TSH stimulation test measures body's response to TSH by following levels of radioactive iodine uptake and protein-bound iodine uptake. TRH stimulation test measures TSH levels repeatedly after thyroid-releasing hormone (normally produced by the hypothalamus to stimulate TSH) is given IV.