Answer to Question 1
Correct Answer: 4
Rationale 1: Children with cretinism need thyroid replacement.
Rationale 2: A pregnant client might need thyroid replacement.
Rationale 3: Shellfish allergy is important to identify in the client allergic to iodine.
Rationale 4: Synthroid can cause allergic reaction in clients sensitive to aspirin.
Global Rationale: Synthroid can cause allergic reaction in clients sensitive to aspirin. Children with cretinism need thyroid replacement. A pregnant client might need thyroid replacement. Shellfish allergy is important to identify in the client allergic to iodine.
Answer to Question 2
Correct Answer: 1,2,3
Rationale 1: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as norepinephrine.
Rationale 2: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as epinephrine.
Rationale 3: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as dopamine.
Rationale 4: Thyroid hormone does not make receptors more responsive to serotonin.
Rationale 5: Thyroid hormone does not make receptors more responsive to melatonin.
Global Rationale: Thyroid hormone increases the number of beta1- and beta2-adrenergic receptors and enhances their affinity to catecholamines such as norepinephrine, epinephrine, and dopamine. This therapy does not make receptors more responsive to serotonin or melatonin.