After completing the following case study, submit 2 NCLEX style questions related to the

After completing the following case study, submit 2 NCLEX style questions related to the topics covered in the case study. (Students are expected to write their own questions. Refrain from using outside resources). Please provide a rationale for the correct answers to your questions.
Case Study 1:
Jean Fields is a 72-year-old client who has been diagnosed with hyperthyroidism due to Graves’ disease. Her husband of 52 years died of lung cancer 2 weeks ago, and she has been dealing with extreme emotional upset and grief. She has been admitted to the hospital with fatigue, weakness, fever, tachycardia, and dehydration.
What is a possible cause of Ms. Fields’ symptoms? What questions would the nurse need to ask Ms. Fields to help determine factors that may have contributed to her condition?
Ms. Fields is prescribed propylthiouracil (PTU) every 8 hours. What should the nurse include in teaching Ms. Fields about this drug?
Ms. Fields is prescribed propranolol in addition to the PTU. She asks why two different drugs are necessary. How should the nurse respond?
Case Study 2:
A 58-year-old man has recently been diagnosed with type 2 diabetes.
Discuss the effects of diet, exercise, and drug therapy with the client.
Your patient tells you his grandson has Type 1 diabetes. Discuss how you as the nurse can help your patient understand the differences between Type 1 and Type 2 Diabetes.
Case Study 3:
Mary is a 48-year-old woman with severe rheumatoid arthritis. Her pain is no longer controlled by aspirin and her physician ordered 5 mg prednisone three times a day. Over the next 4 weeks, Mary’s symptoms were markedly improved and she became more mobile again. She also noted that for the first time in years she felt “really good.” Her appetite increased, she was no longer fatigued, and her outlook on life was markedly improved. At her follow-up visit, Mary had gained 9 pounds: she had slight edema in both ankles, and her blood pressure was 150/92 mmHg. An inflamed, oozing lesion was found on her right hand, which she stated became infected a few weeks ago after she cut her hand. The physician decided that Mary was past her crisis and that the prednisone should be tapered to 5 mg/day over a 4 week period.
What effects did the prednisone have on the process at work in Mary’s joints and what effects did the corticosteroids have on the rest of her body?
What teaching points should be included in a plan of care for Mary?
Case Study 4:
Melissa is a 6-year-old girl who has been newly diagnosed with type 1 diabetes. Her physician has ordered a treatment regimen that includes blood glucose monitoring and regular insulin injections four times a day. Melissa and her parents have presented to the medical clinic for follow-up and teaching regarding Melissa’s condition and care needs.
Discuss the impact of Melissa’s diet on her diabetes management. What additional areas should be included in teaching Melissa’s parents about managing her diabetes?
Melissa’s father makes the following statement: “I guess it would be better to err on the side of giving her too much insulin rather than not enough.” How should the nurse respond to this statement? Also, describe the signs and symptoms of hypoglycemia that the nurse should teach Melissa’s parents, including the potential effects of hypoglycemia on Melissa’s health.
Case Study 5:
Hyperthyroidism and hypothyroidism produce significant signs and symptoms in clients.Describe the physiologic effects of thyroid hormone.
Compare and contrast the two disorders.

Both conditions can be treated with medications that help the body to achieve a more normal level of thyroid hormones.Discuss medications used for hyperthyroidism and the therapeutic effects.
Discuss medications used for hypothyroidism and the therapeutic effects.

As part of the nursing process, assessment of subjective and objective data provides very important information regarding the client.Discuss the possible assessments and treatments for myxedema.
Discuss the possible assessments and treatments for a client experiencing thyroid storm.

Case Study 6:
Brenda Zalewski, a 45-year0old woman, had a goiter as a child and a thyroidectomy at age 12. She has been taking a synthetic thyroid preparation since that time. Ms. Zalewski takes a maintenance dose of levothyroxine (Synthroid) 0.1 mg orally daily. She is 5 feet 8 inches tall and weighs 215 pounds.
While Ms. Zalewski is in the hospital, the nurse is administering her medications. Hospital routine is to administer all once-daily medications at 9:00 AM. When reviewing the medication administration orders, the nurse notes that Ms. Zalewski is to receive levothyroxine at 9:00 AM. Patients usually receive their breakfast trays between 8:00 and 8:30 AM.
What action should the nurse take with regard to the administration of Levothyroxine?
Ms. Zalewski has been discharged from the hospital and is being seen by the home care nurse. During the visit, the nurse reviews all of Ms. Zalewski’s medications. Ms. Zalewski states she is taking aluminum hydroxide gel (Amphojel) every morning when she arises to prevent gastric distress after breakfast.
How will the administration of Amphojel affect her levothyroxine?
What patient teaching should the home care nurse provide to Ms. Zalewski?