A33-year-old woman is noted by her physician to have some fatigue and some coarse skin. her only medication is oral contraceptive agent. the following laboratories have been returned.
tsh 1.0mu/l (0.35-6.0mu/l)
free thyroxine 1.0 ng/dl (0.8-2.7 ng/dl)
total thyroxine 13.0 ? dl (4.5-12.0 ? gdl)
thyroid-binding globulin (tbg) 55ng/ml (15-34mgl)
which of the following is the most likely diagnosis?
a) hyperthyroidism
b) hypothyroidism
c) normal thyroid status
d) transient hyperthyroidism

The first step in culturally sensitive counseling is to obtain the education and guidance necessary to understand that culture and to process any feelings that could interfere with counselor empathy: true or false

How does enthusiasm one advance on the job?

Mr. wayne is a 38-year-old man with a significant history of elevated cholesterol levels. his father died at age 42 from a massive heart attack secondary to elevated cholesterol and triglycerides, and two of his older siblings are currently taking medications to lower their cholesterol levels. mr. wayne makes an appointment to discuss his risk for hypercholesterolemia. the nurse recognizes that mr. wayne is at risk for familial hypercholesterolemia because this is an autoomal dominant inherited condition. a. describe the pattern of autosomal dominant inheritance. b. mr. wayne asks what chance his children have of developing familial hypercholesterolemia. how should the nurse respond? c. explain the phenomenon of penetrance observed in autosomal dominant inheritance.