Question

34. A patient with a history of hyperthyroidism is experiencing severe tachycardia, agitation, nausea and vomiting. In addition to administering Methimazole and Metoprolol as ordered which intervention would the nurse prioritize? a. Lay the patient flat to promote rest b. Restrict oral intake to reduce the need to urinate C. Restrict visitors to reduce risk of infection d. Provide a dark, calm and quiet environment 35. A 38-year-old male patient is admitted to the hospital in Addisonian crisis. Which finding is consistent with Addison's disease? a. Hyperglycemia b. Hypertension c. Decreased serum cortisol levels d. Decreased serum potassium 36. Which of the following are expected findings for a patient experiencing syndrome of inappropriate antidiuretic hormone? a. Decreased urine output b. Decreased urine specific gravity (<1.005) c Increased serum osmolality (<280) d. Increased serum sodium 37. A 37-year-old patient has just arrived in the post-anesthesia recovery unit (PACU) after a parathyroidectomy. Which information is most important to communicate to the surgeon? a. The patient reports 7/10 incisional pain. b. The patient complains of tingling of her lips C. The patient is sleepy but arouses to voice. d. The patient's cardiac rate is 112 beats/minute. 38. After receiving change-of-shift report about the following four patients, which patient should the nurse assess first? a. A 31-year-old female with Cushing syndrome and a blood glucose level of 244 mg/dL b. A 70-year-old female taking levothyroxine who has an irregular pulse of 134 c. A 53-year-old male who has Addison's disease and is due for a scheduled dose of hydrocortisone d. A 22-year-old male admitted with syndrome of inappropriate antidiuretic hormone (SIADH) who has a serum sodium level of 130 mEq/L 39. A patient is admitted with coffee ground emesis, HR 128, BP 86/48, RR 16 and O2 sat of 92% on room air. The patient is diagnosed with an upper GI bleed. Which of the following orders should the nurse question on this patient? a. Assess vital signs every fifteen minutes b. Administer O2 2L via NC c. Discontinue IV fluid d. Evaluate stool for occult blood

Answer 1

34. A patient with a history of hyperthyroidism is experiencing severe tachycardia, agitation, nausea and vomiting, In addition to administering Methimazole and Metoprolol as ordered which intervention would the nurse prioritize? a. Lay the patient flat to promote rest b. Restrict oral intake to reduce the need to urinate Restrict visitors to reduce risk of infection Provide a dark, calm and quiet environment c. d. Patients experiencing severe tachycardia, agitation protected from the external stimuli by providing a dark, calm and quiet environment. It helps to prevent the stimuli that further worsen the symptoms, and allow the parasympathetic nervous system to become active to bring the homeostasis nausea and vomiting should be 35. A 38-year-old male patient is admitted to the hospital in Addisonian crisis. Which finding is consistent with Addison's disease? Hyperglycemia b. Hypertension Decreased serum cortisol levels d. Decreased serum potassium a. C. The hypo-activity of adrenal cortex or decreased secretion of ACTH (adrenocortico tropic hormone) results in Addison's disease (AD) due to the decreased secretion of glucocorticoids. Aldosterone is a mineralocorticoid, and reduced production of the same results in Addison's disease. The patients suffer from low blood pressure, low blood sugar, and low potassium levels. The serum cortisol levels also decrease due to the decreased ACTH levels