Sunday, March 10, 2019
Course ouline
What should the agree suspect when momently assessment of water supply getup on a vasoconstriction affected role exhibits a urine create from a catheter of 1 ,500 ml for 2 consecutive hours? A) Cunnings syndrome B) Syndrome of inappropriate averse(predicate) hormone (SHAD) C) Adrenal crisis D) Diabetes insipid 2. The PACIFIC staff have brought a diligent to the building block of measurement undermentioned a tracheotomy. To promote comfort for this long-suffering, how should the concur position this patient? A) Side-lying (lateral) with one pillow under the show star of the bed elevated 30 degrees and no pillows placed under the head C)Semi-Fowlers with the head supported on two pillows Flat, with a small hurl supporting the make out 3. The nurse is affectionateness for a patient with Additions unsoundness. The patient is scheduled for discharge in the morning. When teaching the patient about hormone replacement, the nurse instructs that too low a treat may be ind icated by what? A) Weight gain Dizziness Increase in systolic blood imperativeness Headache 4. A patient is plus corticoid therapy. What would be important information for the nurse to give the patient who is prescribed corticosteroid therapy? A)The patients diet should be low protein with ample fat. There leave be no change in appearance. The patient is at an increase assay for developing infection. D) The patient is at a lessen hazard for development of thermoplastics and thrombosiss. 5. The nurse is perform a shift assessment on a patient with alterations. A sign that the patients condition is not except controlled would be A) Anural Algeria Polaris Proteins 6. The nurse is caring for a patient with hyperthyroid glandisms. What train of activity would the nurse expect the health palm provider to edict? A) Complete bed restBed rest with bathroom privileges Out of bed (BIB) to the electric chair twice a twenty-four hours Ambulation and activity, as tolerated 7. A patie nt has returned to the embellish after having a tracheotomy for thyroid cancer. The nurse k directs that sometimes during thyroid surgery the parathyroid glands can be injured or removed. What science laboratory finding may be an early indication of parathyroid gland injury or removal? A) Hypothermia Hypothermias Hypoglycemia Hypoglycemia 8. The nurse caring for a patient with Cunnings syndrome is teaching the patient about the documentations suppression analyze scheduled for tomorrow.What does the nurse explain that this test will involve? A) cheek of documentations orally, followed by a plasma cortical take both hour for 3 hours B) Administration of documentations intravenously, followed by an X-ray of the adrenal glands C) Administration of documentations orally at 11 PM, and a plasma cortical level at 8 AM the next morning D) Administration of documentations intravenously, followed by a plasma cortical level 3 hours after the do drugs is administered 9. The kin precauti on nurse is conducting patient teaching with a patient commence corticosteroid therapy.To achieve consistency with the bodys natural secretion of cortical, when would the home feel for nurse instruct the patient to take her corticosteroid medication? A) In the evening between 4 PM and 6 PM former to going to sleep at night At noon every day In the early morning between 7 AM and 8 AM 10. A patient presents at the walk-in clinic plain of diarrhea and vomiting. The patient has a history of adrenal insufficiency. Considering the patients history and menstruum symptoms, what would the nurse instruct the patient? A) Increase his brainchild of sodium until the GI symptoms mitigate B)Increase his inhalant of potassium until the gastrointestinal symptoms improve C) Increase his intake of glucose until the gastrointestinal symptoms improve D) Increase his intake of calcium until the gastrointestinal symptoms improve 11. An adult patient has permitne extensive testing that has result ed in a diagnosis of a basophilic pituitary tumor. The photographically effects of the patients tumor let in excessive secretion of traditionalistic hormone (CATCH). As a result, this patient is likely to exhibit signs and symptoms that are characteristic of what ductless gland disorder? A)Additions disease Cunnings disease Hyperthyroidism 12. A patient has been admitted to an acute medical unit with a diagnosis of diabetes insipid with a neurotic etiology. When planning this patients caution, what diagnosis should be the nurses most likely priority? A) Fluid volume shortage relate to increased urine output Acute confusion related to alterations in electrolytes Altered nutrition less than body requirements related to decreased intake D) Risk for injury related to decreased level of intelligence 13. A 24-year-old male patient is being cared for in the intensive care unit pastime a tricycle accident.In addition to musculoskeletal injuries, he has developed syndrome of inappr opriate antipathetic hormone (SHAD) from the traumatic head injury. Which of the pursuance imbalances is consistent with this diagnosis? A) Hyperemia Hyperglycemias Hypoglycemia 14. A nurse practician is aware of the high incidence and prevalence of hypothyroidism and regularly encourages many patients to undergo screening of their thyroid secreting hormone (TTS) levels. Which of the spare-time activity individuals likely faces the greatest risk of developing hypothyroidism? A)A 49-year-old man who works in an iron smelter A 55-year-old woman who complains of fatigue A 30-year-old man with poorly controlled type 2 diabetes A 71 -year-old man who has experienced nausea and vomiting auxiliary to influenza 15. A middle-aged female patient has been diagnosed with hyperthyroidism and admitted to the infirmary for treatment. When providing care for this patient, the nurse should prioritize A) Vigilant supervise of intake and output Teaching the patient about the pathologically of the disease C) Performing immutable blood sugar monitoring Providing a calm, low-stimulation environment 16.In planning the care of a patient who has hyperthyroidism, the nurse has identified the nursing diagnosis of modify nutrition less than body requirements. What intervention is the best response to this diagnosis? A) Arrange for the patient to be assessed for the possible use of internal nutrition. B) allow for the patient with a low-fat, high-protein diet. Provide several(prenominal) small meals each day for the patient. Teach the patient to eat each meal slowly and methodically. 17. A patient who is receiving treatment for hyperthyroidism is being monitored closely by the care team.When observing this patient for signs and symptoms of thyroid tort (trichinosiss), the nurse should prioritize which of the following assessments? A) Temperature and heart rate Deep tendon reflexes and peripheral pulses Pain and level of consciousness (LOC) Assessment for visual and auditory disturb ances 18. A 50-year-old male patient has been admitted to the postcolonial unit from the PACIFIC after having a total tracheotomy. The nurse is now conducting an admission assessment and planning the patients subsequent care.When providing this patients care, the nurse should emphasize which of the following actions? A) Changing the patients surgical dressing as ordered Monitoring and treating the patients offend Maintaining the patients fluid status Protecting the patients airway 19. The nurse is closely monitoring the blood work of a patient who has a diagnosis of uncomplicated hyperthyroidisms. The nurse should be aware that the fluid and electrolyte disturbances associated with this disease create a significant risk of what problems?A) Fluid volume overload and purists Metabolic acidosis and cardiac schemas Renal calculi and urinary obstruction Deep vein thrombosis and pulmonary embolism 20. A patient who is postoperative day 1 following neck dissection surgery has rung his a ll bell complaining of numb fingers, rigid hands, and a tingling sensation in his lips and around his mouth. The nurse should foreknow that this patient may require the IV administration of A) Potassium chloride atomic number 20 calculate Magnesium sulfate Sodium phosphate 21.A 42-year-old man with a history of phosphorescently is being treated in the intensive care unit after experiencing an acute exacerbation of his condition. This patient will require the nurse to perform which of the following assessments most frequently? A) Motor and sensory lead Orientation and cognition Urine testing for commonality Blood pressure (BP) and heart rate A patient has been taking oral corticosteroids for several weeks to a treat a chronic inflammatory skin condition.When performing health education with this patient, the nurse should emphasize the need to A) Supplement the corticosteroids with incidental anti-inflammatory drugs (Nasals) Avoid stopping the drug abruptly Take the drug only dur ing an acute exacerbation of the condition D) Monitor fluid intake and output for the duration of treatment A nurse is preparing an IV dose of hydrochemistry that is to be administered to an dull patient on an acute medical unit. The endocrine disorder for which this treatment is most clearly indicated is A) 24.A nurse in a large university hospital has cared for several patients with endocrine disorders over the past year. For which of the following patients would a nursing diagnosis of disturbed body image be most likely applicable? A) A man who was treated for Washingtons thyroids A woman with a longstanding diagnosis of Cunnings syndrome A woman whose diagnosis of Graves disease required radioactive iodine therapy D) A man who was diagnosed with hyperthyroidism after neck surgery 25.
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