Administering Desmopressin Acetate for Urine Output and Serum Sodium Level in 45 y.o. Man
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A 50 y.o. man outputs 15 L of urine within a 24 hour period. He has poor skin turgor with low blood pressure and increased heart rate. The nurse would plan to administer which medication?
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Desmopressin Acetate (DDAVP)
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A 45 y.o. man has muscle cramps and weakness. He is weak and confused. Serum sodium is 115 mEq/L. The nurse should report the condition and obtain an order to...
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Give hypertonic enema
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A 35 y.o. woman report episodes of emotional extremes with uncontrollable crying and depression followed by intense physical activity and euphoria. She complains of drying eyes and difficulty swallowing. Her symptoms confirm a nursing diagnosis of ineffective coping. What is an etiology for this diagnosis?
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Excessive Thyroid HOrmone Secretion
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A patient received large doses of radioactive iodine for hyperthyroidism. Which nursing interventions should be included?
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Monitor Vital Signs Properly Handle COntaminated Materials
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The nurse is caring for a post-thyroidectomy patient. What should the nurse monitor for?
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Bleeding and Swelling Increase in Pulse Difficulty Swallowing Difficulty Breathing
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A post thyroidectomy patient complains of severe muscle cramping followed by muscle twitching and convulsions. What is an appropriate nursing action?
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Obtain Calcium Gluconate
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The nurse is reviewing the medications that each of her patients will receive during the shift. Which patient is likely to receive levothyroxine?
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Patient who has hypothyroidism
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A 25 y.o. woman complains of amenorrhea on weakness, easy bruising, and painful, fatty swelling on the back. Which assessment question would be most appropriate to ask this patient?
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Have you been taking steroid therapy for a prolonged period?
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The nurse provides patient instructions regarding taking iodine preparations. It is important for the nurse to include which instructions?
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Dilute the preparations well Use a straw to prevent staining of the teeth Report severe epigastric pain Anticipate a metallic taste
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The nurse is caring for a patient with adrenocortical insufficiency (Addison's Disease). Which set of laboratory values would be the primary interest for this patient?
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Serum sodium, white blood cell count, and blood glucose
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A patient is scheduled for goiter excision. What is the priority nursing intervention during the patient's postoperative period?
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Assessing airway patency
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A patient has been admitted for management of hypoparathyroidism. The nurse should anticipate an order for:
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calcium.
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A patient with Addison's disease will most likely exhibit which symptom?
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Hypotension
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A patient with Cushing's disease should be instructed to:
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limit dietary sodium.
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A patient with a pituitary tumor will most likely exhibit symptoms of:
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alteration in visual acuity.
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Which electrolyte is directly affected by the hormones secreted by the parathyroid?
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Calcium
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A patient with acromegaly will most likely exhibit which symptom?
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Bone pain
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What should be kept at the bedside of a patient immediately after thyroidectomy?
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A tracheostomy tray
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The nurse is caring for a patient with Graves' disease. Which finding would indicate a complication of this patient's disease process?
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Shortness of breath
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The nurse is caring for a patient after a total thyroidectomy. The nurse's priority should be to:
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maintain the patient in semi-Fowler's position, with her head back and neck supported by pillows
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The nurse is reviewing the history of a patient with suspected of having hyperthyroidism. Which manifestation(s) would be supportive of the diagnosis?
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Hyperactivity with increasing sense of fatigue Increase in appetite Emotional instability Heat intolerance
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Immediately after a patient has a thyroidectomy, the patient should be placed in which position?
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Fowler's
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Muscular twitching and cramps in the muscles following thyroidectomy may indicate:
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damage to the parathyroid glands during surgery.
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In the postoperative period, the LPN/LVN should observe a patient who has had a thyroidectomy for evidence of thyroid crisis. Two common signs of thyroid crisis are:
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extreme temperature elevation and rapid pulse rate.
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A 42-year-old patient complains that she has been losing a lot of her hair, is fatigued, and is cold all the time. The LPN/LVN recognizes that these symptoms are indicative of:
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hypothyroidism.
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A patient is diagnosed as having Addison's disease. This condition is the result of:
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insufficiencies of the mineralocorticoids and glucocorticoids.
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A patient has diabetes insipidus (DI). The LPN/LVN should anticipate giving which drug?
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Pitressin
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A patient who has hyperthyroidism has a nursing diagnosis of Anxiety related to nervousness and agitation. Because of this nursing diagnosis, which intervention should be included in the patient's care?
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Keeping environmental stimuli to a minimum
