Author: Anonymous

A nurse is caring for a client experiencing thyrotoxic crisis (thyroid storm). The nurse anticipates administering which medication to block the effects of sympathetic nervous system stimulation?

A client with Syndrome of Inappropriate Anti-diuretic Hormone (SIADH) has a serum sodium level of 110 mEq/L and is experiencing confusion and a seizure. Which prescribed intervention should the nurse anticipate as the priority treatment?

A client with hyperosmolar hyperglycemic state is increasingly somnolent and has a glucose level of 900 mg/dL. Which explanation best describes why neurologic manifestations are occurring?

The nurse obtains the following assessment findings: Finding                                               Result Urine output                                       1,100 mL over 2 hr Urine specific gravity                         1.002 Serum sodium                                     152 mEq/L Serum osmolality                               310 mOsm/kg Urine osmolality                                95 mOsm/kg Blood glucose                                     106 mg/dL BP                                                       104/66 mm Hg HR                                                       102/min Which findings should the nurse recognize as cues supporting diabetes insipidus? Select all that apply

Several hours after receiving desmopressin, the client reports a headache and nausea. Client’s wife tells the nurse that the client seems “more confused than was earlier.” The nurse reviews his laboratory results: Serum sodium: 126 mEq/L Serum osmolality: 262 mOsm/kg Urine specific gravity: 1.030 Which action should the nurse take first?

A client with Addison disease develops severe vomiting, diarrhea, hypotension, tachycardia, confusion, hyponatremia, and hyperkalemia after an infection. Which explanation best describes this change in condition?

The provider confirms central diabetes insipidus and prescribes desmopressin. Which findings would indicate that the medication is producing the desired therapeutic response? Select all that apply.

A client with thyrotoxicosis is prescribed propylthiouracil. Which explanation should the nurse provide about the medication’s therapeutic action?

An RN is planning care for a newly hospitalized client with Addison disease. Which tasks can the RN safely delegate to assistive personnel? Select all that apply.

The nurse is completing the shift report to the oncoming nurse, what data should the nurse include in the report to indicate that the client is still experiencing clinical manifestations of thyroid storm? (Select all that apply)