Author: Anonymous

17.A 62-year-old patient with SIADH has a serum sodium of 128 mEq/L (normal 135-145 mEq/L). The healthcare provider orders fluid restriction to 1000 mL/day. The patient states, “I’m so thirsty. Why can’t I have more water?” Which nursing action best demonstrates interprofessional collaboration in managing this patient’s care?

49.A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should the nurse delegate to unlicensed assistive personnel (UAP)?

45.A patient with mild iatrogenic Cushing syndrome is on an alternate-day regimen of corticosteroid therapy. What would the nurse explain to the patient about this regimen?

42.A patient returns to the critical care unit following adrenalectomy for Cushing syndrome. Which nursing intervention is the priority during the first 24-48 hours postoperatively?

26. A nurse is assessing a patient admitted with suspected diabetic ketoacidosis (DKA). Which clinical manifestations would the nurse expect to find? (Select all that apply)

3. A 42-year-old patient presents to the clinic with a 6-month history of progressive fatigue, weakness, and unintentional weight loss of 15 pounds. The patient reports constant nausea, occasional vomiting, and intense salt cravings. Physical examination reveals bronze-colored hyperpigmentation on sun-exposed areas, palmar creases, and pressure points. Vital signs: BP 88/54 mmHg (sitting), HR 98 bpm, T 98.2°F. Laboratory results show: sodium 128 mEq/L (normal 135-145 mEq/L), potassium 5.8 mEq/L (normal 3.5-5.0 mEq), glucose 62 mg/dL(normal 70-110 mg/dl).   Which clinical manifestations are consistent with the patient’s suspected diagnosis of Addison’s disease? Select all that apply.

8.A patient in thyroid storm is receiving propylthiouracil (PTU) and the healthcare provider orders SSKI (saturated solution of potassium iodide). The nurse prepares to administer the SSKI. What is the priority nursing action when administering SSKI to this patient?

14.A patient is 6 hours post-thyroidectomy. The nurse is performing routine assessments. Which assessment finding indicates the patient may be experiencing hemorrhage or hematoma formation?

2. A 35-year-old patient with known Addison’s disease presents to the ED with severe vomiting and diarrhea for 2 days. The patient stopped taking medications due to nausea. Assessment findings: BP 78/42 mmHg, HR 128 bpm, T 101.2°F, confused and lethargic. Labs: sodium 124 mEq/L (normal range 135-145 mEq/L) , potassium 6.2 mEq/L (normal range 3.5-5.0 mEq/L), glucose 58 mg/dL (normal 70-110 mg/dl). The nurse anticipates which priority interventions for this patient in Addisonian crisis? Select all that apply.

15 multiple-choice questions from Ch 15. You may complete this test two times. If you complete it twice your grade will be the AVERAGE of the two attempts. (If you do worse the second time send me an email and I will not count that second attempt.)GOOD LUCK!!