A 65-year-old man has been diagnosed with hypothyroidism and…

A 65-year-old man has been diagnosed with hypothyroidism and will be starting levothyroxine (Synthroid) therapy. He has a history of cardiovascular disease and had two coronary stents inserted 2 years ago, with no problems since that time. He is usually active, but states that lately he has felt tired with no energy to take his usual walks or work around the house. He has been instructed to take the medication in the morning, 1 hour before breakfast, and to return to the clinic in 4 weeks to check his TSH levels. The nurse recognizes that, based on the patient’s history and new medication regimen, he is currently as risk for side effects/complications from his therapy, especially __________. __________, and __________, which must be included in the patient teaching.

A 78 year was brought into the emergency department with nau…

A 78 year was brought into the emergency department with nausea, vomiting, hypotension, and low heart rate. The patient was slightly feverish and flushed. The patient had been self-medicating for both for both heartburn and constipation.  Admission lab values are below: Calculate and evaluate the anion gap. Partial credit if work if correct formula is shown TProt               5.6 g/dL                      Alb                  3.0 g/dL                      Total Ca          8.4 g/dL                      Gluc                116 mg/dL                  Mg                   2.8 mmol/L                  BUN               40 mg/dL                    Crea                 2.6 mg/dL                   Na+                 134 mmol/L                 K+                   3.4 mmol/L                  Cl-                   97 mmol/L                   TCO2              30 mmol/L                  

A machine originally had an estimated useful life of 11 year…

A machine originally had an estimated useful life of 11 years, but after 3 complete years, it was decided that the original estimate of useful life should have been 15 years. At that point the remaining cost to be depreciated should be allocated over the remaining: