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When his mother got home from work, 15-year-old Roberto Cruz was found very lethargic and lying in vomit at his home. His heart was racing, and he was breathing abnormally. His mother called 911 when she could not get him to the car to transport him to urgent care. When the paramedics arrived at the house, Roberto was complaining that he needed to go to the bathroom and repeatedly asking for water. He was transported to the ER. On ER Admission:  Vital Signs (VS) Blood Pressure 79/53 mm Hg Heart Rate 119 beats/min Respiratory rate 32 breaths/min Temperature 99.1 F O2 Sat 96% on Room Air He was A&O x3 (name, place, date) but drowsy, lethargic, and slow to respond to questions. His breathing was deep and labored with “fruity breath.” He had polydipsia and polyuria, with abdominal pain rated 5/10. 1. What clinical symptom are you concerned about in this scenario? Lab Values: Blood Glucose 444 mg/dL ABG’s pH 7.22, Bicarb 14, paCO2 36, paO2 90 Urine + Ketones and acetone Potassium 5.3 2. The ABG interpretation based on the lab value is expected to be metabolic . 3. What is the medical diagnosis based on the charts and the clinical manifestations?   4. hormone is depleted in an individual with diabetes type 1 ?

You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38-year-old woman who is attending graduate school and is very sedentary. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain 15 pounds over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She complains of generalized body aches and pains with frequent muscle cramps and constipation. You notice she is dressed inappropriately warmly for the weather. Chart View Vital Signs (VS) Blood Pressure 112/79 mm Hg Heart Rate 52 beats/min Respiratory Rate 15 breaths/min Temperature 96.8oF (36oC)   1. Before answering this question, review the client’s chart and scenario. Identify the information from the focused assessment that the nurse finds abnormal. Focused findings include.  2. You know that these two hormones, are directly secreted by the thyroid glands, which are stimulated by the . 3. R.M.’s TSH level is elevated at 4.3. The suspected indication of this level is low T3 and T4. The patient is diagnosed with what thyroid disease?

Match the Endocrine mechanism problems with the definition, patho, symptoms, or treatments.

GLASGOW COMA SCALE Infant, flexes its elbow and wrist in response to pain. The infant does not make any response to others around, and does not open its eyes at all.

While reviewing the magnetic resonance imaging (MRI) reports of the brain of an elderly client, the nurse reads the findings as: accumulation of neurofibrillary tangles, senile plaques, and cerebrocortical atrophy of the brain. Upon communicating with the client, the nurse also finds that the client has problems related to memory. What does the nurse gather from these findings?

In stage 1, which of the following is true about increased intracranial pressure.

A nurse is assisting with caloric testing of the oculovestibular reflex of an unconscious client. Cold water is injected into the left auditory canal. The client exhibits both eyes move towards the left. What does this indicate?

Which of the following symptoms are present in hyperglycemia?

The nurse is reviewing laboratory results for the clinic patients to be seen today. Which patient meets the diagnostic criteria for diabetes mellitus?

A nurse is teaching a wellness class and is covering the warning signs of stroke. A patient asks, “What are the most important things for me to remember?” Which is an appropriate response by the nurse? (Select all that apply)