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A child presents at the emergency department with difficulty breathing and a harsh, barking cough. The history reveals a runny nose over the past few days. What is the most likely diagnosis?

The nurse is caring for a client with hyperthyroidism. What symptoms will the nurse assess that indicate thyroid storm? Select all that apply.

Initially, a mild case of TTN manifests itself clinically as a(n) _____ disorder.

1200.  73-year-old client with a history of diabetes type II brought to the emergency department by spouse for changes in mental status from their baseline. The client’s spouse reports that the client woke at 0600 to complete their morning routine. At approximately 1100 the client became unaware of their surroundings and began sweating profusely and slurring their words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. The client is awake and alert, pupils equal and reactive to light. 205lbs (93kg). 1215. Voided 30mL dark amber urine sent for urinalysis. Comprehensive metabolic panel, CBC, and ABG. IV of normal saline started. Capillary glucose is 440. 1230 Transferred to ICU. IV fluids bolus given. 1300: Started on maintenance IV fluids and insulin drip. 1330: Capillary glucose 435. Awake, alert, oriented to person and place, talking in full complete sentences. Denies pain. Breath sounds are clear. Voided 300mL clear color urine.   Vital Signs   Time 1200 1215 1330 1330 Temp 99.5° F (37.5 °C) 99.5° F (37.5 °C) 98.9°F (37.1 °C) 98.9°F (37.1 °C) P 118 115 105 100 RR 32 30 30 24 B/P 97/66 98/70 100/70 109/70 Pulse oximeter 89% on RA 92% on 2L NC 94% on 2L NC 95% on 2L NC Medications   Empagliflozin 10 mg PO daily   Sitagliptin / metformin 50-1000 mg PO daily   Valsartan 160 mg PO daily   Laboratory Report   Lab Results Reference range   ABG pH 7.20 7.35-7.45   ABG PC02 45 35-45 mmHg   ABG HC03 32 22-26 mEq/L   Creatine (Serum) 1.9 0.9 to 1.4 mg/dL   Glucose random 435  70- 140 mg/dL   Other (urine) Positive ketones negative   Potassium(serum) 2.4 3.5 to 5.5 mEq/L   Orders   Admit to ICU with diagnosis of Ketoacidosis Give 1000ml IV 0.9 NS fluid bolus over 30 minutes The start .9NS with 20mEQ KCL/100 mL at 125mL/hr. Start regular insulin infusion at 0.1 Units/kg/h after fluid bolus Finger stick blood glucose hourly and titrate insulin infusion-based on ICU protocol Obtain electrolytes every 2 hours Continuous cardiac monitoring   Which findings indicate the treatment plan has been effective? SELECT ALL THAT APPLY.

1200. 73-year-old client with a history of diabetes type II brought to the emergency department by spouse for changes in mental status from their baseline. The client’s spouse reports that the client woke at 0600 to complete their morning routine. At approximately 1100 the client became unaware of their surroundings and began sweating profusely and slurring their words. Breath sounds are clear but noted with a fruity citrus odor and deep rapid respirations. Sinus tachycardia per cardiac monitor. The client is awake and alert, pupils equal and reactive to light. 205lbs (93kg). 1215. Voided 30mL dark amber urine sent for urinalysis. Comprehensive metabolic panel, CBC, and ABG. IV of normal saline started. Capillary glucose is 440.   Vital Signs   Time 1200 1215   Temp 99.5° F (37.5 °C) 99.5° F (37.5 °C)   P 118 115   RR 32 30   B/P 97/66 98/70   Pulse oximeter 89% on RA 92% on 2L NC   Medications   Empagliflozin 10 mg PO daily   Sitagliptin / metformin 50-1000 mg PO daily   Valsartan 160 mg PO daily   Laboratory Report   Lab Results Reference range ABG pH 7.20 7.35-7.45 ABG PC02 45 35-45 mmHg ABG HC03 32 22-26 mEq/L Creatine (Serum) 1.9 0.9 to 1.4 mg/dL Glucose random 435  70- 140 mg/dL Other (urine) Positive ketones negative Potassium(serum) 2.4 3.5 to 5.5 mEq/L What orders would the nurse anticipate for this patient? SELECT ALL THAT APPLY.  

The nurse is following the progress of a client being treated for hypothyroidism. Which findings indicate that thyroid replacement therapy has been adequate? Select all that apply.

What assessment indicates that teaching about hypoparathyroidism with dietary and medication interventions for treatment has been effective?

Which route of administration is most appropriate for a client with ketoacidosis who is receiving insulin to correct hyperglycemia?

In the care of a client with Type 2 diabetes, which actions will the nurse delegate to an unlicensed assistive personnel (UAP)? Select all that apply.

A nurse is performing an admission assessment on a client who has been diagnosed with diabetes insipidus. Which findings does the nurse anticipate during the assessment? Select all that apply.