Blog

Question 33: A client who had a subtotal thyroidectomy earlier today develops laryngeal stridor and a cramp in the right hand returning to the surgical nursing unit. Which collaborative action will the nurse anticipate next?

Question 15: Mr. D, a 19-year-old college student has been brought to the emergency room by his roommate. Mr. D reports abdominal pain, polyuria, vomiting, and thirst. He appears flushed, and his lips and mucous membranes are dry and cracked. His skin turgor is greater than 3 seconds. He has deep, rapid respirations, and a fruity odor to his breath. He has a history of Type 1 diabetes. He states “I was cramming for finals and have missed a few doses of insulin”. He is alert but is having trouble focusing on the nurse’s questions. Mr. D’s vital signs and blood glucose are as follows: Blood glucose fingerstick level                       685 mg/dL Blood pressure                                                 100/60 mm/Hg Heart rate                                                          120 beats/min4 Respiratory Rate                                                32 breaths/min Temperature                                                       100.8o F (38.2o C) The arterial blood gas results for Mr. D are: pH                          7.25 PaO2                    97 mm/Hg PaCO2                 25 mm/Hg Bicarbonate      15 mEq/L The HCP ordered an insulin drip for Mr. D to begin at 0.1 units/kg/hr. Mr. D weigh 155 lbs. The pharmacy delivers a premixed bag of 100 units of regular insulin in 100 mL of normal saline. The nurse calculated the infusion pump setting as 10 mL/hr. (Round the weight calculation was to the nearest whole number). What should the charge nurse do to ensure safe administration of this medication?

Question 50: The nurse is assessing a client diagnosed with diabetes insipidus (DI). The nurse is correct to interpret the following findings as classical signs and symptoms of this condition? (Select all that apply).

Question 46: The nurse is educating a client diagnosed with chronic syndrome of inappropriate antidiuretic hormone (SIADH).  The nurse determines that additional instruction is needed when the client makes which statement?

Question 40: A client diagnosed with Syndrome of Inappropriate Anti-diuretic Hormone (SIADH) laboratory values reveal a sodium level of 110 mEg/ml. The nurse would provide the following priority treatment as prescribed for this client.

Question:  13 Mr. D, a 19-year-old premed student has been brought to the emergency room by his roommate. Mr. D reports abdominal pain, polyuria, vomiting, and thirst. He appears flushed, and his lips and mucous membranes are dry and cracked. His skin turgor is greater than 3 seconds. He has deep, rapid respirations, and a fruity odor to his breath. He has a history of Type 1 diabetes. He states “I was cramming for finals and have missed a few doses of insulin”. He is alert but is having trouble focusing on the nurse’s questions. Mr. D’s vital signs and blood glucose are as follows: Blood glucose fingerstick level                       685 mg/dL Blood pressure                                                 100/60 mm/Hg Heart rate                                                          120 beats/min Respiratory Rate                                                32 breaths/minTemperature                                                       100.8o F (38.2o C) Which nursing concept is the priority in planning the initial emergency interventions for Mr. D?

Question 52: The nurse is caring for a client diagnosed with diabetes insipidus. Which action will be most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?

Question 59: The primary health care provider prescribed carbamazepine to a client with central diabetes insipidus. The serum osmolarity is 600 mOsm (mmol)/kg. Which will be an effective outcome of the drug?

Question 47: A 56-yr old client who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome inappropriate antidiuretic hormone (SIADH) . The nurse would expect the initial laboratory results to include a(an) 

Question 31: A 65-year-old male diagnosed with hypothyroidism and will be starting levothyroxine therapy. He has a history of cardiovascular disease and had two coronary stents inserted 2 years ago, with no problems since then. He is usually active but states that lately, he has felt tired and has no energy to take his usual walks or work around the house. He has been instructed to take the levothyroxine in the morning, 1 hour before breakfast, and to return to the clinic in 4 weeks to check his TSH levels. (Select all that apply.) Based on the patient’s history and new treatment plan, the nurse recognizes that he is currently at risk for which complications?