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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?

Question 21: A patient has been admitted to the surgical unit post subtotal thyroidectomy. Which nursing interventions should the nurse implement? (Select all that apply)

Question 51: A client states that he is confused because the PHCP told him that his diabetes insipidus (DI) is nephrogenic. What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?

Question 36: Which therapeutic response should the nurse recognize in a client receiving anti-thyroid therapy?

Question 57: A client who was admitted with diabetic ketoacidosis (DKA) secondary to urinary tract infection has been weaned off an insulin drip 30 minutes ago. The client reports feeling lightheaded and sweaty. Which action should the nurse take first? 

 Question 54: The nurse is assessing a client who reports frequent urination. Which inquiry made by the nurse will help confirm a diagnosis of diabetes insipidus?

Question 28: The nurse is caring for a client with Addison’s crisis and is ending her shift in approximately one hour. What information would be most important to inform the oncoming nurse about this client? 

Question 3: A client is admitted with bacterial meningitis, a temperature of 102.5 (39.2), and a severe headache.  Which prescription should the nurse implement first?    

Question 6: A client with Guillain-Barre’ who has been admitted with ascending paralysis is intubated and receiving mechanical ventilation. Which of the following strategies would the nurse incorporate into the plan of care to help the client cope with this illness?

Question:  12 The next 6 questions are based on the following case study. 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/min Respiratory Rate                                                32 breaths/minTemperature                                                       100.8o F (38.2o C) Based on the patient’s history and clinical presentation, HCP has diagnosed Mr. D. with diabetic ketoacidosis. Which abnormalities would the nurse expect to treat?  (Select all that apply)