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A nurse in the emergency department is caring for a female client. Nurses’ Notes The client appears lethargic and reports fatigue, a decrease in appetite, and a 20-lb weight gain over a 6-month period. The client also reports: hair loss, numbness, and tingling in fingers, and constipation Physical assessment: Neck midline with a 1+ goiter; Skin is pale, cool, and dry; Abdomen is distended; Bowel sounds are hypoactive. Vital Signs Temp: 35.9º C (96.6º F); BP: 88/60 mm Hg; HR: 58/min; RR: 14/min; O2 Sat: 93% (RA) Diagnostic (Lab) Results (0800) Cortisol (serum) 16 mcg/dL (5 to 23 mcg/dL) Serum T3 60 ng/dL (70 ng/dL to 205 ng/dL) Serum T4 (total) 3 mcg/dL (5 mcg/dL to 12 mcg/dL)    Review the choices below to specify (A) what condition the client is most likely experiencing, (B) The 2 actions the nurse should take to address that condition, and (C) The 2 parameters the nurse should monitor to assess the client’s progress. A) Condition the client is experiencing [color1] B) 2 Actions the nurse should take: [color2], [color3] C) 2 Parameters that the nurse should monitor for: [color4], [color5]  

Ordered: Heparin IV continuous at 1000units/hr. Available:  Heparin 20,000units in 500ml of NS.  At what rate will you set the pump in mL/hr?

The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has a serum sodium of 118 mEq/L.  Which primary healthcare provider prescriptions would the nurse anticipate receiving?  Select all that apply

You provide teaching about monitoring her blood glucose levels and watch as the client checks her own blood glucose with her provided glucometer.  Which blood glucose levels are considered to be abnormal for the client? 

An older adult client who has been diagnosed with type 2 diabetes presents to the emergency department (ER) with second-degree burns to the bottom of both feet.  They report that their feet “… must have been too close to the heater.” The nurse infers that the most likely cause for the client’s decrease in temperature sensation is:

You are a registered nurse working in a large OB/GYN practice. Your client is a 28-year-old Asian woman, arrives for her regularly scheduled obstetric appointment. She is in her 26th week of pregnancy and is a primigravida.  After examining the client, the provider asks you to schedule the client for an oral glucose tolerance test (OGGT).  What is the purpose of an oral glucose tolerance test (OGGT)?   When is an OGGT performed?  

When checking a client’s chart, the student nurse notes a history of “allergic to morphine sulfate.” While checking the medication orders, the student nurse notes an order for morphine sulfate 5 mg SQ q 4 hours PRN for severe pain and Toradol 30 mg IM q 6 hours for moderate pain. What action should the student nurse take?

The provider has ordered procainamide 0.1g IV push. The pharmacy sends procainamide 100mg /ml.  How many ml will you give?

A nurse is caring for the following clients with endocrine disorders.  Which client must the nurse assess first?

Your client is supposed to receive 2 Tbsp of a medication. How many milliliters (mL) is this?