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The nurse assesses a patient who reports increased physical and psychological stress “for a while.” The patient states, “I just haven’t been feeling right and don’t have much energy.” You suspect the patient has a hormonal imbalance. After discussing your concerns with the provider, labs are ordered  to assess thyroid function and adrenal function. The patient states, “Why would a thyroid or adrenal hormone imbalance cause me to feel this way?”  How would you respond to the patient? Briefly explain how stress can affect thyroid and/or adrenal hormones in your response. 

What kind of document will you probably write the most while on the job? 

The nurse cares for a patient with diabetes complicated by the Somogyi effect. Which intervention does the nurse expect to be included in the patient’s plan of care to help treat the Somogyi effect?  

Which signs and symptoms are present in the patient diagnosed with HELLP syndrome? (Select 3)

Which agents when used for aspiration prophylaxis primarily work by decreasing gastric pH? (Select 2)

Your textbook states, “On the job, keep in mind that no one wants to read anything you write.” Consequently, when you write you should . . .

Build a term that means excessive thirst. 

​ A life-threatening disease process due to insufficient amounts of cortisol or aldosterone from the adrenal glands.  It is characterized by chronic, worsening fatigue, muscle weakness, low BP, and weight loss.  

In the lectures, I discussed three reasons the Revolutionary War had nearly bankrupted the American Economy. Provide one reason.

A parturient who is 35 weeks’ gestation presents to the obstetric unit in labor and with the following signs and symptoms: blood pressure 175/120; platelet count 60,000/mm3; elevated liver enzymes; dyspnea. What should the anesthesia provider prepare for in this patient?