Which of the following assessment findings characterize thyroid storm?
a) increased body temperature, decreased pulse, and increased blood pressure
b)
... [Show More] increased body temperature, increased pulse, and increased blood pressure
c) increased body temperature, decreased pulse, and decreased blood pressure
d) increased body temperature, increased pulse, and decreased blood pressure - ANSWER b) increased body temperature, increased pulse, and increased blood pressure
Thyroid storm is characterized by SNS activation. Thyroid hormones potentiate effects of cathecolamines (epinephrine/norepinephrine). Therefore, all vital signs will be increased.
The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply
a) instill isotonic eye drops as necessary
b) provide several, small, well-balanced meals
c) provide rest periods
d) keep environment warm
e) encourage frequent visitors and conversation
f) weigh the client daily - ANSWER a, b, c, and f
(a) The client with hyperthyroidism may experience exopthalmos. This requires instillation of eye drops to prevent dryness and ulceration of the cornea.
(b and f) The client experiences weight loss because of hypermetabolism. Several, small, well-balanced meals are given to improve nutritional status of the client and daily weights should be monitored. Weight is the most objective indicator of nutritional status.
(c) The client is usually exhausted due to restlessness and agitation. Frequent rest periods help the client regain energy.
After thyroidectomy, which of the following is the priority assessment to observe laryngeal nerve damage?
a) hoarseness of voice
b) difficulty in swallowing
c) tetany
d) fever - ANSWER a) hoarseness of voice
Laryngeal nerve damage is manifested by severe hoarseness of voice of "whispery voice".
When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:
a. vasopressin (Pitressin Synthetic)
b. furosemide (Lasix).
c. regular insulin.
d. 10% dextrose. - ANSWER a. vasopressin (Pitressin Synthetic)
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production, the nurse should expect to administer synthetic vasopressin for hormone replacement therapy. Furosemide, a diuretic, is contraindicated because a client with diabetes insipidus experiences polyuria. Insulin and dextrose are used to treat diabetes mellitus and its complications, not diabetes insipidus.
Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and dorsocervical area.
d. Weight gain in arms and legs. - ANSWER c. Deposits of adipose tissue in the trunk and dorsocervical area [Show Less]