Excelsior College NURSING MISC quiz 5 2021/2022. 100% Correct
The RN would expect a client with longstanding, severe hypothyroidism to
... [Show More] present with which clinical manifestation?
a. Hyperlipidemia
b. Hyperthermia
c. Hypoglycemia
d. Hypertension QUESTION 2
A patient with Hyperthyroidism, who is being prepared for thyroid surgery, is prescribed a solution of iodine mixed in fruit juice. Which action should the nurse follow when administering the solution?
a. Ask the patient to eat a snack first to reduce gastric irritation.
b. Have the patient gargle with mouthwash prior to administration.
c. Provide the patient with a drinking straw for the mixture.
d. Warm the mixture in the microwave before administration.
The medication order reads: methimazole (Tapazole) 0.4mg per kg per day, divided into one dose every 8 hours.
The patient weighs 132 lbs.
How many mg will the RN administer each dose?
Record your answer as a number using decimals if necessary (for example write 0.5 instead of ½). Do not include words or abbreviations in your answer.
mg per dose 0.4mg 1kg
Xmg……………….60kg>>>>>>>>>>>>>>> 8mg
QUESTION 4
Which of the following are symptoms of Diabetes Insipidus?
a.Large amounts of dilute urine.
b. Fatigue and weight gain.
c. Tremors and palpitations.
d. Muscle weakness and kidney stones.
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QUESTION 5
Which is the appropriate short-term nursing outcome for a patient admitted with Addisonian crisis who is receiving IV hydrocortisone (Solu-Cortef)?
a. The patient will have decreased dependent edema.
b. The patient will have a blood glucose level of 70-110 mg/100 mL.
c. The patient will follow a low-salt diet.
d. The patient’s systolic blood pressure will decrease by 30 mmHg. QUESTION 6
The RN would expect which medication to be ordered for a patient with Hyperthyroidism?
a. propylthiouracil (PTU)
b. Prednisone
c. levothyroxine (Synthroid)
d. furosemide (Lasix) QUESTION 7
Which statement made by a patient with Hypothyroidism who is receiving levothyroxine (Synthroid) indicates that additional teaching is needed?
a. "I need to have routine tests to check my blood levels."
b. "I will take my medication every morning."
c. "I can stop my Synthroid when I start to feel better."
d. "I need to be monitored for Osteoporosis." QUESTION 8
Which potential health problem would the RN address when teaching a patient with Hyperparathyroidism about additional health conditions that may occur with this disorder?
a. Kidney stones
b. Thyroid nodules
c. Muscle spasms
d. Hypotension QUESTION 9
Which finding would the RN expect to assess in a patient with Hyperthyroidism?
a. Dry skin and complaints of being cold.
b. Weight gain and hair loss.
c. Brittle nails and thinning of hair.
d. Increased pulse and tremors of the hand.
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QUESTION 10
A patient with non-compliance to hypothyroid medications presented with Myxedema for which aggressive hemodynamic therapy was instituted. Which patient finding indicates that the Myxedema is resolving?
a. Respiratory rate of 16-20 per minute.
b. Oral temperature of 96.8°.
c. Manual blood pressure of 98/58.
d. Serum sodium of 130 mEq/L.
QUESTION 11
A 30-year-old female client with a pituitary tumor underwent hypophysectomy. Which client symptom will the RN expect to evaluate on follow-up visit?
a. Flushed skin
b. Excessive libido
c. Oliguria
d. Amenorrhea QUESTION 12
The RN is providing postoperative care for a client who had a total thyroidectomy for thyroid malignancy. Prioritize the postoperative nursing interventions. [Show Less]