AH2 Exam #3

An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting: 2 to 5 g of a simple carbohydrate. 10 to 15 g of a simple carbohydrate. 18 to 20 g of a simple carbohydrate. 25 to 30 g of a simple carbohydrate.

10 to 15 g of a simple carbohydrate.

A client in the surgical intensive care unit has skeletal tongs in place to stabilize a cervical fracture. Protocol dictates that pin care should be performed each shift. When providing pin care for the client, which finding should the nurse report to the physician? Crust around the pin insertion site A small amount of yellow drainage at the left pin insertion site A slight reddening of the skin surrounding the insertion site Pain at the insertion site

A small amount of yellow drainage at the left pin insertion site

A client is experiencing edema in the tissue. The nurse is correct in anticipating which tonicity of intravenous fluid? Isotonic fluid No intravenous solution Hypertonic solution Hypotonic solution

Hypertonic solution

The nurse is working on a burns unit and an acutely ill client is exhibiting signs and symptoms of third spacing. Based on this change in status, the nurse should expect the client to exhibit signs and symptoms of what imbalance? Metabolic alkalosis Hypermagnesemia Hypercalcemia Hypovolemia

Hypovolemia

A client arrives at the ED via ambulance following a motorcycle accident. The paramedics state the client was found unconscious at the scene but briefly regained consciousness during transport to the hospital. Upon initial assessment, the client's GCS score is 7. The nurse anticipates which action? Immediate craniotomy An order for a head computed tomography scan Intubation and mechanical ventilation IV administration of propofol

Immediate craniotomy

Exercise lowers blood glucose levels. Which of the following are the physiologic reasons that explain this statement. Select all that apply. Increases lean muscle mass Increases resting metabolic rate as muscle size increases Decreases the levels of high-density lipoproteins Decreases total cholesterol Increases glucose uptake by body muscles

Increases lean muscle mass Increases resting metabolic rate as muscle size increases Decreases total cholesterol Increases glucose uptake by body muscles

A patient has an S5 spinal fracture from a fall. What type of assistive device will this patient require? Voice or sip-n-puff controlled electric wheelchair Electric or modified manual wheelchair, needs transfer assistance Cane The patient will be able to ambulate independently.

The patient will be able to ambulate independently.

An elderly woman found with a head injury on the floor of her home is subsequently admitted to the neurologic ICU. What is the best rationale for the following health care provider prescriptions: elevate the HOB; keep the head in neutral alignment with no neck flexion or head rotation; avoid sharp hip flexion? To decrease cerebral arterial pressure To avoid impeding venous outflow To prevent flexion contractures To prevent aspiration of stomach contents

To avoid impeding venous outflow

During the first 24 hours after a client is diagnosed with addisonian crisis, which intervention should the nurse perform frequently? Weigh the client. Test urine for ketones. Assess vital signs. Administer oral hydrocortisone.

Assess vital signs.

An adult client with a history of dyspepsia has been diagnosed with chronic gastritis. The nurse's health education should include what guidelines? Select all that apply. Avoid drinking alcohol Adopt a low-residue diet Avoid nonsteroidal anti-inflammatories Take calcium gluconate as prescribed Prepare for the possibility of surgery

Avoid drinking alcohol Avoid nonsteroidal anti-inflammatories

A nurse in the neurologic ICU has received a prescription to infuse a hypertonic solution into a client with increased intracranial pressure. This solution will increase the number of dissolved particles in the client's blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the blood volume. This process is best described as which of the following? Hydrostatic pressure Osmosis and osmolality Diffusion Active transport

Osmosis and osmolality

To prevent gastroesophageal reflux in a client with hiatal hernia, the nurse should provide which discharge instruction? "Lie down after meals to promote digestion." "Avoid coffee and alcoholic beverages." "Take antacids with meals." "Limit fluid intake with meals."

"Avoid coffee and alcoholic beverages."

The nurse is caring for a client with a spinal cord injury. What test reveals the level of spinal cord injury? Radiography Myelography Neurologic examination Computed tomography (CT) scan

Neurologic examination

A nurse caring for a patient who is receiving an IV solution via a central vein suspects the complication of an air embolism. Which of the following are signs and symptoms consistent with that diagnosis? Select all that apply. Crackles on auscultation Cyanosis Hypertension Shoulder pain Dyspnea Tachycardia

Shoulder pain Dyspnea Cyanosis Tachycardia

A client with diabetes calls the clinic reporting a "flu bug." What should the nurse tell the client to do? Select all that apply. "Make sure to stick to your normal diet." "Try to eat small amounts of carbs, if possible." "Ensure that you check your blood glucose every hour." "For now, check your urine for ketones every 8 hours." "Take your usual dose of insulin."

"Try to eat small amounts of carbs, if possible." "Take your usual dose of insulin."

The nurse is reviewing lab work on a newly admitted client. Which of the following diagnostic studies confirm the nursing diagnosis of Deficient Fluid Volume? Select all that apply. An elevated hematocrit level A low urine specific gravity Electrolyte imbalance Low protein level in the urine Absence of ketones in urine

An elevated hematocrit level Electrolyte imbalance

Which of the following symptoms are indicative of a rapidly expanding acute subdural hematoma? Select all that apply. Hemiparesis Tachypnea Decreased reactivity of the pupils Bradycardia Hypotension Coma

Hemiparesis Decreased reactivity of the pupils Bradycardia Coma

The nurse is assigned to care for clients with SCI on a rehabilitation unit. Which signs does the nurse recognize as clinical manifestations of autonomic dysreflexia? Select all that apply. Hypertension Tachycardia Fever Diaphoresis Nasal congestion

Hypertension Diaphoresis Nasal congestion

The surgical nurse is caring for a client who is postoperative day 1 following a thyroidectomy. The client reports tingling in her lips and fingers. She states that she has an intermittent spasm in her wrist and hand and she exhibits increased muscle tone. What electrolyte imbalance should the nurse first suspect? Hypophosphatemia Hypocalcemia Hypermagnesemia Hyperkalemia

Hypocalcemia

A patient with severe hypervolemia is prescribed a loop diuretic. The nurse knows that this drug can cause a significant loss of sodium and has to be carefully monitored. Which of the following drugs is most likely the one that was prescribed? Lasix Hydrodiuril Mykrox Zaroxolyn

Lasix

Your client has a diagnosis of hypervolemia. What would be an important intervention that you would initiate? Give medications that promote fluid retention. Limit sodium and water intake. Assess for dehydration. Teach client behaviors that decrease urination.

Limit sodium and water intake.

The most common symptom of esophageal disease is nausea. vomiting. dysphagia. odynophagia.

dysphagia.

A nurse is providing education to a client with GERD. The client asks what measures can be taken independently to help reduce the symptoms. Which interventions would the nurse recommend? Select all that apply. maintaining an upright position following meals avoiding foods that intensify symptoms sleeping in a supine position ensuring intake of food and fluids 2 to 3 hours before bedtime

maintaining an upright position following meals avoiding foods that intensify symptoms

The nurse is providing discharge instructions for a slightly overweight client seen in the Emergency Department for chest pain. The client was diagnosed as having gastroesophageal reflux disease. The nurse notes in the client's record that the client is taking carbidopa/levodopa (Sinemet). The nurse questions the physician's order for a low-fat diet elevation of upper body on pillows pantaprazole metoclopramide

metoclopramide

During a follow-up visit to the physician, a client with hyperparathyroidism asks the nurse to explain the physiology of the parathyroid glands. The nurse states that these glands produce parathyroid hormone (PTH). PTH maintains the balance between calcium and: sodium. potassium. magnesium. phosphorus.

phosphorus.

A client who has been severely beaten is admitted to the emergency department. The nurse suspects a basilar skull fracture after assessing: raccoon's eyes and Battle sign. nuchal rigidity and Kernig's sign. motor loss in the legs that exceeds that in the arms. pupillary changes.

raccoon's eyes and Battle sign.

A hospitalized, insulin-dependent patient with diabetes has been experiencing morning hyperglycemia. The patient will be awakened once or twice during the night to test blood glucose levels. The health care provider suspects that the cause is related to the Somogyi effect. Which of the following indicators support this diagnosis? Select all that apply. Normal bedtime blood glucose Rise in blood glucose about 3:00 AM Increase in blood glucose from 3:00 AM until breakfast Decrease in blood sugar to a hypoglycemic level between 2:00 to 3:00 AM Elevated blood glucose at bedtime

-Normal bedtime blood glucose -Increase in blood glucose from 3:00 AM until breakfast -Decrease in blood sugar to a hypoglycemic level between 2:00 to 3:00 AM

The nurse teaches the client with gastroesophageal reflux disease (GERD) which measure to manage the disease? Minimize intake of caffeine, beer, milk, and foods containing peppermint or spearmint Avoid eating or drinking 2 hours before bedtime Elevate the foot of the bed on 6- to 8-inch blocks Eat a low-carbohydrate diet

Avoid eating or drinking 2 hours before bedtime

A client with active schizophrenia has developed acute gastritis after ingesting a strongly alkaline solution during a psychotic episode. Corrosion is extensive. Which of the following emergency treatments might the team working with this client use? Select all that apply. Diluted lemon juice Diluted vinegar Syrup of ipecac Gastric lavage Aluminum hydroxide

Diluted lemon juice Diluted vinegar

After a motor vehicle crash, a client is admitted to the medical-surgical unit with a cervical collar in place. The cervical spinal X-rays haven't been read, so the nurse doesn't know whether the client has a cervical spinal injury. Until such an injury is ruled out, the nurse should restrict this client to which position? Flat Supine, with the head of the bed elevated 30 degrees Flat, except for logrolling as needed A head elevation of 90 degrees to prevent cerebral swelling

Flat, except for logrolling as needed

A client is prescribed a histamine (H2)-receptor antagonist. The nurse understands that the following are H2-receptor antagonists. Choose all that apply. Nizatidithene (Axid) Ranitidine (Zantac) Famotidine (Pepcid) Cimetidine (Tagamet) Esomeprazole (Nexium) Lansoprazole (Prevacid)

Nizatidithene (Axid) Ranitidine (Zantac) Famotidine (Pepcid) Cimetidine (Tagamet)

The nurse is adding the intake and output results for a client diagnosed with dehydration. The nurse notes a 24-hour intake of 1500 mL/day between oral fluids and intravenous solutions. The output total is calculated as 2800 mL/day from urine output, emesis, and Hemovac drainage. Which nursing action is best to maintain an acceptable fluid balance? Suggest a fluid restriction. Encourage oral fluids. Remove the Hemovac. Offer a prescribed antiemetic medication.

Offer a prescribed antiemetic medication.

The nurse is caring for a patient who is suspected to have developed a peptic ulcer hemorrhage. Which action would the nurse perform first? Place the patient in a recumbent position with the legs elevated. Prepare a peripheral and central line for intravenous infusion. Assess vital signs. Call the physician.

Place the patient in a recumbent position with the legs elevated.

A client with pancreatic cancer has the following blood chemistry profile: Glucose, fasting: 204 mg/dl; blood urea nitrogen (BUN): 12 mg/dl; Creatinine: 0.9 mg/dl; Sodium: 136 mEq/L; Potassium: 2.2 mEq/L; Chloride: 99 mEq/L; CO2: 33 mEq/L. Which result should the nurse identify as critical and report immediately? CO2 Sodium Chloride Potassium

Potassium

Which of the following is a clinical manifestation of pupillary changes that indicate increasing ICP? Pupils are equal and normally reactive. Pupils are unequal in diameter. Pupils are showing progressive dilation. Pupils are fixed and dilated.

Pupils are showing progressive dilation.

Which term refers to the symptom of gastroesophageal reflux disease (GERD), which is characterized by a burning sensation in the esophagus? Pyrosis Dyspepsia Dysphagia Odynophagia

Pyrosis

The nurse is administering an insulin drip to a patient in ketoacidosis. What insulin does the nurse know can be used intravenously? Select all that apply. Rapid-acting Short-acting Intermediate-acting Long-acting

Rapid-acting Short-acting

The nurse is providing care for a client whose peptic ulcer disease will be treated with a Billroth I procedure (gastroduodenostomy). The nurse should address which of the following topics when providing health education? Select all that apply. The procedure carries a risk for dumping syndrome The client is likely to require long-term total parenteral nutrition (TPN) The client's vagus nerve may be altered The client can resume a usual diet in 3 to 5 weeks Part of the client's stomach and colon will be removed

The procedure carries a risk for dumping syndrome The client's vagus nerve may be altered

A client was admitted to the hospital unit after 2 days of vomiting and diarrhea. The client's spouse became alarmed when the client demonstrated confusion and elevated temperature, and reported "dry mouth." The nurse suspects the client is experiencing which condition? dehydration hypervolemia hypercalcemia hyperkalemia

dehydration

A nurse who provides care in an ambulatory clinic integrates basic cancer screening into admission assessments. What client most likely faces the highest immediate risk of oral cancer? A 65-year-old man with alcoholism who smokes A 45-year-old woman who has type 1 diabetes and who wears dentures A 32-year-old man who is obese and uses smokeless tobacco A 57-year-old man with GERD and dental caries

A 65-year-old man with alcoholism who smokes

The nurse reviews dietary guidelines with a patient who had a gastric banding. Which of the following teaching points are included? Select all that apply. Eat six meals a day. Limit meal size to 450 to 500 mL. Do not eat and drink at the same time. Drink plenty of water, from 90 minutes after each meal to 15 minutes before each meal. Avoid fruit drinks and soda.

Do not eat and drink at the same time. Drink plenty of water, from 90 minutes after each meal to 15 minutes before each meal. Avoid fruit drinks and soda.

A patient brought to the hospital after a skiing accident was unconscious for a brief period of time at the scene, then woke up disoriented and refused to go to the hospital for treatment. The patient became very agitated and restless, then quickly lost consciousness again. What type of TBI is suspected in this situation? Epidural hematoma Acute subdural hematoma Chronic subdural hematoma Grade 1 concussion

Epidural hematoma

A group of students is reviewing material about endocrine system function. The students demonstrate understanding of the information when they identify which of the following as secreted by the adrenal medulla? Glucocorticoids Mineralocorticoids Glucagon Epinephrine

Epinephrine

The nurse is caring for a client who has just returned from the PACU after surgery for peptic ulcer disease. For what potential complications does the nurse know to monitor? Select all that apply. Hemorrhage Inability to clear secretions Perforation Penetration Pyloric obstruction Cachexia

Hemorrhage Perforation Penetration Pyloric obstruction

While assessing a client's peripheral IV site, the nurse observes edema around the insertion site. How should the nurse document this complication related to IV therapy? Air emboli Phlebitis Infiltration Fluid overload

Infiltration

A client with dysphagia is being prepared for discharge. Which outcome indicates that the client is ready for discharge? The client doesn't exhibit rectal tenesmus. The client is free from esophagitis and achalasia. The client reports diminished duodenal inflammation. The client has normal gastric structures.

The client is free from esophagitis and achalasia.

In a spinal cord injury, neurogenic shock develops due to loss of the autonomic nervous system functioning below the level of the lesion. Which of the following indicators of neurogenic shock would the nurse expect to find? Select all that apply. Hypotension Tachycardia Venous pooling Diaphoresis Tachypnea Hypothermia

Venous pooling Hypotension Tachypnea Hypothermia

A nurse prepares teaching for a client with newly-diagnosed diabetes. Which statements about the role of insulin will the nurse include in the teaching? Select all that apply. "Insulin permits entry of glucose into the cells of the body." "Insulin promotes synthesis of proteins in various body tissues." "Insulin promotes the storage of fat in adipose tissue." "Insulin interferes with glucagon from the pancreas." "Insulin interferes with the release of growth hormone from the pituitary."

"Insulin permits entry of glucose into the cells of the body." "Insulin promotes synthesis of proteins in various body tissues." "Insulin promotes the storage of fat in adipose tissue."

What pharmacologic therapy does the nurse anticipate administering when the patient is experiencing thyroid storm? (Select all that apply.) Acetaminophen Iodine Propylthiouracil Synthetic levothyroxine Dexamethasone (Decadron)

Acetaminophen Iodine Propylthiouracil

Which statement about fluid replacement is accurate for a client with hyperosmolar hyperglycemic nonketotic syndrome? Administer 2 to 3 L of IV fluid rapidly. Administer 10 L of IV fluid over the first 24 hours. Administer a dextrose solution containing normal saline solution. Administer IV fluid slowly to prevent circulatory overload and collapse.

Administer 2 to 3 L of IV fluid rapidly.

Which of the following is the most common cause of symptomatic hypomagnesemia in the United States? Alcoholism Intestinal resection Inflammatory bowel disease Loss of gastric acid

Alcoholism

A nurse is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately? Pitting edema of the legs An irregular apical pulse Dry mucous membranes Frequent urination

An irregular apical pulse

A nurse is caring for an older adult client who has type 2 diabetes mellitus. She suspects that the patient is exhibiting symptoms of diabetic ketoacidosis (DKA) instead of hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Which of the following are indicators of a diagnosis of DKA? Select all that apply. Blood glucose level of 280 mg/dL Arterial pH of 7 Plasma bicarbonate level of 26 mmol/L Serum osmolality of 380 mOsm/L Plasma bicarbonate level of 13 mEq/L

Blood glucose level of 280 mg/dL Arterial pH of 7 Plasma bicarbonate level of 13 mEq/L

Damage to the brain from traumatic injury can be divided into primary and secondary injuries. Which of the following is cause of a secondary injury associated with brain injury? Select all that apply. Cerebral edema Ischemia Infection Seizures Hyperthermia

Cerebral edema Ischemia Infection Seizures Hyperthermia

The physician has prescribed a peripheral IV to be inserted before the client goes for computed tomography. What should the nurse do when selecting a site on the hand or arm for insertion of an IV catheter? Choose a hairless site if available. Consider potential effects on the client's mobility when selecting a site. Have the client briefly hold his arm over his head before insertion. Leave the tourniquet on for at least 3 minutes.

Consider potential effects on the client's mobility when selecting a site.

The nurse is assessing a client for local complications of intravenous therapy. Which are local complications? Select all that apply. Extravasation Infection Hematoma Phlebitis Air embolism

Extravasation Hematoma Phlebitis

The nurse is developing a plan of care for a patient with peptic ulcer disease. What nursing interventions should be included in the care plan? Select all that apply. Making neurovascular checks every 4 hours Frequently monitoring hemoglobin and hematocrit levels Observing stools and vomitus for color, consistency, and volume Checking the blood pressure and pulse rate every 15 to 20 minutes Inserting an indwelling catheter for incontinence

Frequently monitoring hemoglobin and hematocrit levels Observing stools and vomitus for color, consistency, and volume Checking the blood pressure and pulse rate every 15 to 20 minutes

The statements presented here match nursing interventions with nursing diagnoses. Which statements are appropriate for a client who has suffered a head injury? Select all that apply. Ineffective airway clearance: Apply suction as indicated Deficient fluid volume: Administer 1 L of normal saline daily Disturbed sleep pattern: Provide back rubs to the client Ineffective cerebral tissue perfusion: Maintain cerebral perfusion pressure ≤50 mm Hg Interrupted family process: Encourage the family to join a support group

Ineffective airway clearance: Apply suction as indicated Disturbed sleep pattern: Provide back rubs to the client Interrupted family process: Encourage the family to join a support group

The nurse is assessing residents at a summer picnic at the nursing facility. The nurse expresses concern due to the high heat and humidity of the day. Although the facility is offering the residents plenty of fluids for fluid maintenance, the nurse is most concerned about which? Lung function Summer allergies Cardiovascular compromise Insensible fluid loss

Insensible fluid loss

A client with an intravenous infusion is rubbing his arm. The nurse assesses the site and decides to discontinue the current infusion because of concern that the client has developed phlebitis. Which of the following clinical manifestations would the nurse assess with phlebitis? Select all that apply. Cool area around the insertion site Reddened area along the path of the vein Tender area around the insertion site Ecchymosis at the insertion site Rapid, shallow respirations

Reddened area along the path of the vein Tender area around the insertion site

A nurse is caring for a female client with hypothyroidism. The client is extremely upset about her altered physical appearance. She doesn't want to take her medication because she doesn't believe it's doing any good. What should the nurse do? Tell the client she'll feel better if she consistently takes the thyroid replacement medication. Tell the client she'll soon experience improvement in her looks as the medication corrects her hormone deficiency. Tell the client she needs to learn to accept herself as she is and be compliant during treatment. Tell the client that she looks fine and offer to help her with makeup.

Tell the client she'll soon experience improvement in her looks as the medication corrects her hormone deficiency.

A client with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett esophagus with minor cell changes. What principle should be integrated into the client's subsequent care? The client will be monitored closely to detect malignant changes. Liver enzymes must be checked regularly, as H2 receptor antagonists may cause hepatic damage. Small amounts of blood are likely to be present in the stools and are not cause for concern. Antacids may be discontinued when symptoms of heartburn subside.

The client will be monitored closely to detect malignant changes.

Which are possible long-term complications of spinal cord injury? Select all that apply. respiratory arrest areflexia autonomic dysreflexia respiratory infection

autonomic dysreflexia respiratory infection

The nurse is caring for a client who has a peripheral IV in place for fluid replacement. When caring for the client's IV site, the nurse should: ensure that anticoagulants are placed on hold for the duration of IV therapy. replace the IV dressing with a new, clean dressing if it is soiled. ensure that the tubing is firmly anchored to the client's skin. periodically remove hair from 2 cm around the IV site.

ensure that the tubing is firmly anchored to the client's skin.

Three hours after injuring the spinal cord at the C6 level, a client receives high doses of methylprednisolone sodium succinate (Solu-Medrol) to suppress breakdown of the neurologic tissue membrane at the injury site. To help prevent adverse effects of this drug, the nurse expects the physician to order: naloxone (Narcan). famotidine (Pepcid). nitroglycerin (Nitro-Bid). atracurium (Tracrium).

famotidine (Pepcid).

A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is stabilized and prepared for discharge. When preparing the client for discharge and home management, which statement indicates that the client understands his condition and how to control it? "I can avoid getting sick by not becoming dehydrated and by paying attention to my need to urinate, drink, or eat more than usual." "If I experience trembling, weakness, and headache, I should drink a glass of soda that contains sugar." "I will have to monitor my blood glucose level closely and notify the physician if it's constantly elevated." "If I begin to feel especially hungry and thirsty, I'll eat a snack high in carbohydrates."

"I can avoid getting sick by not becoming dehydrated and by paying attention to my need to urinate, drink, or eat more than usual."

When assessing a client who has experienced a spinal injury, the nurse notes diaphragmatic breathing and loss of upper limb use and sensation. At what level does the nurse anticipate the injury has occurred? C3 C5 T6 L1

C5

Which activities would the client with a T4 spinal cord injury be able to perform independently? Select all that apply. Eating Breathing Ambulating Transferring to a wheelchair Writing

Eating Breathing Transferring to a wheelchair Writing

The nurse is caring for a client who is to receive IV daunorubicin, a chemotherapeutic agent. The nurse starts the infusion and checks the insertion site as per protocol. During the most recent check, the nurse observes that the IV has infiltrated so the nurse stops the infusion. What is the nurse's priority concern with this infiltration? Extravasation of the medication Discomfort to the client Blanching at the site Hypersensitivity reaction to the medication

Extravasation of the medication

A client is brought to the emergency department by the paramedics. The client is a type 2 diabetic and is experiencing hyperglycemic hyperosmolar syndrome (HHS). The nurse should identify what components of HHS? Select all that apply. Leukocytosis Glycosuria Dehydration Hypernatremia Hyperglycemia

Glycosuria Dehydration Hypernatremia Hyperglycemia

Which instruction should be included in the discharge teaching plan for a client after thyroidectomy for Graves' disease? Keep an accurate record of intake and output. Use nasal desmopressin acetate (DDAVP). Have regular follow-up care. Exercise to improve cardiovascular fitness.

Have regular follow-up care.

A client with a history of Addison's disease and flu-like symptoms accompanied by nausea and vomiting over the past week is brought to the facility. His wife reports that he acted confused and was extremely weak when he awoke that morning. The client's blood pressure is 90/58 mm Hg, his pulse is 116 beats/minute, and his temperature is 101° F (38.3° C). A diagnosis of acute adrenal insufficiency is made. What should the nurse expect to administer by IV infusion? Insulin Hydrocortisone Potassium Hypotonic saline

Hydrocortisone

Thyroid storm is a severe form of hyperthyroidism that can be fatal if not treated. Medical management includes pharmacotherapy. Which of the following drugs have proved helpful? Select all that apply. Hydrocortisone Acetaminophen Salicylates Methimazole Iodine

Hydrocortisone Acetaminophen Methimazole Iodine

A physician orders regular insulin 10 units I.V. along with 50 ml of dextrose 50% for a client with acute renal failure. What electrolyte imbalance is this client most likely experiencing? Hypercalcemia Hypernatremia Hyperglycemia Hyperkalemia

Hyperkalemia

The nurse is aware that hemorrhage is a common complication of peptic ulcer disease. Therefore, assessment for indicators of bleeding is an important nursing responsibility. Which of the following are indicators of bleeding? Select all that apply. Melena Polyuria Bradycardia Tachypnea Thirst Mental confusion

Melena Tachypnea Thirst Mental confusion

Which nursing intervention can prevent a client from experiencing autonomic dysreflexia? Administering zolpidem tartrate (Ambien) Assessing laboratory test results as ordered Placing the client in Trendelenburg's position Monitoring the patency of an indwelling urinary catheter

Monitoring the patency of an indwelling urinary catheter

Which of the following are clinical manifestations of gastroesophageal reflux disease (GERD)? Select all that apply. Regurgitation Dyspepsia Pyrosis Hypersalivation Esophagitis

Regurgitation Dyspepsia Pyrosis Hypersalivation Esophagitis

Which of the following are the immediate complications of spinal cord injury? Respiratory arrest Tetraplegia Spinal shock Paraplegia Autonomic dysreflexia

Respiratory arrest Spinal shock

Which laboratory test results should a nurse expect to find in a client diagnosed with Hashimoto's thyroiditis? Thyroxine (T4), 22 µg/dl; triiodothyronine (T3), 320 ng/dl; thyroid-stimulating hormone (TSH) undetectable T4, 22 µg/dl; T3, 200 ng/dl; TSH 0.1 mIU/ml T4, 2 µg/dl; T3, 200 ng/dl; TSH 5.9 mIU/ml T4, 2 µg/dl; T3, 35 ng/dl; TSH 45 mIU/ml

T4, 2 µg/dl; T3, 35 ng/dl; TSH 45 mIU/ml

The nurse is caring for a client with chronic gastritis. The nurse monitors the client knowing that this client is at risk for which vitamin deficiency? Vitamin A Vitamin B12 Vitamin C Vitamin E

Vitamin B12