Quiz 7

Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?

"I feel a lump in my throat when I swallow."

A patient has been admitted to the neurologic unit for the treatment of a newly diagnosed brain tumor. The patient has just exhibited seizure activity for the first time. What is the nurse's priority response to this event?

Implement precautions to ensure the patient's safety.

A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?

Obtain a glucose reading using a finger stick.

The clinic nurse caring for a client with parkinson disease notes that the client has been taking levodopa and carbidopa (Sinemet) for 7 years. For what common side effect should the nurse assess this client?

Pruritus

A patient with suspected Parkinson's disease is initially being assessed by the nurse. When is the best time to assess for the presence of a tremor?

When the patient is resting

A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. The nurse should plan to teach the patient about:

calcium supplements to normalize serum calcium levels.

A 56-year-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would expect the initial laboratory results to include a(n)

decreased serum sodium

the nurse reviews a patient's glycosylated hemoglobin (hba1c) results to evaluate

glucose control over the past 90 days. rationale

A 61-year-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for _____ levels.

parathyroid hormone

The nurse determines that medication is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patient's

urinary output is increased

A patient who had a subtotal thyroidectomy earlier today develops laryngealstridor and a cramp in the right hand upon returning to the surgical nursing unit. Whichcollaborative action will the nurse anticipate next?

Administer IV calcium gluconate.

a 29 year old woman with diabetic ketoacidosis is admitted to the hospital. Which of the following would you anticipate as a priority nursing action

Administer IV normal saline at 250ml/hr

A 30-year-old patient seen in the emergency department for severe headache and acute confusion is found to have a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?

Antidiuretic hormone level

An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to

Give an IV bolus of normal saline

The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?

Give the patient 4 to 6 oz more orange juice.

Which question will provide the most useful information to a nurse who is interviewing a patient about a possible thyroid disorder?

Have you had a recent unplanned weight gain or loss?"

an expected finding for a patient diagnosed with diabetes insipidus is

Markedly elevated blood glucose ?????

which of the following neurologuc conditions will most likely include the diagnosis of demintia

Parkinson's disease OR Bells palsy

A patient diagnosed with a pituitary adenoma has arrived on the neurologic unit. When planning the patient's care, the nurse should be aware that the effects of the tumor will primarily depend on what variable?

The specific hormones secreted by the tumor