Med Surg 2040 E2

Assessment findings of hypothyroidism

-constipation -Dysrhythmias -AIDS

Which laboratory test result will the nurse monitor when evaluating the effects of therapy for a 62-year-old female patient who has acute pancreatitis?

Amylase

A patient just arrived on unit after a thyroidectomy, which action should the nurse take first?

Asses the pts respiratory effort

A 63-year-old patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL and calcium of 14 mg/dL. Which nursing action should be included in the plan of care?

Encourage 4000 mL of fluids daily.

A 49-year-old patient with multiple sclerosis (MS) is to begin treatment with glatiramer acetate (Copaxone).Which information will the nurse include in patient teaching?

How to draw up and administer injections of the medication

A 39-year-old patient whose work involves frequent lifting has a history of chronic back pain. After the nurse has taught the patient about correct body mechanics, which patient statement indicates that the teaching has been effective?

I will begin doing exercises to strengthen the muscles of my back.

After obtaining the information shown in the accompanying figure regarding a patient with Addison's disease, which prescribed action will the nurse take first.

Infuse 5% dextrose and 0.9% saline.

A nurse who works on the orthopedic unit has just received the change-of-shift report. Which patient should the nurse assess first?

Patient who has not voided 8-10 hours after having a laminectomy

Which assessment is most important for the nurse regarding a patient with myasthenia gravis?

Respiratory effort

A patient has had surgical reduction of an open fracture of the right radius. Which assessment findings should the nurse report immediately to the health care provider?

Temperature 101.4° F (38.6° C)

Which assessment finding for a 33-year-old female patient admitted with Graves disease requires the most rapid intervention by the nurse?

Temperature 103.8 F (40.4 C)

Secondary hypothyroidism

labs needed (TSH, T4, BMR), results a low serum T4 and a normal TSH

The nurse advises a patient with myasthenia gravis (MG) to

perform physically demanding activities early in the day.

A client with liver disease presents to the hospital with severe ascites. What pathophysiological changes does the nurse recognize as contributing to the development of ascites? Select all that apply

-sodium and water retention - presence of portal hypertension

A nurse assesses a client who is recovering from anterior cervical discectomy and fusion which complication should alert the nurse to urgently communicate with the healthcare provider?

auscultated stridor

Initial clinical effects of client with MS?

-Nystagmus -Scanning Speech -Intention Tremors (This group of sx is known as Charcot's Triad)

Pt. taking lactulose for cirrhosis, how do we know med is effective?

-alert and oriented -lower or normalize ammonia level -2-3 stools daily

Which information will the nurse include when teaching a patient with acute low back pain (select all that apply)?

-c.Avoid activities that require twisting of the back or prolonged sitting. -d.Symptoms of acute low back pain frequently improve in a few weeks. -e.Ibuprofen (Motrin, Advil) or acetaminophen (Tylenol) can be used to relieve pain

What is the first physical indication of acute pancreatitis?

abdominal Pain

A pt has just arrived on the unit after a thyroidectomy, which action should the nurse take first?

- Asses the pts respiratory effort

A 37-year-old patient is being admitted with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?

Purplish streaks on the abdomen

A client with a history of excessive alcohol use develops hepatic portal hypertension and an elevated serum aldosterone level. For which complications should the nurse assess this client?

Sodium retention and fluid accumulation

Following laminectomy with a spinal fusion to treat a herniated disc, a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to

check the chart for preoperative assessment data (if this option isn't available Notify HCP)

What nursing intervention should be used to decrease pruritus impatience with jaundice and liver disease?

apply a lubricant on the skin to prevent dry skin

(SATA) Clinical manifestations of Hypoparathyroidism

-Chovesk & Trosseu's signs - tetany - dysrhythmias

The nurse is providing care to a client with ascites secondary to liver failure. What is appropriate to include in this client's care? Drag/Drop

-Low Sodium Diet - (urine output)Daily Abdominal girth measurements -Daily Weights

The nurse is caring for a client scheduled to have a percutaneous liver biopsy. Which assessment findings warrant the postponement of the procedure? Select all that apply.

-Marked ascites -Hemoglobin of less than 9 g/dL (90 mmol/L)

Assessment findings of patient with hypothyroidism

-constipation -prolonged deep tendon reflexes

Meningitis (SATA)

-headache -nausea/vomiting -photophobia s&S of ICP Kernig nuchal rigidity

A 38-year-old male patient is admitted to the hospital in Addisonian crisis. Which patient statement supports a nursing diagnosis of ineffective self-health management related to lack of knowledge about management of Addisons disease?

.I had the stomach flu earlier this week, so I couldn't take the hydrocortisone.

A client with a parathyroid disorder reports nausea, vomiting, weight loss, and epigastric pain. Which electrolyte disturbance is responsible for the client's clinical manifestations?

Hypercalcemia

Which statement by a 62-year-old patient who has had an above-the-knee amputation indicates that the nurses discharge teaching has been effective?

I should lay flat on my abdomen for 30 minutes 3 or 4 times a day.

A patient is recovering from laparoscopic Cholecystectomy surgery. After teaching, the nurse assesses the patients understanding. Which statement made by the patient indicates a correct understanding of the teaching?

I will decrease the amount of fatty foods in my diet

A 44-year-old female patient with Cushing syndrome is admitted for adrenalectomy. Which intervention by the nurse will be most helpful for a nursing diagnosis of disturbed body image related to changes in appearance?

Remind the patient that most of the physical changes caused by Cushing syndrome will resolve after surgery