A client is admitted to the hospital with exacerbation of heart failure, which had been stable for several years. Which finding does the nurse associate with the client's current condition?
a. Recent prescription for thyroid hormone replacement medication
b. Recent onset of menopause
c. Patchy areas of depigmentation on the face
d. Absence of fish in the diet, but inclusion of the iodized form of table salt
A
Thyroid hormones regulate metabolism. Starting on thyroid replacement therapy can lead to an increase in heart rate and tissue oxygen use, which can lead to an exacerbation of heart failure if the client's heart is not able to meet these increased demands. Menopause and vitiligo (depig-mentation of the skin) would not be related. Thyroid function is needed to produce thyroid hor-mones. The client who does not eat shellfish should use iodized table salt.
You might also like to view...
A nurse is interested in primary prevention programs. Which of the following activities would this nurse choose to do?
A. Assist with blood pressure screening at the local mall. B. Collect and distribute used eyeglasses for poor people. C. Staff a mobile mammogram unit for underserved groups. D. Teach teenagers about the dangers of texting and driving.
A patient is taking calcium for the treatment of hypocalcemia. The nurse is reviewing the medication administration record. Which medication, when administered concurrently, would reduce the absorption of oral calcium?
a. Tetracycline b. Prednisone c. Chlorothiazide (Diuril) d. Levothyroxine (Synthroid)
You can make sedatives more effective if you ________ the patient by giving a warm bath or a back rub.
Fill in the blank(s) with the appropriate word(s).
The nurse is disappointed with not being able to provide educational materials in a non-English-speaking patient's primary language. What can the nurse do to serve as an advocate when providing culturally competent care?
1. Find or create materials to meet the patients' needs. 2. Teach the patient in English. 3. Provide educational materials written in English. 4. Ask the physician to talk with the patient.