The client with an endocrine disorder complains of weight loss and diarrhea, and says that he can "feel his heart beating in his chest." The nurse interprets that which of the following glands is most likely responsible for these symptoms?
1. Thyroid
2. Pituitary
3. Parathyroid
4. Adrenal cortex
1. Thyroid
Rationale: The thyroid gland is responsible for a number of metabolic functions in the body, including metabolism of nutrients (such as fats and carbohydrates). Increased metabolic function places a demand on the cardiovascular system for a higher cardiac output. Thus, a client with increased activity of the thyroid gland exhibits weight loss from higher metabolic rate and increased pulse rate.
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The emergency department nurse realizes that the husband of a client appears increasingly irritable
as he waits. Interventions to prevent escalation of anger would include a. periodically updating the husband about what is being done for his wife. b. explaining that his wife will have to wait because clients are treated in order of need. c. asking that he relax, explaining that his wife's condition is not life threatening. d. suggesting that he return home and have the physician call with an update in 3 hours.
The _____ Act provides incentives for adoption and implementation of electronic health records (EHRs) while enhancing privacy and security for patients and providing incentives for practi-tioners and hospitals to engage in meaningful use
a. Stark b. HIPAA c. HITECH d. Anti-kickback
Select the best outcome for a nurse to include in the care plan for a withdrawn patient who says, "I would like to have more friends." Within 3 days, the patient will
a. be more outgoing. b. develop greater independence. c. participate in one group activity. d. increase socialization with others.
When teaching mothers of infants and small children about vomiting and diarrhea in their children, which statement by one of the mothers indicates and understanding of the teaching?
a. "If he starts having diarrhea again, I will hold all oral fluids until I talk to his doctor." b. "I will call his doctor if his diarrhea lasts more than two days." c. "I will take him to the pediatrician if his vomiting lasts more than 24 hours." d. "As long as I can get him to drink clear liquids, the diarrhea will normally not last more than a couple of days."