A patient has returned to his room after a thyroidectomy. He is presenting with signs and symptoms of thyroid crisis
During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of a. severe nausea and vomiting.
b. bradycardia.
c. delirium with restlessness.
d. congestive heart failure.
D
In thyroid crisis, all the signs and symptoms of hyperthyroidism are exaggerated. The patient may develop congestive heart failure and die. Additionally, the patient may develop nausea, vomiting, severe tachycardia, severe hypertension, and occasionally hyperthermia up to 41° C (106° F). Extreme restlessness, cardiac dysrhythmia, and delirium may also occur.
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1. "I'm sure it's nothing and will go away in time." 2. "There are other activities you and your husband can do together." 3. "Sex isn't that important in a marriage anyway." 4. "Let's talk more about how you are feeling right now."
The scrub nurse is preparing to access a sterilized item; however, the item is missing the appropriate sterilization tag. Which of the following should the nurse do?
1. Request another item be brought that has the appropriate sterilization tag present. 2. Use the item. 3. Inform the physician that the item does not have the sterilization tag and use the item. 4. Substitute the item with another similar item that has been properly sterilized.
Once they have been metabolized by the liver, the metabolites may be:
1. More active than the parent drug 2. Less active than the parent drug 3. Totally "deactivated" so they are excreted without any effect 4. All of the above
Which would be an appropriate descriptor that meets all criteria for defining a client to be served by a program?
a. All women ages 40 to 50 who have not had a menstrual period for 3 consecutive months b. Immigrants residing in Central County for less than 5 years who have difficulty understanding care instructions because of limited English proficiency c. Pregnant women who have received nutritional counseling but whose nutritional status did not improve d. Children ages 18 months to 5 years old who have been treated for nutritional deficiencies at the Central County Clinic