You are admitting a patient who is insulin dependent to the same-day surgical suite for carpal tunnel surgery. You know that this patient may be at risk for which metabolic disorder?
A) Adrenal insufficiency
B) Thyrotoxicosis
C) Impaired acid-base balance
D) Hyperglycemia
Ans: D
Feedback: The patient with diabetes who is undergoing surgery is at risk for hypoglycemia and hyperglycemia. Hyperglycemia during the surgical procedure is a risk based on the body's defense mechanism to raise the blood sugar in the event of stress. Patients who have received corticosteroids are at risk of adrenal insufficiency. Patients with uncontrolled thyroid disorders are at risk for thyrotoxicosis. Because the kidneys are involved in excreting anesthetic medications and their metabolites and because acid-base status and metabolism are also important considerations in anesthesia administration, surgery is contraindicated when a patient has acute nephritis, acute renal insufficiency with oliguria or anuria, or other renal problems.
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Decreased functioning of which physical structure is likely to result in decreased metabolism in older adults?
a. Kidney c. Brain b. Thyroid gland d. Skeleton
The nurse who is auscultating the patient's abdomen and hears one or two bowel sounds in a 2-minute period of time will document the patient's bowel sounds as:
A) Normal B) Hypoactive C) Hyperactive D) Absent
The nurse is beginning the physical examination of a client with a complaint of fatigue. What documentation will the nurse provide to describe this general appraisal of the client's health?
A) The client appears mildly ill, listless, and disheveled. B) The client has a blood pressure of 120/72 mm Hg. C) The client is alert and oriented to all spheres. D) The client has palpable peripheral pulses in the upper extremities.
The patient is being evaluated for left atrium thrombus due to a dysrhythmia. Which diagnostic test should the nurse expect to be prescribed for this patient?
1. transesophageal echocardiography (TEE) 2. pericardiocentesis 3. cardiac catheterization 4. computed tomography (CT)