Later on your shift, you note that K.B. is extremely restless and disoriented to person, place, and time. VS
are 174/82, 180 and irregular, 32 and labored, 104 ° F (40 ° C). His electrocardiogram (ECG) shows atrial
fibrillation.
What is likely happening with K.B.? State your rationale.
The elevated BP, tachycardia, temperature, and respirations and the onset of atrial fibrillation are
consistent with thyroid storm or thyrotoxic crisis.
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A patient is complaining of severe knee pain after twisting it during a basketball game and is requesting pain medication. Which action by the nurse is appropriate?
a. Completing the physical examination first and then giving the pain medication b. Telling the patient that the pain medication must wait until after the x-ray images are completed c. Evaluating the full range of motion of the knee and then medicating for pain d. Administering pain medication and then proceeding with the assessment
The nurse begins administering 500 mL of 5% dextrose and water solution at 01:00 to run over 4 hours. At 02:00, the nurse administers 80 mg gentamicin in 50 cc normal saline to infuse over 30 minutes
How many mL of fluid will the nurse administer to the patient between 02:00 and 03:00? A) 175 mL B) 150 mL C) 125 mL D) 100 mL
The physician orders a 3-week trial of Benadryl 25 mg p.o. nightly for Mrs. Johnson, 80 years old, who has difficulty falling asleep and awakens frequently since the death of her husband 2 months ago
Benadryl Elixir 12.5 mg/5 mL is available. The bottle of Benadryl Elixir should contain _______________. a. 42 mL b. 3 1/2 oz c. 250 mL d. 7 oz
A nursing diagnosis formulated for a client with bulimia nervosa was ineffective coping related to
feelings of loneliness and isolation, as evidenced by use of overeating as a comfort measure followed by self-induced vomiting. The outcome related to this nursing diagnosis is that within 2 weeks the client will a. appropriately express angry feelings. b. verbalize two positive things about self. c. verbalize the importance of eating a balanced diet. d. identify two alternative methods of coping with loneliness and isolation.