Which situation or condition is likely to result in an increased production of thyroid hor-mones?
A. Starvation
B. Dehydration
C. Adequate sleep
D. Cold environmental temperature
D
Cold environmental temperatures stimulate the hypothalamus to secrete thyrotropin-releasing hormone, which in turn stimulates the anterior pituitary gland to secrete thyroid- stimulating hormone (TSH). TSH then stimulates the thyroid gland to secrete thyroid hormones, which, when bound to target tissues, increases the rate of metabolism to maintain body temperature near normal.
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A patient complains of tension, indigestion, and difficult concentrating; his resting pulse is 110/minute. An appropriate nursing response would be:
a. "Perhaps time out in the seclusion room would help you focus.". b. "What do you think would we could do to help you feel calmer?" c. "It might help to talk. Tell me about what has been going on today.". d. "I'll check about getting you a PRN medication for your anxiety.".
A nurse is planning care for a client with sickle cell disease and chooses "Acute Pain" as the nursing diagnosis. Which intervention is inappropriate for the nurse to include in this plan of care?
A) Administer ordered analgesic medications around the clock. B) Place patient in position of comfort. C) Use heat or cold packs as tolerated. D) Support the client's joints and extremities with pillows.
The student nurses are preparing educational presentations regarding the Healthy People 2020 objectives. The nursing instructor is reviewing the topics of their presentations. Which of the following topics are appropriate and related to the objectives? Standard Text: Select all that apply.
1. Educate pregnant women regarding the importance of small, more frequent dry meals throughout the day to reduce nausea and vomiting. 2. Educate Asian men about the importance of avoiding alcohol because this is a population that is prone to alcohol abuse. 3. Educate people who are anticipating traveling to India, Asia, Africa, or Central America about ways to reduce their risk of becoming infected with hepatitis E virus. 4. Educate immunocompromised populations and those caring for them about the importance of safe food handling. 5. Educate people about the relationship between regular, thorough oral hygiene practices and good nutrition.
Which of the following statements best reflects the nurse's understanding of team nursing?
1. "The team provides the client care and I provide the leadership and decision making." 2. "I will manage the complex care and delegate the remaining care to my LPN and ancillary assistants." 3. "Everyone on the team has responsibilities and is accountable to me regarding the effective execution of that care." 4. "I delegate the care of the clients to the appropriate team members and I am re-sponsible for coordinating and directing that care."