A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months
On physical exam, the clinician notices a sinus bradycardia, muscular stiffness, coarse, dry hair, and a delay in relaxation in deep tendon reflexes (DTRs). Which of the following tests should be ordered next?
a. Serum calcium
b. Thyroid-stimulating hormone (TSH)
c. Electrolytes
d. Urine specific gravity
ANS: B
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A client comes to the clinic who complains of pain in the calf of his leg. The doctor tells him that he is having a severe muscle spasm in the leg from jogging. The client asks the nurse why the muscle spasm hurts to such a degree
The nurse tells the client which of the following? 1. The pain in the leg is stimulated by the trauma of jogging. 2. The pain is due to swelling from the trauma of jogging. 3. The pain is due to excessive heat in the muscle generated by exercise. 4. The pain is due to release of chemicals due to mechanical stimulation from jogging.
The nurse is engaging in a therapeutic relationship with a client. Which of the following behaviors indicate caring in this relationship?
a. Emphasizing technical aspects of care b. Being spontaneous and sharing problems c. Promoting client problem solving d. Remaining detached from the client
An older adult is currently prescribed both aspirin (81 mg) and ibuprofen daily. What instructions are most important for the nurse to provide to assure the expected outcomes for this client?
a. The medications should be taken together to ensure the effectiveness of both medications b. Take ibuprofen 30 minutes after the aspirin so as to not interfere with its effectiveness c. The aspirin will negatively affect the analgesic affect of the ibuprofen d. The medications should be taken at least 4 hours apart to minimize risk of gastric irritation
A patient is admitted to the unit in respiratory distress secondary to pneumoni
a. The nurse knows that obtaining a history is very important. What is the appropriate intervention at this time for obtaining this data? a. Collect an overview of past medical history, present history, and current health status. b. Do not obtain any history at this time. c. Curtail the history to just a few questions about the client's chief complaint and precipitating events. d. Complete the history and then provide measures to assist the client to breathe easier.