Which nursing interventions are indicated to support the outcome of "maintain normal body temperature" for a patient with hyperthyroidism?
1. Keep room door closed.
2. Provide an additional blanket.
3. Consider a cooling blanket if fever is greater than 102°F.
4. Place a scarflike covering over the patient's head.
Answer: 3
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Which clinical manifestation alerts the nurse to the possibility of Graves' disease as the cause of hyperthyroidism?
A. Weight loss B. Exophthalmos C. Menstrual irregularities D. Increased heart rate and blood pressure
While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient's oxygen saturation (SpO2) from 94% to 88%. Which action should the nurse take next?
a. Increase the oxygen flow rate. b. Suction the patient's oropharynx. c. Instruct the patient to cough and deep breathe. d. Help the patient to sit in a more upright position.
When are solid foods given?
a. At 4 to 6 months b. At 9 months c. At 10 to 11 months d. At 1 year
A postpartum patient is receiving ergonovine maleate (Ergotrate) to prevent hemorrhage. The nurse assesses the patient and notes a heart rate of 76 beats per minute, a respiratory rate of 16 breaths per minute, and a blood pressure of 120/80 mm Hg
The patient's uterus is firm. The patient complains of mild to moderate cramping. Bleeding is minimal. What will the nurse do? a. Continue to monitor and tell the patient to report increased cramping. b. Notify the provider of possible uterine hypertonicity. c. Notify the provider of the patient's blood pressure. d. Request an order to administer the Ergotrate intravenously.