A patient with a history of Graves' disease is admitted to the unit with shortness of breath. The nurse notes the patient's vital signs: T 103° F, P 160, R 24, BP 160/80 . The nurse also notes distended neck veins
The nurse suspects the patient has which medical emergency? a. Pulmonary embolism
b. Hypertensive crisis
c. Thyroid storm
d. Cushing crisis
C
In a thyroid crisis, all the signs and symptoms of hyperthyroidism are exaggerated. Additionally, the patient may develop nausea, vomiting, severe tachycardia, severe hypertension, and occasionally hyperthermia up to 41° C (106° F). Extreme restlessness, cardiac dysrhythmia, and delirium may also occur. The patient may develop heart failure and may die.
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A nurse is describing the action of estrogen in the female body to a client. Which of the following would the nurse include? Select all that apply
A) Diuresis B) Calcium and phosphorus conservation C) Thinning of the cervical mucus D) Protein catabolism E) Stimulation of fallopian tube contraction
The nurse is beginning the introduction phase of the nurse–patient interview. What will the nurse do during this phase? (Select all that apply.)
A) Establish rapport. B) Establish the agenda. C) Invite the patient's story. D) Respond to emotional cues. E) Greet the patient.
A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive diaphoresis. Which outcome would the nurse recognize as most appropriate for this patient?
a. Patient has a balanced intake and output. b. Patient's bedding is changed when it becomes damp. c. Patient understands the need for increased fluid intake. d. Patient's skin remains cool and dry throughout hospitalization.
According to the National Council of State Boards of Nursing, which of the following are among the "rights" of delegation? Select all that apply
1. Supervision 2. Evaluation 3. Client 4. Time 5. Task