With which of the following clients should the nurse remain alert to the possible development of high-output heart failure?
A. 40-year-old woman taking oral contraceptives
B. 40-year-old man who broke an ankle while training for a marathon
C. 68-year-old man with dehydration 5 years after having a myocardial infarction
D. 27-year-old woman taking excessive amounts of thyroid hormone to promote weight loss
D
Hyperthyroidism, whether caused by increased synthesis of thyroid hormones or overdose of exogenous thyroid hormone, increases heart rate and contractility. Such an increase can increase the workload of the heart without allowing sufficient time for perfusion and oxygenation.
You might also like to view...
The correctional mental health nurse learns that an inmate with bipolar II disorder ran out of lithium
and did not seek an additional supply, leading to a relapse. When the individual was psychotic she assaulted several people in a convenience store. She was arrested, tried, convicted, and sentenced. An outcome the nurse and the inmate might establish is that by release the inmate will a. be agreeable to taking lithium. b. identify community resources for obtaining medication. c. understand that physical assault violates the rights of others. d. agree to maintain contact with the nurse after discharge.
A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions? (Put a comma and a space between each answer choice [A, B, C, D, E])
a. Discontinue the antibiotic infusion. b. Give diphenhydramine (Benadryl) IV. c. Inject epinephrine (Adrenalin) IM or IV. d. Prepare an infusion of dopamine (Intropin). e. Start 100% oxygen using a nonrebreather mask.
A young child is diagnosed with meningitis and is prescribed an aminoglycoside. Based on the potentially toxic effects of the medication, what is the highest priority nursing intervention?
a. Schedule hearing tests and assess of urine output. b. Assess urine output and bone marrow function. c. Assess renal and hepatic function. d. Assess visual acuity and color discrimination.
Cancers that stay in one location and do not spread are
A) malignant. B) palliative. C) benign. D) metastasizing.