An elderly patient in the ICU has hyperthyroidism. As the nurse is talking with her, she suddenly becomes confused and starts babbling incoherently
The nurse takes her vital signs and finds tachycardia, a temperature of 98° F, and an elevated blood pressure reading. Which of the following is the most reliable indication that the patient has an infection?
A) Delirium
B) Temperature
C) Blood pressure
D) Tachycardia
A
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A 59-year-old patient is on warfarin therapy. On follow-up visits to the clinic, the nurse will assess the patient for which of the following?
A) Blood glucose level B) Intake of vitamin K C) Presence of skin-related disorders D) Presence of breathing disorders
Patients with multiple organ dysfunction syndrome (MODS) benefit most from _____ feedings
a. oral b. enteral c. central parenteral d. peripheral parenteral
The client receives metformin (Glucophage). What will the best plan by the nurse include with regard to patient education with this drug?
1. It decreases sugar production in the liver. 2. It inhibits absorption of carbohydrates. 3. It stimulates the pancreas to produce more insulin. 4. It reduces insulin resistance. 5. It increases energy use.
Which assessment finding supports the nurse's suspicion that a client is experiencing chronic obstructive pulmonary disease (COPD)?
A) Dysrhythmias B) Cyanotic nail beds C) Clubbing of the fingers D) Cough in the morning producing clear sputum