A patient is brought to the emergency department by the family. Upon assessment, the prescriber suspects sepsis. Vital signs are: temperature 105.2° F, pulse 132, respirations 26, blood pressure 89/43
The nurse also documents findings of agitation, tremor, and unresponsiveness. The spouse states that the patient has a history of hyperthyroidism. The nurse should anticipate which of the following interventions? (Select all that apply.) a. Administration of high doses of potassium iodide
b. Administration of propylthiouracil (PTU)
c. Administration of an angiotensin-converting enzyme (ACE) inhibitor
d. Administration of a beta blocker
e. Administration of glucocorticoids
f. Cooling blankets
A, B, D, E, F
High doses of potassium iodide should be given to suppress release of thyroid hormone. Propyl-thiouracil is used to suppress thyroid hormone synthesis and peripheral conversion of T4 to T3 . A beta blocker should be administered to reduce tachycardia, and glucocorticoids reduce inflam-matory responses. Cooling blankets should be used to help bring down the patient's temperature.
Administration of an ACE inhibitor is not an applicable intervention.
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a. retake the BP c. force fluids b. measure all urine output d. get the patient up to the chair
A patient asks the nurse what it means to have hospice care at home. What should the nurse respond to this patient?
1. "Hospice makes sure that you are comfortable at home." 2. "Hospice care helps cure your illness." 3. "Hospice care is for patients who will be sick for longer than a year." 4. "Hospice care means your physical needs will be met."
A patient is prescribed to receive lymphocyte immune globulin (Atgam) to prevent an immediate transplant reaction. What actions should the nurse take when administering this medication?
Select all that apply. 1. Measure hourly urine output 2. Keep epinephrine at the bedside 3. Premedicate with acetaminophen 4. Plan to infuse the medication over 2 hours 5. Measure vital signs every hour during the infusion