The nurse is caring for a client with a dysfunctional thyroid gland and is concerned that the client will exhibit signs of thyroid storm. Which of the following is an early indicator of this complication?
1. Hyperreflexia
2. Constipation
3. Bradycardia
4. Low-grade temperature
1
Rationale: Clinical manifestations of thyroid storm include a fever as high as 106? F, hyperreflexia, abdominal pain, diarrhea, dehydration rapidly progressing to coma, severe tachycardia, extreme vasodilation, hypotension, atrial fibrillation, and cardiovascular collapse.
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What is the purpose of teaching leg exercises to a patient prior to surgery?
A) Leg exercises increase the patient's appetite postoperatively. B) Leg exercises improve circulation and prevent blood clots. C) Leg exercises help to prevent pressure sores to the sacrum. D) Leg exercise help increase the patient's level of consciousness after surgery.
When examining a patient who has undergone a mastectomy, the nurse should do which of the following? Select all that apply
a. Always begin the examination on the unaffected breast. b. Inspect the scar(s) for swelling, lumps, thickening, redness, rash, or irritation. c. Use two finger pads to palpate the surgical scar. d. Perform large, circular motions when palpating the area. e. Examine the area for swelling, lumps, thickening, or tenderness. f. Instruct the patient to perform annual breast self-examinations to determine if masses have returned to the excised area.
A nurse uses the nurse-client relationship to facilitate healing in a client. Which of the following statements best describes the role of the nurse in healing?
A) To assist with physiological recovery from an illness B) To facilitate another person's growth and life processes toward wholeness C) To assist with psychological recovery from an illness D) To facilitate the body and mind in the transition to death
The nursing student understands that being willing to listen and examine all ideas, even if they cause a negative reaction when considering them, describes the critical thinking characteristic known as intellectual
a. autonomy. b. courage. c. humility. d. integrity.