The nurse admits a client diagnosed with Graves' disease who will undergo surgery in the morning. Which of the following assessment findings would the nurse consider consistent with the diagnosis? Select all that apply
Standard Text: Select all that apply. 1. Client reports always feeling cold.
2. Tachycardia
3. Increased appetite
4. Weight loss
5. Constipation
2,3,4
Rationale: The client with Graves' disease has hypersecretion of thyroid hormone, resulting in an increased metabolic rate, causing the client to feel warm, lose weight despite an increased appetite, and experience tachypnea, He also might report diarrhea due to increased bowel motility.
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A nurse is working with a family who is caring for their mother at home. They complain that the strain of caring for her 24 hours a day is exhausting them. What is the nurse's best suggestion?
1. They place their mother in a nursing home 2. They hire a housekeeper 3. They obtain respite care to give them a break 4. They go into family therapy
The nurse observes a client with Parkinson disease having difficulty controlling hand movements. What did the nurse observe in this client?
Standard Text: Select all that apply. 1. Pill rolling 2. Tremor 3. Stooped posture 4. Lack of arm swing 5. Difficulty bending the arms
An ADN nurse is learning about the importance of EBP within all areas of nursing. Which factor provides motivation for implementing EBP?
A) Helps control health care costs B) Stabilizes litigation C) Improves the best practice approach D) Required to maintain licensure
You instruct L.B. in the proper use of a metered-dose inhaler (MDI) using a spacer
How would you explain proper MDI use? Because L.B. is taking two puffs twice daily of triamcinolone (Azmacort), how long should the inhaler last? The canister label states that it contains 200 inhalations. As you are concluding your session, L.B. looks at you and says, "This is absolutely, utterly overwhelming." What should you tell her to reassure her? You would recognize the need for additional teaching if L.B. says which of the following? Select all that apply. a. "I will use the albuterol inhaler 30 minutes before exercising." b. "My husband needs to know what to do in case I have an attack." c. "If the reading is in the yellow zone, I need to use rescue drugs and seek help immediately." d. "I will keep a diary of all of my PEFR measures." e. "I will place a plastic cover on our mattress and my pillows." f. "The bed linens need to be washed in cold water to reduce dust mites."