A parent calls the clinic nurse to report that his child, who takes methimazole (MTZ), is running a high fever, seems agitated, and is nauseated. Which response by the nurse is the most appropriate?
A.
"Bring your child to the clinic this afternoon for a checkup."
B.
"Double the methimazole dose for 2 days or until the fever is gone."
C.
"Give your child acetaminophen (Tylenol) every 4 hours for the fever."
D.
"Take your child to the nearest emergency department right away."
ANS: D
Methimazole is used to treat hyperthyroidism. With fever, nausea and vomiting, and agitation, the child is demonstrating manifestations of thyroid storm, which is a medical emergency. The parent should take the child to the emergency department.
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A) Stress the importance of taking medications as prescribed. B) Ask the physician to change his therapy to long-acting medications that can be taken less often. C) Ask the physician to change his therapy to other drug classes at the same frequencies. D) Inform the physician that the patient is not taking his prescribed medications.
Elective cardioversion is similar to defibrillation except that the electrical stimulation waits to discharge until an R wave appears. What does this prevent?
A) Disrupting the heart during the critical period of atrial repolarization B) Disrupting the heart during the critical period of ventricular repolarization C) Disrupting the heart during the critical period of ventricular depolarization D) Disrupting the heart during the critical period of atrial depolarization
In the early days of occupational health nursing, the nurse's work was centered on
1. The injured worker 2. All workers, to include prevention 3. The family 4. The community
Diagnosis
What will be an ideal response?