A 47-year-old patient is being treated for hyperthyroidism. When she goes to the health care provider for a check-up, the student nurse doing his clinical rotation in the clinic expects to see which of the following physical symptoms?
A. Exophthalmos
B. Endophthalmos
C. Strabismus
D. Nystagmus
A
Bulging eyes (exophthalmos) usually indicate hyperthyroidism.
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A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How should the nurse respond?
a. "The stool will always be liquid with this type of colostomy." b. "Eating additional fiber will bulk up your stool and decrease diarrhea." c. "Your stool will become firmer over the next couple of weeks." d. "This is abnormal. I will contact your health care provider."
The nurse is examining a client who is 37 weeks pregnant. Which assessment finding would require immediate intervention by the nurse?
1. Patellar reflex 4+/0 - 4+ bilaterally. 2. Heart rate 104. 3. Trace protein in the urine. 4. Weight gain of two pounds in 2 months.
In addition to administering antibiotics, nursing care of the infant with meningitis includes which of these interventions?
a. maintaining isolation for a minimum of 72 hours b. monitoring neurological status every 4 hours c. observing the infant's developmental status d. ensuring the parents receive prophylactic treatment
The patient is scheduled to begin treatment with sumatriptan (Imitrex). Before initiating treat-ment with the drug, the primary care provider should plan to screen the patient for evidence of which of the following conditions?
a. Coronary disease b. Chronic obstructive pulmonary disease c. Hypertension d. Psychiatric disorders