Mr. Mathews is a 47-year-old patient who presents for a routine physical examination. On examination, you noted a bruit heard over the thyroid. This is suggestive of:
a. hypothyroidism.
b. hyperthyroidism.
c. thyroid cancer.
d. thyroid cyst.
B
Because of hypermetabolic states such as hyperthyroidism, a bruit may be heard as a result of the increased blood flow to the area. Auscultating a bruit is not symptomatic of hypothyroidism, cancer, or a cyst. A nodule is more indicative of cancer.
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During an assessment, the nurse notes that a patient has 2 mm pitting edema in his ankles. In the medical record, the nurse grades this edema as:
A) 1+ B) 2+ C) 3+ D) 4+
A patient who is 5 feet 5 inches tall and weighs 144 lbs asks the nurse if she would be considered obese. How should the nurse respond to this patient?
1. "You are a normal weight for your height." 2. "Yes, you are slightly obese for your height." 3. "You are slightly overweight." 4. "You are moderately obese."
A patient diagnosed with diabetic ketoacidosis (DKA) has the following laboratory values: arterial pH 7.20; serum glucose 500 mg/dL; positive urine glucose and ketones; serum potassium (K+) 2 mEq/L; serum sodium (Na+) 130 mEq/L. The patient reports that he has been sick with the “flu” for 1 week. What relationship do these values have to his insulin deficiency?
a. Increased glucose use causes the shift of fluid from the intravascular to the intracellular space. b. Decreased glucose use causes fatty acid use, ketogenesis, metabolic acidosis, and osmotic diuresis. c. Increased glucose and fatty acids stimulate renal diuresis, electrolyte loss, and metabolic alkalosis. d. Decreased glucose use results in protein catabolism, tissue wasting, respiratory acidosis, and electrolyte loss
M.M. arrives by wheelchair. As she transfers to the bed, what observations will you make? Why?
Given the previous information, you can anticipate orders for M.M. Carefully review each order to determine whether it is appropriate or inappropriate as written. If the order is appropriate, mark it as A; if the order is inappropriate, mark it as I and change the order to make it appropriate. Provide any other orders that might be appropriate for M.M. 1. Routine VS 2. Serum magnesium (Mg) STAT 3. Up ad lib 4. 10 g sodium (Na), low-fat diet 5. Change IV to a saline lock 6. Cardiac enzymes on admission and q8h × 24 hr, then daily every morning 7. CBC, BMP, and fasting lipid profile in morning 8. Schedule for abdominal CT scan for am 9. Heparin 10,000 units subcut q8h 10. Docusate sodium (Colace) 100 mg/day PO 11. Ampicillin 250 mg IV piggyback q6h 12. Furosemide (Lasix) 200 mg IV push STAT 13. Nitroglycerin (NTG) 0.4 mg 1 SL q4h prn for chest pain 14. Schedule echocardiogram