A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:
a) relief of pain
b) signs of renal toxicity
c) signs and symptoms of hyperglycemia
d) signs and symptoms of hypothyroidism
Ans: d) signs and symptoms of hypothyroidism
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The nurse is teaching a community class on cardiopulmonary resuscitation (CPR). What should the nurse instruct about sudden cardiac death?
1. CPR must be initiated within 8 to 10 minutes of a cardiac arrest. 2. Automatic electrical defibrillators (AED) should only be used in health care settings. 3. Only people with coronary heart disease are at risk of having a cardiac arrest. 4. The risk of sudden cardiac death is greatest 6 to 18 months after having an MI.
The nurse observes a client laughing and joking with a nursing assistant during morning care. This observation provides what information to the nurse?
a. The client has a sense of humor. b. The client is feeling better. c. The client likes the nursing assistant. d. The client is ready to be discharged.
The nurse plans to complete nutritional assessments for a group of assigned clients. For which client would it be inappropriate for the nurse to complete a dietary recall?
a. Client with dementia b. Client with polycystic kidney disease c. Client with a history of Crohn disease d. Client newly diagnosed with emphysema
To help preserve patients' rights to freedom from restraint and seclusion, the most important interventions that the nurse can use are based on which principle?
a. Therapeutic management b. Reality-based communication c. Confidentiality of documentation d. Effective use of ancillary personnel