What is the priority nursing diagnosis for the client newly diagnosed with hyperthyroidism?
A. Decreased cardiac output related to tachycardia
B. Disturbed Body Image related to weight loss
C. Hyperthermia related to hypermetabolism
D. Fatigue related to energy depletion
A
The cardiac problems of hyperthyroidism include increased systolic blood pressure, a widened pulse pressure, tachycardia, and other dysrhythmias. The goals of nonsurgical management are to decrease the effect of thyroid hormone on cardiac function and to reduce thyroid hormone secre-tion.
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Toxic doses of sarin gas would be expected to cause:
a. metabolic alkalosis. b. ketoacidosis. c. disseminated intravascular coagulation. d. a cholinergic crisis.
A patient who is prescribed atorvastatin (Lipitor) reports experiencing some muscle pain and weakness. What is the nurse's best action?
a. Administer ordered acetaminophen (Tylenol) as needed. b. Document the finding as the only action. c. Reassure the patient that this is an expected side effect. d. Hold the drug and notify the prescriber.
A patient tells a nurse, "My children had me ruled incompetent. I'm going to ask the doctor to reverse that ruling.". The nurse's reply should be based on the fact that:
a. incompetency may only be reversed by a court. b. competency is automatically restored upon discharge from the hospital. c. being declared incompetent is associated with specific medical diagnoses. d. competency is not a major issue since it does not interfere with the right to vote, marry, and divorce.
An adolescent tells his caregivers that he is not going to school on a particular day because he doesn't have anything appropriate to wear and there is a zit (skin eruption) on his face. This behavior exemplifies which of the following concepts?
a. Elkind's concept of imaginary audience c. adolescent instability of emotions b. extreme and diagnosable narcissism d. disrespect for the school system