The nurse is preparing to assess an adult client suspected of having hyperthyroidism. Which assessment findings does the nurse anticipate? Select all that apply.
A. Constricted pupils.
B. Temperature of 100.1°F
C. Respiratory rate of 14 breaths per minute.
D. Apical pulse: 120 bpm.
E. Blood pressure: 162/92 mmHg.
Answer: E
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The difference between primary and secondary multiple organ dysfunction syndrome (MODS) is that primary MODS is the result of
a. widespread systemic inflammation that results in dysfunction of organs not involved in the initial insult. b. direct organ injury. c. disorganization of the immune system response. d. widespread disruption of the coagulation system.
The nurse manager is analyzing the client population of the unit and determining staffing levels when making the next schedule. This is an example of which type of principle?
1. Staff related 2. Organizational related 3. Client related 4. Patient care unit related
The nurse is on the infection control committee of a hospital and is looking into three cases of hospital-acquired infective endocarditis. What classification of patient is at highest risk for hospital-acquired endocarditis?
A) Hemodialysis patients B) Patients on immunoglobulins C) Patients who need in-and-out catheterization D) Chemotherapy patients
The nurse is caring for a patient who had a right extremity below-the-knee amputation (BKA). The nurse recognizes the importance of implementing measures that focus on preventing flexion contracture of the hip and maintaining proper positioning
Which of the following measures will achieve these goals? A) Encouraging the patient to turn from side to side and to assume a prone position B) Initiating range-of-motion (ROM) exercises of the hip and knee 3 months after the amputation C) Minimizing movement of the flexor muscles of the hip D) Encouraging the patient to sit in the chair for at least 8 hours of the day