The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine. Which clinical finding is most consistent with this behavior?
a. Seizures
b. Extreme diarrhea
c. Sudden hypertension
d. Respiratory distress
D
Abruptly stopping hormone replacement can cause the patient to go into myxedema coma. Signs and symptoms of myxedema coma include dizziness, respiratory distress, low blood sugar, or hypothermia.
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When assessing a woman who has just given birth, the nurse notes that the woman's fundus is firm and has risen in her abdomen. A gush of dark red blood comes from her vagina. The nurse concludes that:
a. A cervical tear occurred during birth. b. The placenta has separated. c. The woman is beginning to hemorrhage. d. Clots have formed in the uterine fundus.
A client diagnosed with stable angina is undergoing a 12-lead electrocardiogram. Which of the following results is not expected?
1. ST segment depression 2. ST segment elevation 3. T-wave flattening 4. T-wave inversion
A nurse is with an adolescent client who tells the nurse that she has nothing to live for and she just wishes she was dead. Which nursing action should take priority?
A) Going to the client's psychiatrist to tell him of the girl's suicidal ideation B) Staying with the client and exploring more of her thoughts about suicide C) Putting the client in seclusion with a staff assigned to watch her at all times D) Ascertaining the client's beliefs about what happens when you die
A client with schizophrenia is prescribed clozapine because other prescribed medications have been ineffective
After teaching the client and family about the drug, the nurse determines that the teaching was successful when they state which of the following? A) "He needs to have an electrocardiogram periodically when taking this drug." B) "We'll need to make sure that he has his blood count checked at least weekly." C) "He might develop toxic levels of the drug if he smokes cigarettes." D) "We need to watch to make sure that he doesn't lose too much weight."