The physician evaluates K.B. and determines he is in thyroid crisis. The physician's orders are shown in the
chart.
Describe how you would care for K.B. in the next hour.
What will be an ideal response?
If not already done, place K.B. on oxygen with oxygen saturation monitoring. Assess heart and lung
sounds and jugular venous distention for signs of heart failure. Administer the intravenous (IV)
diltiazem then the digoxin and hydrocortisone. Administer the acetaminophen for his temperature
and the increased dose of methimazole, noting the time so that the Lugol's solution can be started
60 minutes later. Obtain the arterial blood gases, BNP, and cardiac enzymes. If 15 minutes have
elapsed and K.B.'s heart rate remains elevated, administer the second dose of diltiazem. Maintain
K.B. on bed rest throughout this period. If the heart rate remains elevated 15 minutes after the
second dose of diltiazem, notify the physician.
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A patient's total laryngectomy has created a need for alaryngeal speech which will be achieved through the use of tracheoesophageal puncture. What action should the nurse describe to the patient when teaching him about this process?
A) Training on how to perform controlled belching B) Use of an electronically enhanced artificial pharynx C) Insertion of a specialized nasogastric tube D) Fitting for a voice prosthesis
Which should the nurse consider in terms of dominant language and dialect when preparing to assess a patient from a different culture?
1) Usual volume and tone of speech 2) Ability to share thoughts and feelings 3) Usual amount of eye contact 4) Acceptable means of standing and greeting outsiders
A nurse is preparing a rehabilitation care plan for a client who was admitted to the healthcare facility with lower back pain. Which of the following is the goal of rehabilitation?
A) Prevention of such pain in the future B) Evaluation of the cause of the condition C) Correction of the client's disability D) Restoring the client's physical abilities as much as possible
A patient with a fracture of the proximal left tibia in a long leg cast complains of severe pain distal to the fracture site and paresthesia. The toes on the left foot are pale and cool. Which action should the nurse take?
A. Elevate the left leg above the level of the heart. B. Administer prescribed morphine sulfate intravenously. C. Notify the health care provider immediately. D. Apply ice packs to the left proximal tibia over the cast.