A patient presents to the emergency department with suspected thyroid storm. The nurse should be alert to which of the following cardiac rhythms while providing care to this patient?
a. Atrial fibrillation
b. Idioventricular rhythm
c. Junctional rhythm
d. Sinus bradycardia
A
Increased heart rate and tachydysrhythmia, including atrial fibrillation, may accompany thyroid storm. Bradycardiac rhythms may be suggestive of hypothyroidism.
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Two older residents of a long term care facility are engaged in a romantic relationship. The resi-dents are both cognitively intact. A nurse finds the two residents engaging in sexual activity
The response of the nurse includes which of the following? (Select all that apply.) a. Inform the residents that they cannot en-gage in a sexual relationship while they are residents of the facility. b. Provide a safe private area where the resi-dents can engage in sexual activity. c. Ignore the residents' activity. d. Provide education for the residents using the PLISSIT model. e. Contact the family members of the resi-dents in order to get consent from them.
A 6-year-old girl is being seen at the clinic for a well-child checkup. The guardian tells the nurse that the child is having difficulty getting to sleep at night and asks for suggestions. What is the nurse's best response?
a. "You should play an active game with her like basketball to wear her out." b. "It would be a good idea to save homework until right before bedtime." c. "Quiet activities like reading sometimes help to settle down children her age." d. "Try to delay dinner time until later to help make her sleepy."
To facilitate palpation of the thyroid gland, which will the nurse ask the patient to do?
1) Hyperextend the neck 2) Swallow 3) Cough 4) Extend the neck
An HIV-positive patient is diagnosed with Kaposi sarcoma (KS). The patient asks why highly active antiretroviral therapy (HAART) is being prescribed for him. Which response by the nurse is most accurate?
a. HAART will help stop the progression of your skin lesions. b. HAART will prevent you from getting AIDS. c. HAART will treat any current opportunis-tic infections you have. d. HAART will eliminate your HIV.