The nurse is caring for a school-age child with hyperthyroidism (Graves' disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm (Select all that apply)?
a. Constipation
b. Hypotension
c. Hyperthermia
d. Tachycardia
e. Vomiting
ANS: C, D, E
A child with a thyroid storm will have severe irritability and restlessness, vomiting, diarrhea, hyperthermia, hypertension, severe tachycardia, and prostration.
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To prevent skin breakdown in a wheelchair-bound patient, the nurse teaches the patient to shift the patient's weight every _______ minutes
Fill in the blank(s) with correct word
A hospitalized, alcohol-dependent patient believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?
a. Check the patient every 15 minutes. b. One-on-one supervision. c. Keep the room dimly lit. d. Force fluids.
The father asks how soon the sex of the baby can be confirmed. The nurse answers that the genitalia are well defined at:
a. conception. b. 2 weeks. c. 6 weeks. d. 9 weeks.
The nurse is caring for a child who is terminally ill with cancer. Which outcomes would be appropriate for this client's care? Select all that apply
A) The child will eat three balanced meals each day. B) The child will not experience anticipatory grief. C) The child will engage in age-appropriate play as often as possible. D) The airway will be free of secretions. E) The child will not experience pain.