The nurse is caring for a patient with elevated serum thyroid hormones and new-onset proptosis. Which problem would be a priority for this patient?
1. change in appearance
2. altered immunity
3. weight gain
4. fluid retention
Correct Answer: 1
Proptosis changes the appearance of the eyes. The problem that would be a priority for the patient is a change in appearance. Proptosis does not affect immune function or fluid balance. Proptosis is associated with hyperthyroidism; there is a risk that the patient will lose weight.
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A patient is admitted to the critical care unit with the diagnosis of cardiogenic shock. The nurse knows the initial management procedure of a patient with cardiogenic shock and is aware that which of the following medications is not given?
A) Norepinephrine (Levophed) B) Furosemide(Lasix) C) Dobutamine (Dobutrex) D) Nitroprusside (Nipride)
A client with acute abdominal pain is scheduled for an appendectomy in 3 hours. While waiting for the surgery, the client reports that the pain has subsided. Which is the priority action by the nurse?
A) Determine when the client can be medicated for pain. B) Contact the surgery department. C) Contact the healthcare provider. D) Notify the nursing supervisor.
Which patient can safely use ergotamine for a migraine headache?
a. A woman with severe menstrual migraines b. A pregnant patient with severe migraines c. An older man with coronary artery disease d. An adolescent with renal insufficiency
Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because:
1. Zolpidem should be taken just before going to bed. 2. Zolpidem may cause dry mouth and constipation. 3. Patients may need to double the dose for effectiveness. 4. They should stop drinking alcohol at least 30 minutes before taking zolpidem.