Which clinical manifestation indicates to the nurse that treatment for the client with hypo-thyroidism is effective?
A. The client is thirsty.
B. The client's weight has been the same for 3 weeks.
C. The client's total white blood cell count is 6000 cells/mm3.
D. The client has had a bowel movement every day for 1 week.
D
Hypothyroidism decreases gastrointestinal motility significantly. One of the parameters that clients can use to determine if changes in the dose of thyroid replacement should be adjusted is the frequency of bowel movements. A bowel movement every day is a strong indication that the dose of thyroid replacement hormone is adequate.
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When checking for proper blood pressure cuff size, which guideline is correct?
a. The standard cuff size is appropriate for all sizes. b. The length of the rubber bladder should equal 80% of the arm circumference. c. The width of the rubber bladder should equal 80% of the arm circumference. d. The width of the rubber bladder should equal 40% of the arm circumference.
An older female adult is recovering from a bowel resection in the intensive care unit but remains intubated and on a mechanical ventilator. Which of the following should the nurse implement to help prevent delirium in this woman?
a. Assess cognition with Mini-Mental State Exam. b. Provide uninterrupted periods of rest and sleep. c. Maintain adequate sedation and pain management. d. Cover eyes with protective ophthalmic ointment.
The nurse is assessing the fundus of the elderly client's eye with an ophthalmoscope. The nurse determines that there is a cyst within the macula. Which of the following client symptoms may be associated with this finding?
1. Impaired central vision 2. Impaired peripheral vision 3. Consistently elevated serum glucose levels 4. Uncontrolled hypertension
The mother of an infant with multiple anomalies tells the nurse that she had a viral infection in the beginning of her pregnancy. Which viral infection is associated with fetal anomalies?
a. Measles b. Roseola c. Rubella d. Herpes simplex virus (HSV)