The nurse is describing the manifestations of myxedema coma to a patient with hypothyroidism. What should the nurse identify as precipitating factors for this health problem?
Select all that apply.
1. gastrointestinal bleeding
2. pneumonia
3. excessive use of thyroid replacement medications
4. excessive use of central nervous system stimulants
5. exposure to excessive heat and humidity
Correct Answer: 1, 2
Myxedema coma usually occurs in older adults and may be precipitated by pneumonia, gastrointestinal bleeding, and the use of central nervous system depressants. Excessive use of thyroid replacement medications, central nervous system stimulants, or exposure to heat and humidity would not precipitate myxedema coma.
You might also like to view...
A nursing manager is frustrated by a committee that consistently fails to meet goals and generally demonstrates a lack of progress or results. The manager can conclude that
a. established policies and procedures might be inhibiting productivity. b. self-serving behaviors outweigh the task behaviors in the group. c. the committee's goals are vague and the committee lacks direction. d. the leadership within the group is not skilled at group management.
While in the dayroom, one of the patients becomes very agitated and begins to threaten to harm the other patients and is directing violence at the other patients and staff. What is the most ap-propriate nursing implementation?
a. Decrease the stimuli and use restraints if all other measures fail. b. Offer to call the physician and ask another staff member to call security. c. Remove harmful objects and try to per-form relaxation exercises with the patient. d. Restrain the patient and do not allow him or her to eat or drink anything by mouth.
To attempt to alleviate the pain of a client with acute pancreatitis, the nurse would place the client in the
a. prone position with a pillow under the abdomen. b. semi-Fowler position with a small pillow under the knees. c. side-lying position with a pillow splinting the abdomen. d. supine position with a cold pack to the abdomen.
The application of touch and movement to muscles, tendons, and ligaments without manipulation of the joints is called _________________
Fill in the blanks with correct word