The nurse is reviewing orders for a patient in myxedema coma. Which prescription should the nurse question before administering to this patient? Select all that apply.
A. Regular insulin IV at 5 units per hour
B. Cooling blanket
C. Serum TSH level daily
D. Pulse oximetry and vital signs hourly
E. Methimazole (Tapazole) 15 mg PO daily
Answer: E
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The nurse is caring for a client who has dangerously elevated blood pressure and refuses to take the prescribed medication that could reduce the risk for stroke. The MOST appropriate response by the nurse is to:
a. urge the client to consider the medication's benefits b. inform the client that he or she must take it as it is prescribed by the physician c. accept the client's decision to refuse treatment d. inform the client that he or she will be asked to leave the hospital
A patient, diagnosed with diabetic ketoacidosis, presents with Kussmaul respirations at a rate of 28. A newly licensed nurse asks the patient to try to slow his breathing. What instruction should the preceptor provide?
1. "Keep trying to slow the patient's respirations because breathing so fast is hard on his heart." 2. "If he keeps breathing like that he will develop respiratory acidosis." 3. "Let the patient set his respiratory rate as rapid breathing helps to compensate for his acidosis." 4. "The patient is breathing deeply to help offset diabetes-induced hypoxemia."
A client scheduled for surgery has been taking garlic supplements. Which action is most important for the nurse to take?
a. No action is necessary because the herbal agent is harmless. b. Notify the charge nurse that the client has been taking garlic. c. Note the information on the client's record and place in the chart. d. Notify the surgeon that the client has been taking garlic capsules.
List a symptom of vitamin A deficiency.
What will be an ideal response?