A patient arrives in the emergency department with a heart rate of 128 beats per minute and a temperature of 105°F. The patient's skin feels hot and moist. The free T4 level is 4 ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0
1 microunits/mL. The nurse caring for this patient will expect to administer: a. intravenous levothyroxine.
b. iodine-131 (131I).
c. methimazole [Tapazole].
d. propylthiouracil (PTU).
D
Propylthiouracil is used for patients experiencing thyroid storm, and this patient is showing signs of that condition. Levothyroxine is given IV for hypothyroidism. 131I is used in patients over age 30 who have not responded to other therapies. Methimazole is used long term to treat hyperthy-roidism, but PTU is more useful for emergency treatment.
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The nurse encourages a patient who has been vomiting to drink fluids because the body fluid lost daily must match the amount of fluid taken in to maintain homeostasis. The recommended daily amount of water for an adult is about:
a. 1000 mL. b. 1500 mL. c. 2050 mL. d. 2500 mL.
Common findings in tumor lysis syndrome (TLS) include (Select all that apply.)
a. increased calcium. b. decreased potassium. c. dysrhythmias. d. elevated blood urea nitrogen (BUN) and creatine. e. edema.
Using Peplau's theory, when a client has resolved his or her initial suicidal crisis, the nurse in an acute care setting will:
a. terminate the relationship, ensuring that the client has a support system b. continue to be friends with the client as long as needed c. provide ongoing social support until the client has a support system d. explore an ongoing longitudinal study or extended relationship
A sensory deficit that may arise from the patient's eyes being bandaged after eye surgery can result in
A) Depression B) Psychic blindness C) Compensation D) Total disorientation