Nokea
A client with Graves' disease is brought to the ER with a suspected thyroid storm. The nurse expects to see what signs and symptoms?
- A. seizures, jaundice, irregular heartbeat, vomiting
- B. bradycardia, septic shock, polyuria
- C. increased cranial pressure, thready pulse, rash across chest
- D. poor muscle tone, dyspnea, cyanosis
- E. None
Correct Answer: E
Rationale: Thyroid storm presents with fever, tachycardia, agitation, and sweating. None of the options fully match, but A (irregular heartbeat, vomiting) is closest, though seizures and jaundice are less typical.
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Which diet is associated with an increased risk of colorectal cancer?
- A. Low protein, complex carbohydrates
- B. High protein, simple carbohydrates
- C. High fat, refined carbohydrates
- D. Low carbohydrates, complex proteins
Correct Answer: C
Rationale: A diet high in fat and refined carbohydrates increases the risk of colorectal cancer due to prolonged intestinal transit time and exposure to carcinogenic metabolites.
The nurse has orders for dopamine at 20 mcg/kg/min. The bag has 500 mg of dopamine in 500 mL. The client weighs 60 kg. What rate will the nurse set?
Correct Answer: 72 mL/hr
Rationale: Dose: 20 mcg/kg/min × 60 kg = 1200 mcg/min. Concentration: 500 mg/500 mL = 1 mg/mL = 1000 mcg/mL. Rate: 1200 mcg/min ÷ 1000 mcg/mL = 1.2 mL/min × 60 min/hr = 72 mL/hr.
The nurse is caring for a client who was admitted to the burn unit 4 hours after the injury with second-degree burns to the trunk and head. Which finding would the nurse least expect to find during this time period?
- A. Hypovolemia
- B. Laryngeal edema
- C. Hypernatremia
- D. Hyperkalemia
Correct Answer: C
Rationale: Hypernatremia is least expected within 4 hours of a burn injury, as fluid shifts typically cause hyponatremia due to third-spacing. Hypovolemia, laryngeal edema, and hyperkalemia are common early findings.
The nurse is preparing a client with an axillo-popliteal bypass graft for discharge. The client should be taught to avoid:
- A. Using a recliner to rest
- B. Resting in supine position
- C. Sitting in a straight chair
- D. Sleeping in right Sim's position
Correct Answer: C
Rationale: Sitting in a straight chair can compress the graft, impairing blood flow, and should be avoided to promote graft patency.
The nurse is caring for an adult who had an appendectomy 6 hours ago. Which intervention would the nurse expect to perform to promote rest and sleep? Select all that apply.
- A. provide a substantial meal of meatloaf, mashed potatoes, corn, and milk
- B. offer Ambien 5 mg as ordered
- C. lower the temperature of the room
- D. change bed linen
Correct Answer: B, C, D
Rationale: Ambien, a cool room, and fresh linens promote rest. A heavy meal may disrupt sleep post-surgery.