Nokea
The nurse is obtaining a history on a client with hyperthyroidism. The nurse should report which of the following assessments to the physician?
- A. Anxiety with extreme nervousness.
- B. Slow, sluggish pulse.
- C. Cool, clammy skin.
- D. Husky, slow speech.
Correct Answer: A
Rationale: signs and symptoms of hyperthyroidism are related to an increased metabolic rate
You may also like to solve these questions
The homecare nurse is visiting an infant who had a myelomeningocele repair.
The homecare nurse determines that the parents are accepting of their infant if which of the following is observed?
- A. The parents state that the infant will outgrow this problem in time.
- B. The parents ask a neighbor to perform bladder expression.
- C. The parents measure the head circumference daily.
- D. The parents relate that they believe the child will walk in one year.
Correct Answer: C
Rationale: Strategy: Think about each statement and how it relates to myelomeningocele. (1) child has a chronic problem (2) indicates the parents' lack of interest and inability to care for the child (3) correct-parents' participation in care may be first sign of acceptance; head circumference measurement is important due to risk of hydrocephalus following surgery; even simple care like bathing child could bring acceptance (4) shows a lack of understanding about myelomeningocele
A client reports that he has been vomiting for three days, has a low-grade temperature, and feels lethargic. Which of the following nursing actions is MOST appropriate in evaluating for fluid volume deficit?
- A. Obtain a urinalysis for casts and specific gravity.
- B. Determine client's weight and assess gain or loss.
- C. Ask client to provide a 24-hour intake and output record.
- D. Determine the quality of the client's skin turgor.
Correct Answer: B
Rationale: daily weight is the best way to evaluate for fluid volume deficit
The nurse is caring for a client with a history of peptic ulcer disease who is receiving omeprazole (Prilosec) 20 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
- A. I have a headache once in a while.
- B. I feel bloated after meals.
- C. I have black, tarry stools.
- D. I take my medication with breakfast.
Correct Answer: C
Rationale: Black, tarry stools suggest gastroinTest inal bleeding, a serious complication in peptic ulcer disease requiring immediate evaluation. Options A, B, and D are less concerning: headaches are nonspecific, bloating is common, and taking omeprazole with food is acceptable.
The nurse is teaching a client with a new diagnosis of heart failure about carvedilol (Coreg). Which of the following statements by the client indicates a need for further teaching?
- A. I should take this medication with food.
- B. I should check my pulse before taking this medication.
- C. I should report dizziness to my doctor.
- D. I should stop this medication if I feel better.
Correct Answer: D
Rationale: Stopping carvedilol when feeling better is incorrect, as heart failure requires lifelong treatment to manage symptoms and prevent progression. Options A, B, and C are correct: food reduces GI upset, pulse monitoring detects bradycardia, and dizziness may indicate hypotension.
The nurse is caring for a 34-year-old man admitted with low back pain. The history indicates that the patient has hemophilia A. The nurse should question which of the following orders?
- A. Ketorolac tromethamine (Toradol).
- B. Codeine phosphate (Paveral).
- C. Oxycodone terephthalate (Percodan).
- D. Hydromorphone hydrochloride (Dilaudid).
Correct Answer: C
Rationale: contraindicated for persons with bleeding disorders, contains aspirin