Nokea
The nurse will place the patient who has had a thyroidectomy in which position postoperatively?
- A. Prone
- B. Semi-Fowler
- C. Side-lying
- D. Supine
Correct Answer: B
Rationale: Postoperative management of this patient includes keeping the bed in a semi-Fowler's position, with pillows supporting the head and shoulders. There should be a suction apparatus and tracheotomy tray available for emergency use.
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A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with which endocrine gland?
- A. pituitary gland.
- B. adrenal glands.
- C. thyroid gland.
- D. pancreas.
Correct Answer: A
Rationale: The pituitary gland may produce an overabundance of growth hormone. This overproduction of hormones may cause changes throughout the patient's body, including enlargement of the pituitary gland and hands and feet. Female patients may develop a deepened voice, increased facial hair growth, and amenorrhea. In a fully grown adult, this condition is acromegaly.
Lispro has an onset of action within how many minutes?
- A. 90
- B. 60
- C. 15
- D. 45
Correct Answer: C
Rationale: Lispro begins to take effect in less than half the time of regular, fast-acting insulin. The new formula can be injected 15 minutes before a meal.
The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug?
- A. Increase in heart rate
- B. Flushing of face and neck
- C. Drop in blood pressure
- D. Urticaria
Correct Answer: C
Rationale: Indications of an adverse effect of calcium gluconate are serious cardiac dysrhythmias, and hypotension.
Which instructions will the nurse provide to a patient with diabetes to prevent injury to the feet?
- A. Soak feet in warm water every day.
- B. Avoid going barefoot and always wear shoes with soles.
- C. Use of commercial keratolytic agents to remove corns and calluses are preferred to cutting off corns and calluses.
- D. Use a heating pad to warm feet when they feel cool to the touch.
Correct Answer: B
Rationale: Sturdy, properly fitting shoes should be worn. Use of corn removers and heating pads is not beneficial to preserve the health of a diabetic's feet.
To which diet should a patient with Cushing syndrome adhere?
- A. Less sodium
- B. More calories
- C. Less potassium
- D. More carbohydrates
Correct Answer: A
Rationale: The diet should be lower in sodium to help decrease edema.