Nokea
When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm, this is a(n) ___ sign.
Correct Answer: Trousseau
Rationale: Trousseau's sign is a carpal spasm brought on by pressure of a cuff. This is an indicator for hypocalcemia and hypomagnesemia.
You may also like to solve these questions
Which extra equipment will the nurse provide at the bedside of a patient who has returned to the nursing unit after a thyroidectomy three hours ago?
- A. Large bandage scissors
- B. Tracheotomy tray
- C. Ventilator
- D. Water-sealed drainage system
Correct Answer: B
Rationale: There should be a suction apparatus and tracheotomy tray available for emergency use.
A patient with a history of Graves' disease is admitted to the unit with shortness of breath. The nurse notes the patient's vital signs: T 103°F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. Which disorder does the patient most likely have?
- A. Pulmonary embolism
- B. Hypertensive crisis
- C. Thyroid storm
- D. Cushing crisis
Correct Answer: C
Rationale: In a thyroid crisis, all the signs and symptoms of hyperthyroidism are exaggerated. Additionally, the patient may develop nausea, vomiting, severe tachycardia, severe hypertension, and occasionally hyperthermia up to 41°C (106°F). Extreme restlessness, cardiac arrhythmia, and delirium may also occur. The patient may develop heart failure and may die.
The health care provider prescribes glyburide for a patient, when diet and exercise have not been able to control type 2 diabetes. Which information will the nurse reinforce in the teaching plan about this medication?
- A. It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell.
- B. It does not cause the hypoglycemic reactions that may occur with insulin use.
- C. It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites.
- D. It lowers blood sugar by inhibiting glucagon release from the liver, preventing gluconeogenesis.
Correct Answer: C
Rationale: Oral hypoglycemics are compounds that stimulate the beta (β) cells in the pancreas to increase insulin release.
The nurse discovers a patient with type I diabetes drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. The nurse recognizes the patient is having which type of reaction and quickly provides which intervention?
- A. hypoglycemic reaction; give 6 oz of orange juice.
- B. hyperglycemic reaction; give ordered regular insulin.
- C. hyperglycemic hyperosmolar nonketotic reaction; squeeze glucagon gel in buccal cavity.
- D. hypoglycemic reaction; give ordered insulin.
Correct Answer: A
Rationale: Hypoglycemic reaction is due to not enough food for the insulin. Quick acting carbohydrates - such as orange juice or longer acting foods such as milk, crackers, and cheese-are beneficial.
___ is the term that describes a condition of normal thyroid function.
Correct Answer: Euthyroid
Rationale: Euthyroid is the term that describes a condition of normal thyroid function.