Nokea
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.
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___ 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.
In diabetes insipidus, a deficiency of which hormone causes clinical manifestations?
- A. Antidiuretic hormone (ADH)
- B. Follicle-stimulating hormone (FSH)
- C. Thyroid-stimulating hormone (TSH)
- D. Adrenocorticotropic hormone (ACTH)
Correct Answer: A
Rationale: Diabetes insipidus develops when there is a decrease in production of ADH from the posterior pituitary or the action of ADH is diminished.
Which information should be obtained from the patient before treatment with iodine-131?
- A. Presence of metal in the body
- B. Allergy to sulfa drugs
- C. Status of possible pregnancy
- D. Use of prescription drugs for hypertension
Correct Answer: C
Rationale: Iodine-131 is not a radiation hazard to the nonpregnant patient but is absolutely contraindicated during pregnancy. Pregnant nurses should not care for this patient for several days.
The health care provider orders an 1800-calorie diabetic diet and 40 units of NPH insulin subcutaneously daily for a patient with diabetes mellitus. For which reason will a mid-afternoon snack of milk and crackers be given?
- A. To improve nutrition.
- B. To improve carbohydrate metabolism.
- C. To prevent hypoglycemia
- D. To prevent diabetic coma.
Correct Answer: C
Rationale: NPH insulin peaks in 6-10 hours. The nurse should be alert for signs of hypoglycemia (low blood glucose) at the peak of action of whatever type of insulin the patient is receiving.
Only ___ insulin can be administered intravenously.
Correct Answer: regular
Rationale: Insulin is given subcutaneously, although intravenous (IV) administration of regular insulin can be done when immediate onset of action is desired.