The nurse is reviewing the laboratory test results for a client admitted with a possible pituitary disorder. Which information has the most immediate implication for the client's care?
A. Blood glucose 125 mg/dL
B. Blood urea nitrogen (BUN) 40 mg/dL
C. Serum potassium 5.2 mEq/L
D. Serum sodium ...
NSG 3250 EXAM 2 ADULT HEALTH Sildenafil (Viagra) is prescribed to treat a client with erectile dysfunction. The nurse reviews the client's medical record and should question the prescription if which data is noted in the client's history? 1. Insomnia 2. Neuralgia 3. Use of nitroglycer in 4. Use of a multivitamin The community health nurse visits a client at home. Prednisone, 10 mg orally daily, has been prescribed for the client and the nurse teaches the client about the medications. Which statement, if make by the client, indicates t hat further teaching is necessary? 1. "I can take aspirin or my antihistamine if I need it." 2. "I need to take the medication every day at the same time." 3. "I need to avoid coffee, tea, cola, and chocolate in my diet." 4. "If I gain more than 5 pounds a week, I will call my health care provider (HCP)." A client with hyperthyroidism has been given methimazole (Tapazole). Which nursing considerations are associated with this medication? Select all that apply 1. Administer methimazole with f ood. 2. Place the client on a low -calorie, low -protein diet. 3. Assess the client for unexplained bruising or bleeding. 4. Instruct the client to report side/adverse effects such as sore throat, fever, or headaches. 5. Use special radioactive precautions w hen handling the client's urine for the first 24 hours following initial administration. The nurse is monitoring a client receiving levothyroxine sodium (Synthroid) for hypothyroidism. Which findings indicate the presence of a side effect associate d with this medication? Select all that apply 1. Insomnia 2. Weight loss 3. Bradycardia 4. Constipation 5. Mild heat intolerance The nurse provides instructions to a client who is taking levothyroxine (Synthroid). The nurse should tell the client to take the medication at which time? 1. With food 2. At lunchtime 3. On an empty stomach 4. At bedtime with a snack The nurse provides medication instructions to a client who is taking levothyroxine (Synthroid) and should tell the client to notify the health c are provider (HCP) if which problem occurs? 1. Fatigue 2. Tremors 3. Cold Intolerance 4. Excessively dry skin The nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propy lthiouracil (PTU) is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which condition? 1. Myxedema 2. Grave's disease 3. Addison's disease 4. Cushing's syndrome What atypical symptoms might a woman who is having a myocardial infarction experience? A. Sudden, intermittent, stabbing chest pain B. Moderate ache in the chest that is worse on inspiration C. Indigestion, feelings of chronic fatigue, and a choking sensat ion D. Pain that spreads across the chest and back and/or radiates down the arm A patient is admitted with a weight loss of 2.3 kg over 36 hours, diarrhea, nausea, and vomiting. Based on this information, the nurse should assess which cardiovascular para meter more closely? A. Preload B. Afterload C. Heart rate D. Stroke volume The nurse understands that which assessment finding is the best indicator of fluid retention? A. Tachycardia B. Weight gain C. Crackles in the lungs D. Increased blood pressure On a te lemetry monitor, the nurse observes that a patient's heart rhythm is sustained ventricular tachycardia (VT). Upon assessment, the patient is alert and oriented with no reports of chest pain, but expresses feeling slightly short of breath. His blood pressur e is 108/70. What is the nurse's first action? A. Synchronized cardioversion B.CPR and immediate defibrillation C. Administration of IV amiodarone (Cordarone) and dextrose D. Administration of oxygen and observation of the heart rhythm The nurse is providin g education to help reduce cardiovascular risks for a women's book club. Which statement made by a participant indicates a need for further teaching? A. "We are more likely to die from cardiovascular disease than men." B. "We need to walk or do other exerc ise every day for 30 minutes." C. "We need to stay away from people who smoke." D. "We should take hormones for menopause to decrease the risk for heart attack." A client is admitted to the telemetry unit after a right -sided cardiac catheterization. What is the nurse's priority when caring for this client? A. Assess the intensity and quality of the client's pain. B. Position the client in a sitting position to improve breathing. C. Check the client's arterial insertion site. D. Apply oxygen at 2 L/min via nasal cannula.
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