« previous next »

Author Question: Which prescribed medication should the nurse administer first to a 60-year-old patient admitted to ... (Read 25 times)

Tirant22

  • Hero Member
  • *****
  • Posts: 532
on: Jun 25, 2018
Which prescribed medication should the nurse administer first to a 60-year-old patient admitted to the emergency department in thyroid storm?
 
  a. Propranolol (Inderal)
  b. Propylthiouracil (PTU)
  c. Methimazole (Tapazole)
  d. Iodine (Lugol's solution)

Question 2

The nurse is caring for a patient admitted with diabetes insipidus (DI). Which information is most important to report to the health care provider?
 
  a. The patient is confused and lethargic.
  b. The patient reports a recent head injury.
  c. The patient has a urine output of 400 mL/hr.
  d. The patient's urine specific gravity is 1.003.


anyusername12131

  • Sr. Member
  • ****
  • Posts: 327
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
-Adrenergic blockers work rapidly to decrease the cardiovascular manifestations of thyroid storm. The other medications take days to weeks to have an impact on thyroid function.

Answer to Question 2

ANS: A
The patient's confusion and lethargy may indicate hypernatremia and should be addressed quickly. In addition, patients with DI compensate for fluid losses by drinking copious amounts of fluids, but a patient who is lethargic will be unable to drink enough fluids and will become hypovolemic. A high urine output, low urine specific gravity, and history of a recent head injury are consistent with diabetes insipidus, but they do not require immediate nursing action to avoid life-threatening complications.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In 1864, the first barbiturate (barbituric acid) was synthesized.

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
The surgical nurse assists the client into the correct position The surgical nurse assists the client into the correct position
Patient teaching: nail assessment Patient teaching: nail assessment
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ... Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Medication with the USP label (left) and without USP label (right). Practice Label “for ... Medication with the USP label (left) and without USP label (right). Practice Label “for ...
(a) A photograph of a radial immunodiffusion reaction for measurement of patient IgA concentrations. ... (a) A photograph of a radial immunodiffusion reaction for measurement of patient IgA concentrations. ...
Video: Wound Repair Animation

For a complete list of videos, visit our video library