A patient with hyperthyroidism presented with thyroid storm and ...

[justinmsk]

A patient with hyperthyroidism presented with thyroid storm and high temperature. The nurse evaluates that measures to lower the temperature should be changed when which assessment is made?
 
  1. The patient has received a second dose of propylthiouracil.
  2. The patient develops crackles in both lung bases.
  3. The patient begins to shiver.
  4. The patient's blood glucose increases.

Question 2

The client receives temazepam (Restoril) at bedtime for sleep. The client tells the nurse that he also has a glass of wine before bed to help him sleep. What is the nurse's best response?
 
  1. One glass of wine is okay, but be sure not to have more than that.
  2. Combining wine with your medication will decrease the effectiveness of your medication.
  3. This is okay as long as you have a high-fat meal with your wine.
  4. Combining wine with your medication can sedate you and cause breathing problems.

[rosiehomeworddo]

Answer to Question 1

3
Rationale 1: The amount of medication given is not a determinant of when to alter temperature regulation measures.
Rationale 2: The development of crackles is not a determinant of need to alter temperature regulation measures.
Rationale 3: The goal is to reduce body temperature but to avoid shivering, which increases metabolic stress.
Rationale 4: Glucose level is not a determinant of need to alter temperature regulation measures.

Global Rationale: The goal is to reduce body temperature but to avoid shivering, which increases metabolic stress. The amount of medication given, presence of crackles, and glucose levels are not determinants of when to alter temperature regulation measures.

Answer to Question 2

4

Rationale 1:One glass of wine is okay, but be sure not to have more than that is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 2:Combining wine with your medication will decrease the effectiveness of your medication is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 3:This is okay as long as you have a high-fat meal with your wine is incorrect because consuming a high-fat meal with alcohol will not change the potentiating effects of the alcohol. Alcohol potentiates, and does not decrease, the effect of benzodiazepines.
Rationale 4: Alcohol is a CNS depressant, and combining it with benzodiazepines potentiates CNS depression, and can result in respiratory depression. Clients should not consume any alcohol with benzodiazepines.

Global Rationale: Alcohol is a CNS depressant, and combining it with benzodiazepines potentiates CNS depression, and can result in respiratory depression. Clients should not consume any alcohol with benzodiazepines. One glass of wine is okay, but be sure not to have more than that is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines. Combining wine with your medication will decrease the effectiveness of your medication is incorrect because alcohol potentiates, and does not decrease, the effect of benzodiazepines. This is okay as long as you have a high-fat meal with your wine is incorrect because consuming a high-fat meal with alcohol will not change the potentiating effects of the alcohol. Alcohol potentiates, and does not decrease, the effect of benzodiazepines.

[justinmsk]

Thanks

[rosiehomeworddo]

Welcome