Author Question: Of the following list of nursing interventions, which would be considered priority when managing a ... (Read 80 times)

Engineer · **on:** Jun 25, 2018

Of the following list of nursing interventions, which would be considered priority when managing a patient with life-threatening myxedematous coma? Select all that apply.

A)
Administer 3 sodium IV solution to increase sodium levels.
B)
Administer 50 dextrose to raise glucose levels.
C)
Place on oxygen therapy to encourage deep breathing.
D)
Place on a warming bed to raise body temperature.
E)
Administer sedatives frequently to prevent seizures.

Question 2

A 40-year-old female has been categorized as being obese, with a body mass index (BMI) of 33.2. Which of the following health problems place the client at a significantly increased risk for when compared with individuals with a BMI below 25?

Select all that apply.
A)
Cardiac arrhythmias
B)
Osteoarthritis
C)
Multiple sclerosis
D)
Atelectasis
E)
Gallbladder disease
F)
Insulin resistance

ansleighelindsey · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A, B, C

Feedback:

Myxedematous coma is a life-threatening, end-stage expression of hypothyroidism. It is characterized by coma, hypothermia, CV collapse, hypoventilation, and severe metabolic disorders that include low sodium, low glucose, and lactic acidosis. Treatment includes aggressive management of precipitating factors; supportive therapy such as management of CV status, hyponatremia, and hypoglycemia; and thyroid replacement therapy. If hypothermia is present, active rewarming is contraindicated because it may induce vasodilation and vascular collapse. Administering sedatives frequently could be harmful since the person is unable to metabolize sedatives, analgesics, and anesthetic drugs.

Answer to Question 2

Ans:
B, E, F

Feedback:

Obesity is associated with significantly increased risk for osteoarthritis due to bone and joint stress. Insulin resistance and gallbladder disease are also identified consequences of obesity. Cardiac arrhythmias are less likely to result directly from obesity, given their etiology rooted in electrical conductivity. Multiple sclerosis and other neurological effects are also unlikely, and atelectasis is not commonly a direct effect of high levels of body fat.