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Author Question: Which action by a new registered nurse (RN) caring for a patient with a goiter and possible ... (Read 68 times)

Mimi

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on: Jun 25, 2018
Which action by a new registered nurse (RN) caring for a patient with a goiter and possible hyperthyroidism indicates that the charge nurse needs to do more teaching?
 
  a. The RN checks the blood pressure on both arms.
  b. The RN palpates the neck thoroughly to check thyroid size.
  c. The RN lowers the thermostat to decrease the temperature in the room.
  d. The RN orders nonmedicated eye drops to lubricate the patient's bulging eyes.

Question 2

Which additional information will the nurse need to consider when reviewing the laboratory results for a patient's total calcium level?
 
  a. The blood glucose is elevated.
  b. The phosphate level is normal.
  c. The serum albumin level is low.
  d. The magnesium level is normal.


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karlss

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
Palpation can cause the release of thyroid hormones in a patient with an enlarged thyroid and should be avoided. The other actions by the new RN are appropriate when caring for a patient with an enlarged thyroid.

Answer to Question 2

ANS: C
Part of the total calcium is bound to albumin so hypoalbuminemia can lead to misinterpretation of calcium levels. The other laboratory values will not affect total calcium interpretation.


Mimi

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

ryhom

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Reply 3 on: Yesterday
Excellent

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