Author Question: Mr. Lao is a patient with cancer who developed neutropenia several days ago and has consequently ... (Read 51 times)

lidoalex

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Mr. Lao is a patient with cancer who developed neutropenia several days ago and has consequently been placed in a single-bed room that has positive pressure.
 
  Mr. Lao's daughter has just come to visit her father after arriving from her home in another state and has asked you for his room number. You notice that Mr. Lao's daughter has reddened eyes, sniffles, and a dry cough. What instruction should you provide to Mr. Lao's daughter?
  A) Even though it might be difficult, it's best for your father's health if you get well before visiting him in person, since he's so vulnerable right now.
  B) Your father is extremely vulnerable to infections right now, so I'm going to ask you to make sure you wear a gown when you go into his room.
  C) Your father is under neutropenic precautions right now so you're not allowed to visit him.
  D) It's very important that you wash your hands thoroughly before you enter your father's room and as soon as you come out.

Question 2

A patient has returned to his room after a thyroidectomy. He is presenting with signs and symptoms of thyroid crisis.
 
  During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of a. severe nausea and vomiting.
  b. bradycardia.
  c. delirium with restlessness.
  d. congestive heart failure.



srodz

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Answer to Question 1

A

Answer to Question 2

D
In thyroid crisis, all the signs and symptoms of hyperthyroidism are exaggerated. The patient may develop congestive heart failure and die. Additionally, the patient may develop nausea, vomiting, severe tachycardia, severe hypertension, and occasionally hyperthermia up to 41 C (106 F). Extreme restlessness, cardiac dysrhythmia, and delirium may also occur.



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