A nurse caring for a patient notes that the patient has a ...

[2125004343]

A nurse caring for a patient notes that the patient has a temperature of 104 F and a heart rate of 110 beats per minute. The patient's skin is warm and moist, and the patient complains that the room is too warm.
 
  The patient appears nervous and has protuberant eyes. The nurse will contact the provider to discuss:
  a. cretinism.
  b. Graves' disease.
  c. myxedema.
  d. Plummer's disease.

Question 2

Which patients are eligible to receive erythropoiesis stimulating agents? (Select all that apply.)
 
  a. All patients with nonmyeloid malignancies who require transfusions
  b. All patients with nonmyeloid malignancies whose chemotherapy is palliative
  c. All patients whose goal of therapy is curative
  d. All patients with nonmyeloid malignancies and chemotherapy-induced anemia
  e. All patients with leukemias or myeloid malignancies

[ebonylittles]

Answer to Question 1

ANS: B
The signs and symptoms in this patient are consistent with hyperthyroidism and, because the patient's eyes are protuberant, they also are consistent with Graves' disease. Cretinism is hypothyroidism in children. Myxedema is severe hypothyroidism. Plummer's disease is a hyperthyroidism condition without exophthalmos.

Answer to Question 2

ANS: A, B, D
Patients who have nonmyeloid malignancies who require transfusions, whose therapy is considered palliative, and who have chemotherapy-induced anemia are eligible for ESAs. Because ESAs are potentially lethal drugs, giving them to patients who expect a cure is not recommended. ESAs also are not given to patients with leukemias or myeloid malignancies, because the drugs can stimulate proliferation of these cancers.

[2125004343]

Excellent

[kjohnson]

TYSM