NURS 376 TEST WITH
DETAILED VERIFIED
ANSWERS AND
RATIONALES\ALREADY
GRADED A+\VERIFIED BY
EXPERT
When planning teaching for a patient who was admitted with myxedema coma and diagnosed with
hypothyroidism, which strategy will be best for the nurse to use?
a. Delay teaching until patient discharge.
b. Ensure privacy by asking visitors to leave
c. Provide written handouts of all information.
d. Offer multiple options for management of therapies.
c. Provide written handouts of all information.
WE WANT FAMILY PRESENT, THERE ARE NOT MANY OPTIONS FOR MANAGEMENT…
Which information will the nurse include when teaching a patient who has been newly diagnosed
with Graves' disease?
a. Exercise is contraindicated to avoid increasing metabolic rate.
b. Restriction of iodine intake is needed to reduce thyroid activity.
c. Surgery will eventually be required to remove the thyroid gland.
d. Antithyroid medications may take several weeks to have an effect.
b. Restriction of iodine intake is needed to reduce thyroid activity.
EXERCISE IS ALMOST NEVER CONTRAINDICATED, WE DON’T NEED TO REMOVE IT (MAYBE LATER), IT
WORKS AFTER A COUPLE OF WEEKS– NOT SEVERAL
Following a parathyroidectomy, a patient develops tingling of the lips and a positive Trousseau's sign.
Which action should the nurse take first?
a. Administer the ordered muscle relaxant.
, b. Give the ordered oral calcium supplement.
c. Start the PRN oxygen at 2 L/min per cannula.
d. Have the patient rebreathe using a paper bag.
b. Give the ordered oral calcium supplement.
THE ONLY ONE THAT WILL FIX THE PROBLEM- THE OTHERS WON’T DO ANYTHING
Which insulin can go into the IV?
ONLY REGULAR THROUGH THE IV- MAKE SURE YOU KNOW THAT @@
Rule of 15
If the blood glucose level is less than 70…
Consume 15 grams of carbohydrates
Wait 15 minutes, then recheck the glucose level
If the reading is still low, consume another 15 grams of carbohydrates
Wait another 15 minutes, then recheck the glucose levels once again
Remember that the levels may decrease after about 1 hour so recheck the glucose levels at that time
15 GRAMS... equals...
3–4 glucose tablets
1 dose of glucose gel (in most cases, 1 small tube is one dose)
1/2 cup of orange juice or regular soda (not sugar-free)
1 tablespoon of honey or syrup
1 tablespoon of sugar or 5 small sugar cubes
6–8 LifeSavers
8 ounces of skim (nonfat) milk
IF HYPOGLYCEMIC- DO NOT SHOVE ANYTHING IN THEIR MOUTH OF UNCONCIOUS, THIS SHOULD BE
COMMON SENSE
HIGH Blood Sugar
Increased thirst and urination
ketones in urine
aching, weak
heavy breathing
nausea, vomiting
Fatigue
LOW Blood Sugar
DETAILED VERIFIED
ANSWERS AND
RATIONALES\ALREADY
GRADED A+\VERIFIED BY
EXPERT
When planning teaching for a patient who was admitted with myxedema coma and diagnosed with
hypothyroidism, which strategy will be best for the nurse to use?
a. Delay teaching until patient discharge.
b. Ensure privacy by asking visitors to leave
c. Provide written handouts of all information.
d. Offer multiple options for management of therapies.
c. Provide written handouts of all information.
WE WANT FAMILY PRESENT, THERE ARE NOT MANY OPTIONS FOR MANAGEMENT…
Which information will the nurse include when teaching a patient who has been newly diagnosed
with Graves' disease?
a. Exercise is contraindicated to avoid increasing metabolic rate.
b. Restriction of iodine intake is needed to reduce thyroid activity.
c. Surgery will eventually be required to remove the thyroid gland.
d. Antithyroid medications may take several weeks to have an effect.
b. Restriction of iodine intake is needed to reduce thyroid activity.
EXERCISE IS ALMOST NEVER CONTRAINDICATED, WE DON’T NEED TO REMOVE IT (MAYBE LATER), IT
WORKS AFTER A COUPLE OF WEEKS– NOT SEVERAL
Following a parathyroidectomy, a patient develops tingling of the lips and a positive Trousseau's sign.
Which action should the nurse take first?
a. Administer the ordered muscle relaxant.
, b. Give the ordered oral calcium supplement.
c. Start the PRN oxygen at 2 L/min per cannula.
d. Have the patient rebreathe using a paper bag.
b. Give the ordered oral calcium supplement.
THE ONLY ONE THAT WILL FIX THE PROBLEM- THE OTHERS WON’T DO ANYTHING
Which insulin can go into the IV?
ONLY REGULAR THROUGH THE IV- MAKE SURE YOU KNOW THAT @@
Rule of 15
If the blood glucose level is less than 70…
Consume 15 grams of carbohydrates
Wait 15 minutes, then recheck the glucose level
If the reading is still low, consume another 15 grams of carbohydrates
Wait another 15 minutes, then recheck the glucose levels once again
Remember that the levels may decrease after about 1 hour so recheck the glucose levels at that time
15 GRAMS... equals...
3–4 glucose tablets
1 dose of glucose gel (in most cases, 1 small tube is one dose)
1/2 cup of orange juice or regular soda (not sugar-free)
1 tablespoon of honey or syrup
1 tablespoon of sugar or 5 small sugar cubes
6–8 LifeSavers
8 ounces of skim (nonfat) milk
IF HYPOGLYCEMIC- DO NOT SHOVE ANYTHING IN THEIR MOUTH OF UNCONCIOUS, THIS SHOULD BE
COMMON SENSE
HIGH Blood Sugar
Increased thirst and urination
ketones in urine
aching, weak
heavy breathing
nausea, vomiting
Fatigue
LOW Blood Sugar
