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Which symptoms reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN? Select the "2" findings that require immediate follow-up.
Nurse's Notes
Capillary blood glucose obtained: machine gives no value. Instead. an error message indicating hl displays on the machine. He A/O x 4, He complains of a stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His skin is warm and dry, but his face is flushed. When asked about pain, he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.
History and Physical
Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her, His mother denies a history of chronic illness but did say he had like a cold but with a stomachache" about 3 months ago.
She also says that he has been very thirsty, and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling weight class parameters because he was significantly lighter this past weekend than he has been in the past, even with him eating more than usual.
The nurse is caring for a patient with diabetes.
Vital Signs
Time 1000
Temperature 98.6F
Heart rate 122
Respiratory rate 26
Blood pressure 90/54 mmHg
Oxygen saturation 98% RA
Pain 0/10 on scale of 1-10
The nurse has just completed the on-coming shift assessment for their client.
Select the "6" findings that require immediate follow-up
Admission Note
68-year-old male. report consuming 2 alcoholic beverages per day. A history of hypertension and has gained 10 pounds in the last 4 months. There is a family history of diabetes mellitus. Patient reports having been extremely thirsty and hungry with frequent urination along with numbness and tingling in lower extremities. The patient has a right lower extremity ulcer. The patient tested positive for COVID three weeks ago and has had a decrease in activity since. The patient reports nausea and vomiting over the past 3 days. Spouse is at the bedside.
Nurse's Note
0900: The patient is alert and oriented with periods of confusion. speech is clear, and lungs are clear upon auscultation. Skin is dry and appropriate for ethnicity. Bowels sounds present in all quadrants and urine is light yellow.
Vital Signs
Time 0900
Temperature 101.2F (38.4C)
Heart rate 104/min
Respiratory rate 22/min
Blood pressure 140/84 mmHg
Oxygen saturation 95% RA
Pain 6/10 on scale= of 1-10
Labs
Time Test Results
Reference Range
0900
WBC
12.432uL
5.000 - 10.000 uL
Potassium 4.3 3.5 - 5.1 mEq/L
Sodium 148 133 -147 mEQ/L
BUN 28 7-26 mg/dL
Creatinine 1.2 0.7 - 1.21 mg/dL
Glucose 450 70-99 mg/dL
Complete the following sentence by choosing from the list of options.
The nurse should first address the patient's —------------(Glucose/ Heart rate/ Temperature/ Blood pressure) followed by the client's—-------------(Pulse Ox/ Leg ulcer/ Temperature/ Glucose)
The nurse should first address the patient's:
(Glucose / Heart rate / Temperature / Blood pressure)
followed by the client’s:
(Pulse Ox / Leg ulcer / Temperature / Glucose)
A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
A nurse is reviewing assessment data for four clients. Which of the following findings is MOST consistent with Graves’ disease?
The nurse is caring for a patient with diabetes.
History & Physical
Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting "weird" after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother denies a history of chronic illness but did say he had like a cold but with a stomachache about 3 months ago.
She also says that he has beer very thirsty. and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling weight class' parameters because he was significantly lighter this past weekend than he has been in the past, even with him eating more than usual.
Nurse's Noces
Capillary blood glucose obtained: machine gives no value. Instead, an error message indicating hi' displays on the machine. He A/O x 4. He complains of a "stomachache' and reports he has nausea and experienced vomiting shortly before arrival. His skin is warm and dry. but his face is flushed. When asked about pain, he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.
Vital Signs
Vital Signs
Time 1000
Temperature 98.6F
Heart rate 122
Respiratory rate 26
Blood pressure 90/54 mmHg
Oxygen saturation 98% RA
Pain 0/10 on scale of 1-10
Labs
Test
WBC
K+
Reference Range
5-10.000 cells/mct
3.5-5.0 mEq/L
Results
15.000
5.8
HgbA1C <5%
9%
Urea nitrogen (BUN) 8-20 mg/dl
21
Creatinine
Glucose
0.7-1.3 mg/dL
70-99 mg/dL fasting
0.77
420
Anion gap 3-10 meq/L
12
ABG 7.35-7.45
pH-7.25
22-28 mEq/L
HCOB- 15
38-42 mmHg
PaCO2-35
75-100 mmHg
PaO2-88
Urinalysis Positive for ketones and Negative
glucose
The nurse is preparing to speak with the provider regarding the client's condition, Which of the following orders should the nurse anticipate? Select all that apply.
(Select All that Apply,)
A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?
A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
A nurse is caring for a male client who has a urinary tract infection. Which of the following conditions is the client most likely to develop as a result of the UTI?
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