A nurse cares for a patient who possibly has syndrome of
inappropriate antidiuretic hormone (SIADH). The patient's
serum sodium level is 114 mEq/L (114 mmol/L). What action
would the nurse take first?
Restrict patients fluid intake to 600 mL/day
The nurse is caring for a patient on the medical-surgical unit
who suddenly becomes unresponsive and has no pulse. The
cardiac monitor shows the rhythm. After calling for assistance
and a defibrillator, what action would the nurse take next?
Initiate CPR
,A nurse assesses a patient with diabetes mellitus and notes that
the patient only responds to a sternal rub by moaning, has
capillary blood glucose of 33 mg/dL, and has an intravenous
line that is infiltrated with 0.45% normal saline. What action
would the nurse take first?
Administer 1mg of IM glucagon
A nurse teaches a patient who is prescribed an unsealed
radioactive isotope. Which statements will the nurse include in
this patient's education? (Select all that apply.)
"Do not share utensils, plates, and cups with anyone else."
"Take a laxative 2 days after therapy to excrete the radiation."
A nurse cares for a patient who is recovering from a pituitary
gland resection (hypophysectomy). What action would the
nurse take first?
Report clear or light yellow drainage from the nose
A patient had a percutaneous transluminal coronary
angioplasty for peripheral arterial disease. What assessment
,finding by the nurse indicates that a priority outcome for this
patient has been met?
Distal pulse on affected extremity 2+/4+
A nurse assesses a patient's electrocardiograph tracing and
observes that not all QRS complexes are preceded by a P wave.
How would the nurse interpret this observation?
Ventricular and atrial depolarizations are initiated from
different sites
A nurse assesses a patient who is recovering from a total
thyroidectomy and notes the development of stridor. What
action does the nurse take first?
Contact the provider and prepare for intubation
A nurse teaches a patient with hyperthyroidism. Which dietary
modifications should the nurse include in this patient's
teaching? (Select all that apply.)
Increased Carbohydrates
, increased calorie intake N N
N increased proteins N
The nurse suspects that a patient is deficient in thyroid-
N N N N N N N N N
stimulating hormone. What assessment findings would
N N N N N N
correlate to this condition? (Select all that apply.)
N N N N N N N N
Decreased libido N
N weight gain N
N alopecia
After teaching a patient who is recovering from a complete
N N N N N N N N N
thyroidectomy, the nurse assesses the patient's understanding.
N N N N N N N
Which statement made by the patient indicates a need for
N N N N N N N N N N
additional instruction?
N N
"After surgery, I won't need to take thyroid medication."
N N N N N N N N
A nurse evaluates the following laboratory results for a patient
N N N N N N N N N
who has hypoparathyroidism: Calcium 7.2 mg/dL (1.8
N N N N N N N
mmol/L) Sodium 144 mEq/L (144 mmol/L) Magnesium 1.2
N N N N N N N N
mEq/L (0.6
N N
inappropriate antidiuretic hormone (SIADH). The patient's
serum sodium level is 114 mEq/L (114 mmol/L). What action
would the nurse take first?
Restrict patients fluid intake to 600 mL/day
The nurse is caring for a patient on the medical-surgical unit
who suddenly becomes unresponsive and has no pulse. The
cardiac monitor shows the rhythm. After calling for assistance
and a defibrillator, what action would the nurse take next?
Initiate CPR
,A nurse assesses a patient with diabetes mellitus and notes that
the patient only responds to a sternal rub by moaning, has
capillary blood glucose of 33 mg/dL, and has an intravenous
line that is infiltrated with 0.45% normal saline. What action
would the nurse take first?
Administer 1mg of IM glucagon
A nurse teaches a patient who is prescribed an unsealed
radioactive isotope. Which statements will the nurse include in
this patient's education? (Select all that apply.)
"Do not share utensils, plates, and cups with anyone else."
"Take a laxative 2 days after therapy to excrete the radiation."
A nurse cares for a patient who is recovering from a pituitary
gland resection (hypophysectomy). What action would the
nurse take first?
Report clear or light yellow drainage from the nose
A patient had a percutaneous transluminal coronary
angioplasty for peripheral arterial disease. What assessment
,finding by the nurse indicates that a priority outcome for this
patient has been met?
Distal pulse on affected extremity 2+/4+
A nurse assesses a patient's electrocardiograph tracing and
observes that not all QRS complexes are preceded by a P wave.
How would the nurse interpret this observation?
Ventricular and atrial depolarizations are initiated from
different sites
A nurse assesses a patient who is recovering from a total
thyroidectomy and notes the development of stridor. What
action does the nurse take first?
Contact the provider and prepare for intubation
A nurse teaches a patient with hyperthyroidism. Which dietary
modifications should the nurse include in this patient's
teaching? (Select all that apply.)
Increased Carbohydrates
, increased calorie intake N N
N increased proteins N
The nurse suspects that a patient is deficient in thyroid-
N N N N N N N N N
stimulating hormone. What assessment findings would
N N N N N N
correlate to this condition? (Select all that apply.)
N N N N N N N N
Decreased libido N
N weight gain N
N alopecia
After teaching a patient who is recovering from a complete
N N N N N N N N N
thyroidectomy, the nurse assesses the patient's understanding.
N N N N N N N
Which statement made by the patient indicates a need for
N N N N N N N N N N
additional instruction?
N N
"After surgery, I won't need to take thyroid medication."
N N N N N N N N
A nurse evaluates the following laboratory results for a patient
N N N N N N N N N
who has hypoparathyroidism: Calcium 7.2 mg/dL (1.8
N N N N N N N
mmol/L) Sodium 144 mEq/L (144 mmol/L) Magnesium 1.2
N N N N N N N N
mEq/L (0.6
N N
