A client has flushed skin, bulging eyes and perspiration, and states that he has been "irritable" and having palpitations. The nurse interprets these findings as suggesting:

The nurse is performing an assessment on a client with a diagnosis of myxedema (hypothyroidism). Which assessment finding should the nurse expect to note in this client?

Order: Synthroid 0.3 mg p.o. daily. Available strength: 0.3 mg. (use LABEL 1 ON SUPPLEMENTAL EXAM SHEET; ANSWER WITH NO SPACES. I.e.10tabs))

1. Case Study #2

Patient Name: Jacob M.

Age: 17

Diagnosis: Type 1 Diabetes Mellitus (T1DM)

History: Diagnosed at age 10, uses insulin pump therapy, active in sports Situation:

Jacob is brought to the emergency department by his coach after collapsing during basketball practice. He is unconscious, diaphoretic, and unresponsive to verbal stimuli. A bedside glucose check reveals a blood sugar of 28 mg/dL.

The nurse prepares to administer glucagon 1 mg IM per emergency protocol.

Which of the following best explains why oral glucose is not appropriate for Jacob at this time?

The nurse should teach the client to monitor for which complication of diabetic neuropathy?

1. A patient with type 1 diabetes is prescribed a sliding scale insulin regimen using regular insulin before meals. The sliding scale is as follows:

Blood glucose 150-199 mg/dL: 2 units

Blood glucose 200-249 mg/dL: 4 units

Blood glucose 250-299 mg/dL: 6 units

Blood glucose 300-349 mg/dL: 8 units

Blood glucose >350 mg/dL: Call provider

The patient's blood glucose before lunch is 278 mg/dL. The patient is also prescribed 0.1 units/kg of insulin glargine (Lantus) once daily. The patient weighs 70 kg.

How many total units of insulin should the nurse administer at this time? (LABEL CORRECTLY: NO SPACES IN ANSWER)

The nurse is caring for a patient scheduled for a thyroidectomy. Which instruction should be included in the preoperative care?

The major goal of medical nutrition therapy for clients with diabetes mellitus is to:

A client diagnosed with hyperthyroidism will be taking propylthiouracil (PTU). The nurse provides medication instructions and determines that the client understands the information if the client states that it is most important to report which of the following symptoms to the physician?

A patient is admitted with a subtotal thyroidectomy. She is returned to the surgical unit after a short stay in the post anesthesia care unit. She is receiving fluids intravenously. When this patient has completely recovered from anesthesia, and her vital signs are stable, which position would be most appropriate for her?

Case Study #1

Patient Profile:

Name: Sarah Thompson

Age: 34

Diagnosis: Hyperthyroidism due to Graves' disease

Treatment: Scheduled to receive an oral dose of unsealed radioactive iodine (1-131)

Clinical Background: Sarah has experienced symptoms of hyperthyroidism for the past 6 months, including weight loss, heat intolerance, palpitations, and anxiety. Her lab results show elevated T3 and T4 levels and suppressed TSH. After unsuccessful management with methimazole, her endocrinologist recommended radioactive iodine therapy.

The nurse is conducting discharge teaching for Sarah about unsealed radioactive isotope therapy. Which of the following should the nurse include in her teaching session for Sarah? (Select 3 options)