A nurse assesses a patient with hypothyroidism who is admitted with acute appendicitis. The nurse notes that the patient's level of consciousness has decreased. What action does the nurse perform?
Restricts oral intake.
Monitor blood pressure every 4 hours.
Administer SQ insulin as prescribed.
Maintain a patent airway.
The Correct Answer is D
A decrease in the level of consciousness is a serious sign and could be an indication of worsening conditions. It is essential for the nurse to ensure that the patient's airway is open and clear, as a compromised airway can lead to hypoxia and a further decrease in consciousness. Therefore, maintaining a patent airway should be the nurse's priority action in this situation.
While monitoring blood pressure and restricting oral intake may be important interventions in certain situations, they are not the priority actions in this scenario. Administering SQ insulin may not be necessary for a patient with hypothyroidism and acute appendicitis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Desmopressin acetate (DDAVP) is a synthetic hormone used to treat diabetes insipidus, which is a condition that causes excessive urination and thirst due to a lack of antidiuretic hormone (ADH) production in the body. By mimicking the effects of ADH, Desmopressin acetate (DDAVP) helps to reduce the amount of urine produced by the body and increase water reabsorption, which helps to alleviate symptoms of diabetes insipidus.
Therefore, the nurse should monitor the patient's urinary output and ensure that it decreases in response to the medication. It is important to note that Desmopressin acetate (DDAVP) can also cause hyponatremia (low sodium levels in the blood), so sodium levels should also be monitored during treatment.
Correct Answer is B
Explanation
The nurse should suggest the patient lie on the side, flexing the right leg². This position may help relieve pain and reduce tension in the abdominal muscles¹. Palpating the abdomen for rebound tenderness (a) may cause pain and should be avoided¹. Assisting the patient to cough and deep breathe (c) may be helpful for respiratory issues but not for abdominal pain¹. Encouraging the patient to sip clear, non-carbonated liquids (d) may be helpful for hydration but does not address the abdominal pain¹.
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