A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.

Exhibits

The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply

cold intolerance

depression dry skin

weakness and fatigue

constipation

mental alertness

Answer and Explanation

Correct Answer : A,B,C,D

A. Cold intolerance: Patients with hypothyroidism often have difficulty regulating body temperature, leading to a heightened sensitivity to cold.

B. Depression: Hypothyroidism can affect mood and cognitive function, often leading to symptoms of depression.

C. Weakness and fatigue: Low thyroid hormone levels can cause significant fatigue and muscle weakness due to a slower metabolism.

D. Constipation: A slowed metabolism can also affect gastrointestinal motility, resulting in constipation.

E. Mental alertness: This is typically not expected in hypothyroid patients. In fact, they may experience cognitive impairments, memory issues, or slowed thinking rather than mental alertness.

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Correct Answer is A

Explanation

A. Ventricular tachycardia: Ventricular tachycardia (VT) is identified by a regular, fast rhythm with wide QRS complexes, typically without visible P waves. This rhythm often appears as consecutive, large, uniform waves, which is consistent with what is seen in the diagram.

B. Asystole: Asystole is characterized by a flat line, indicating no electrical activity, which is not present in this strip.

C. Normal sinus rhythm: Normal sinus rhythm would show identifiable P waves, a normal QRS complex, and a regular rate, which are not observed here.

D. Ventricular fibrillation: Ventricular fibrillation appears as chaotic, irregular waveforms with no clear QRS complexes or organization, which does not match the rhythm shown.

A. Metabolic alkalosis B. Respiratory alkalosis C. Respiratory acidosis D. Metabolic acidosis

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and elevated bicarbonate levels, which is not present in these results.

B. Respiratory alkalosis would present with an increased pH and decreased PaCO2, which does not apply here.

C. The low pH (7.12) indicates acidemia, and the elevated PaCO2 (90 mm Hg) suggests hypoventilation and respiratory acidosis due to CO2 retention. The bicarbonate level is within normal limits, further supporting respiratory acidosis.

D. Metabolic acidosis would be indicated by a low pH and low bicarbonate levels; however, the bicarbonate is normal in this case, ruling out metabolic acidosis.

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A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder. Exhibits The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply

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Naxlex Comprehensive Predictor Exams

How should the nurse identify the rhythm shown in the diagram?

Correct Answer is A

Explanation

A client who is found unresponsive has arterial blood gases drawn, and the results indicate the following: - pH is 7.12 (normal range: 7.35-7.45) - PaCO2 is 90 mm Hg (normal range: 35-45) - HCO3- is 22 mEq/L (normal range: 22-26) The nurse interprets the results as indicating which condition?

Correct Answer is C

Explanation

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A nurse is caring for a client in an assisted living facility who has vision problems. Exhibits Complete the sentence by using the list of options The findings noted by the health care practitioner suggest that

A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder. Exhibits The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply

A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.

Exhibits

The receiving medical-surgical nurse would expect the patient to exhibit which signs and symptoms? Select all that apply