A nurse is receiving a patient from the emergency room (ER) with an admitting diagnosis of hypothyroid disorder.
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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assessing visual acuity directly tests cranial nerve II (the optic nerve), which is responsible for vision.
B. Eliciting the gag reflex tests cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve II.
C. Checking for pupillary response to light primarily assesses the function of cranial nerve II but is more associated with cranial nerve III (oculomotor) since it involves the constriction of the pupil. While relevant, it is not the best standalone action for assessing cranial nerve II specifically.
D. Observing for facial symmetry is associated with cranial nerve VII (facial nerve), not cranial nerve II.
Correct Answer is ["3.6"]
Explanation
Step 1: Calculate the total daily dose of digoxin:
- 12 mcg/kg/day * 30 kg = 360 mcg/day
Step 2: Calculate the dose per administration:
Since the dose is to be divided equally every 12 hours, each dose will be half of the total daily dose:
- 360 mcg/day / 2 = 180 mcg/dose
Step 3: Convert mcg to mg:
- 180 mcg = 0.18 mg
Step 4: Calculate the volume to administer:
We know that 0.05 mg of digoxin is contained in 1 mL of the elixir. So, to find the volume for 0.18 mg, we can set up a proportion:
- 0.05 mg / 1 mL = 0.18 mg / x mL
Cross-multiplying:
- 0.05x = 0.18
Solving for x:
- x = 0.18 / 0.05 = 3.6 mL
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