In a severely anemic patient, which assessment findings would the nurse expect to find?

Which finding indicates to the nurse that the current therapies are effective for a patient who has Addison's disease?

Prioritize the nursing interventions for Mr. Frank.

Options:

RM, a 38-year-old woman who is attending graduate school and is very sedentary, comes to a community outpatient clinic. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds (6.8 kg) over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She says she has general body aches and pains with frequent muscle cramps and constipation. You note she is dressed inappropriately warmly for the weather. The physician orders lab work. The lab results are as follows:

WBC - WNL

HGB - WNL

Glucose - WNL

Amylase - WNL

Cholesterol - WNL

T4 (thyroxine) -↓

T3 (triiodothyronine) -↓

Thyroid-stimulating hormone (TSH) -↑

The physician diagnoses RM with an endocrine disorder. The assessment findings and lab work are consistent with which endocrine problem?

Interpret these clinical findings and determine the nurse's next action.

Clinical Findings:

• Complaints of dizziness and unsteady gait.
• BP: 98/60 mmHg.
• Carbidopa-Levodopa last taken 30 minutes ago.

A patient who has been receiving IV heparin infusion and oral warfarin (Coumadin) for a deep vein thrombosis (DVT) is diagnosed with heparin-induced thrombocytopenia (HIT) when the platelet level drops to 80,000/uL. Which action will the nurse take first?

Mr. Carter, a 35-year-old male, presents to the clinic with complaints of fatigue, nausea, intermittent abdominal pain, and jaundice. He reports that he recently returned from a week-long trip to a rural area in Southeast Asia, where he ate local food and drank untreated water. He denies any history of alcohol use or intravenous drug use.

Laboratory results include:

ALT (Alanine Aminotransferase): 1,200 U/L (Normal range: 7–56 U/L).

AST (Aspartate Aminotransferase): 1,000 U/L (Normal range: 10–40 U/L).

Total Bilirubin: 5.5 mg/dL (Normal range: 0.1–1.2 mg/dL).

Hepatitis A IgM: Positive (Normal range: Negative).

Social History:
Works as a teacher.
Lives alone.

Identify the priority nursing interventions for Mr. Carter (select all that apply):

A 38-year-old female client was diagnosed with a right lower extremity deep vein thrombosis (DVT) after surgery 2 days ago. This morning the nurse reviews the client's electronic health record to complete a shift assessment. Data from the health record include a prescription from the primary health care provider for warfarin 5 mg orally every day, and the following laboratory results:

• Hemoglobin: 17 g/dL
• Hematocrit: 44.9%
• WBC count: 5500/mm³
• Platelets: 160,000/mm³
• aPTT: 40 sec
• PT: 12 sec
• INR: 0.9
• BUN: 16 mg/dL
• Creatinine: 0.6 mg/dL

The nurse assesses the client for which signs and symptoms of a DVT?

A 71-year-old male client with moderate to late-stage Parkinson disease is admitted from home to the hospital with new-onset orthostatic hypotension and occasional dysphagia. According to his wife, he needs assistance with ADLs only on days when his rigidity is worse, and walks short distances in the house using a walker. Which of the following actions would the nurse take? Select all that apply.

A serum potassium level of 3.2 mEq/L is reported for a patient with cirrhosis who has scheduled doses of spironolactone (Aldactone) and furosemide (Lasix) due. Choose the best nursing action.

Elevated serum ammonia level causes which complication of cirrhosis?