A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?
Coma
Hypothermia
Tachycardia
Fruity smelling breath
The Correct Answer is C
A. Coma: Possible in severe cases but not universally anticipated.
B. Hypothermia: Incorrect. Thyroid storms typically causes hyperthermia, not hypothermia.
C. Tachycardia. Tachycardia is a hallmark of thyroid storms due to excessive thyroid hormone levels stimulating the heart. Increased metabolic rate and sympathetic activity lead to rapid heart rate.
D. Fruity smelling breath: Not typically associated with thyroid storm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.2"]
Explanation
Dopamine infusion calculation:
- Client weight: 176 pounds
- Dopamine dose ordered: 3 mcg/kg/min
- Dopamine concentration: 500 mg in 250 mL
- Conversion factor: 1 mg = 1000 mcg
- 1 kg = 2.2 pounds
Calculations:
- Convert client weight to kg: 176 lbs / 2.2 lbs/kg = 80 kg
- Calculate mcg/min: 3 mcg/kg/min × 80 kg = 240 mcg/min
- Calculate mcg/hr: 240 mcg/min × 60 min/hr = 14400 mcg/hr
- Calculate mL/hr: Dopamine concentration is 2 mg/250 mL, which equals 2000 mcg/mL.
- mL/hr = 14400 mcg/hr / 2000 mcg/mL = 7.2 mL/hr
Answers:
- mcg/min: 240 mcg/min
- mcg/hr: 14400 mcg/hr
- mL/hr: 7.2 mL/hr
Correct Answer is A
Explanation
A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.
B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.
C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.
D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.
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