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

Answer and Explanation

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.

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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

A. Enoxaparin B. Alteplase (tPA) C. Warfarin D. Clopidogrel

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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A nurse is assessing a client who is experiencing a thyroid storm. Which of the following findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Administer Dopamine 3 mcg/kg/min. The client weighs 176 pounds. The drug is available as 500 mg in 250 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Do not round your answer and include unit of measure with each answer)

Correct Answer is ["7.2"]

Explanation

A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?

Correct Answer is A

Explanation

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