A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?

Hypotension

Tachycardia

Slow respiratory rate

Decreased body temperature

Answer and Explanation

The Correct Answer is B

A. Hypotension: Hyperthyroidism typically causes increased cardiac output and can lead to normal or elevated blood pressure, not hypotension.

B. Tachycardia. Elevated thyroid hormones increase metabolic rate and sympathetic nervous system activity, leading to tachycardia.

C. Slow respiratory rate: There is no direct effect of hyperthyroidism on respiratory rate.

D. Decreased body temperature: Hyperthyroidism is associated with increased metabolism, which can lead to heat intolerance and increased body temperature, not decreased.

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Free Nursing Study Resources

Correct Answer is ["20"]

Explanation

Heparin infusion calculation:

Heparin dose ordered: 1000 units per hour
Heparin concentration: 25,000 units in 500 mL
Conversion: 1 mL = 500 units

Calculations:

Units per hour = 1000 units
Units per mL = 25,000 units / 500 mL = 50 units/mL
mL per hour = 1000 units / 50 units/mL = 20 mL/hr

Answer: The IV pump should be set to 20 mL/hr.

A. "You have had a gastrointestinal bleed." B. "You have fewer red blood cells." C. "You have an autoimmune disease." D. "You have a low ferritin level."

Correct Answer is B

Explanation

A. "You have had a gastrointestinal bleed.": While this can cause fatigue due to anemia, it's not directly related to sickle cell anemia.

B. "You have fewer red blood cells." Sickle cell anemia causes chronic hemolysis, leading to anemia and fatigue. The characteristic sickle-shaped cells are less flexible and prone to hemolysis, resulting in fewer functional red blood cells and reduced oxygen-carrying capacity.

C. "You have an autoimmune disease.": Sickle cell anemia is not an autoimmune disorder.

D. "You have a low ferritin level.": Ferritin levels may be affected, but the primary cause of fatigue in sickle cell anemia is anemia itself, not low ferritin.

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Naxlex Comprehensive Predictor Exams

Administer heparin 1000 units per hour IV. The pharmacy supplies the heparin infusion as 25.000 units in 500 mL DSW. What will the IV pump be set to? (Include unit of measure with answer).

Correct Answer is ["20"]

Explanation

A nurse is caring for a client who has sickle cell anemia. The client asks, "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

Correct Answer is B

Explanation

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)

A nurse is interviewing a school-age child who has intermittent explosive disorder (IED). Which of the following behaviors should the nurse expect the client to exhibit?

Which of the following is a warning sign that someone may be at immediate risk for attempting suicide?

A nurse is teaching the parent of an adolescent who was recently diagnosed with oppositional defiant disorder (ODD). The parent asks, "Is there a medication that can help my child?" Which of the following responses should the nurse make?

A nurse is caring for a newly admitted adolescent client. When asked to describe their social support system, the client responds. "My mom died last year. and I have been in foster care ever since. I don't have many friends." Which of the following actions should the nurse take?

Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light. The nurse notes that the client's eyes have a bulging appearance. Which of the following should the nurse include in the client's plan of care?

Susan, the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?