A nurse is planning care for a client who is experiencing thyroid storm triggered by a systemic infection. Which of the following interventions should the nurse plan to take?

Request a prescription for levothyroxine IV.

Administer supplemental oxygen to the client.

Cover the client with warm blankets.

Implement measures to increase the client's pulse rate.

Answer and Explanation

The Correct Answer is B

A) "Limit sodium intake to 3,500 milligrams per day.":
Limiting sodium intake is crucial for managing heart failure to prevent fluid retention and exacerbation of symptoms. However, the recommended limit is typically much lower, around 1,500 to 2,000 milligrams per day, not 3,500 milligrams.

B) "Take ibuprofen for discomfort.":
Ibuprofen and other NSAIDs are not recommended for clients with heart failure as they can cause fluid retention, worsen heart failure symptoms, and increase the risk of kidney problems. Alternatives such as acetaminophen are generally safer for pain relief.

C) "Increase the distance you walk by 100 feet daily, even if you feel fatigued.":
While regular exercise is important, clients with heart failure should not push through fatigue, as overexertion can lead to worsening symptoms. Exercise recommendations should be tailored to the individual's tolerance and should be adjusted based on their energy levels.

D) "Include no more than 2,000 milliliters of fluid intake in 24 hours.":
Restricting fluid intake to 2,000 milliliters per day helps prevent fluid overload, which is critical for managing heart failure. Monitoring and limiting fluid intake can help control symptoms such as edema and shortness of breath.

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Correct Answer is C

Explanation

A) "I should limit my weightlifting to three times per week.": While weightlifting can be beneficial for bone health, it is generally recommended to engage in weight-bearing and resistance exercises more frequently than three times a week for optimal bone density. The frequency and type of weightlifting should be tailored to individual needs and safety considerations.

B) "I can continue to horseback ride.": Horseback riding, especially if not done carefully, poses a risk of falls and fractures, which can be dangerous for individuals with osteoporosis. Activities with a higher risk of injury should be avoided or approached with caution.

C) "I will go walking with a friend around our neighborhood.": Walking is a low-impact, weight-bearing exercise that promotes bone health and mobility without high risk. It is a suitable and recommended activity for individuals with osteoporosis to help maintain bone density and prevent falls.

D) "I will join my brother at his community aerobics class.": Aerobics classes may involve high-impact exercises and movements that could increase the risk of fractures or falls in individuals with osteoporosis. Low-impact, bone-strengthening activities are generally recommended instead.

A. Lymphocytes 30% B. RBC 4.4 C. Hgb 14 g/dL D. Hct 42%

Correct Answer is A

Explanation

A) Lymphocytes 30%:
Lymphocyte levels are typically elevated during the acute phase of mononucleosis as the body fights the Epstein-Barr virus. A level of 30% indicates that the lymphocyte count is returning to a more normal range, which suggests the client is recovering from the infection.

B) RBC 4.4:
The red blood cell count is not directly indicative of recovery from mononucleosis. While it provides information about the client's overall hematologic status, it does not specifically reflect the status of the viral infection.

C) Hgb 14 g/dL:
Hemoglobin levels can provide information about the client's oxygen-carrying capacity but do not specifically indicate recovery from mononucleosis. Normal hemoglobin levels are reassuring but not directly related to the viral infection's resolution.

D) Hct 42%:
Hematocrit levels, like hemoglobin, offer information about the client's blood composition but do not directly indicate recovery from mononucleosis. While normal hematocrit levels are desirable, they are not specific to the recovery status of the viral illness.

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A nurse is planning care for a client who is experiencing thyroid storm triggered by a systemic infection. Which of the following interventions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about activities to promote mobility with a client who has osteoporosis. Which of the following statements should the nurse identify as an understanding of the teaching?

Correct Answer is C

Explanation

A nurse in a provider's office is reviewing the laboratory report of a young adult female client who has had the communicable disease mononucleosis for the past 3 weeks. Which of the following laboratory results indicate the client is recovering from the virus?

Correct Answer is A

Explanation

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A nurse is planning care for a client who is experiencing thyroid storm triggered by a systemic infection. Which of the following interventions should the nurse plan to take?