A patient with severe tachycardia. hyperthermia and agitation are admitted for acute thyrotoxicosis (thyroid storm). The nurse will anticipate the need to administer which of the following medications?

Select all that apply.

captopril

acetaminophen

amiodarone

aspirin

propylthiouracil

Answer and Explanation

Correct Answer : B,E,F

The other options are not typically used in the treatment of thyroid storm. Captopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and congestive heart failure, amiodarone is an antiarrhythmic drug used for cardiac arrhythmias, and aspirin is a nonsteroidal anti-inﬂammatory drug (NSAID) used for pain relief and fever reduction.

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Correct Answer is B

Explanation

This is because the persistent dysuria suggests that the initial treatment was not eﬀective, and there may be a possibility of a resistant organism. Obtaining a midstream urine specimen for culture and sensitivity testing will help identify the specific microorganism causing the infection and determine the most eﬀective antibiotic to use. The nurse should also instruct the patient to continue to drink plenty of ﬂuids, as this will help ﬂush out the bacteria and relieve symptoms. The nurse may suggest the use of acetaminophen (Tylenol) to relieve discomfort, but this should not be the only action taken, as treating the underlying infection is crucial. The nurse should not tell the patient to take trimethoprim and sulfamethoxazole for an additional three days, as the initial treatment was not eﬀective, and a diﬀerent course of treatment may be required based on the results of the urine culture and sensitivity testing.

A. Call the MD. B. Administer 1 mg Glucagon IM. C. Administer 5 units of Humalog insulin. D. Encourage the patient to eat their meal.

Correct Answer is B

Explanation

Since the patient's blood glucose level is less than 70 mg/dL and they are symptomatic, the first step is to administer 1 mg Glucagon IM. This will help increase the patient's blood glucose level quickly.

After administering Glucagon, the nurse should then call the MD to report the low blood glucose level and discuss any necessary adjustments to the patient's insulin regimen. It is important to note that in this situation, administering Humalog insulin would further lower the patient's blood glucose level and could worsen their symptoms. Encouraging the patient to eat their meal is also important, but it should be done after the administration of Glucagon to help maintain their blood glucose level.

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A patient with severe tachycardia. hyperthermia and agitation are admitted for acute thyrotoxicosis (thyroid storm). The nurse will anticipate the need to administer which of the following medications? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 46-year-old female patient returns to the clinic with continued dysuria after being treated with trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?

Correct Answer is B

Explanation

Correct Answer is B

Explanation

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A patient with severe tachycardia. hyperthermia and agitation are admitted for acute thyrotoxicosis (thyroid storm). The nurse will anticipate the need to administer which of the following medications?

Select all that apply.