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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. The initial management of DKA involves fluid resuscitation with intravenous normal saline to correct dehydration and electrolyte imbalances. Therefore, starting an infusion of normal saline at 125 ml/hr is the first prescribed action the nurse should implement.
Bringing the patient a meal is not a priority at this time because the patient's blood glucose levels need to be stabilized before they can safely consume food. Administering Lantus insulin IV and giving sodium bicarbonate 50 mEq IV push are also not the first-line treatments for DKA. Lantus insulin is a long-acting insulin used to treat hyperglycemia over an extended period and should not be given intravenously. Sodium bicarbonate may be used to correct acidosis, but it is not the first priority in DKA management.
Correct Answer is B
Explanation
Desmopressin acetate (DDAVP) is a synthetic hormone used to treat diabetes insipidus, which is a condition that causes excessive urination and thirst due to a lack of antidiuretic hormone (ADH) production in the body. By mimicking the effects of ADH, Desmopressin acetate (DDAVP) helps to reduce the amount of urine produced by the body and increase water reabsorption, which helps to alleviate symptoms of diabetes insipidus.
Therefore, the nurse should monitor the patient's urinary output and ensure that it decreases in response to the medication. It is important to note that Desmopressin acetate (DDAVP) can also cause hyponatremia (low sodium levels in the blood), so sodium levels should also be monitored during treatment.
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