The nurse is caring for a client who is admitted with a diagnosis of a thyroid storm. Which of the following orders would the nurse question?

Prednisolone

Aspirin

Diazepam

Metoprolol

Answer and Explanation

The Correct Answer is B

Choice A reason: Prednisolone reduces inflammation and thyroid hormone production in thyroid storm, stabilizing metabolism, a standard adjunct, so this order is appropriate.

Choice B reason: Aspirin displaces thyroid hormone from proteins, worsening hyperthyroidism in thyroid storm, risking increased T3/T4 effects, so it’s contraindicated and questionable.

Choice C reason: Diazepam controls agitation and seizures in thyroid storm’s hypermetabolic state, calming the nervous system, making it a suitable order here.

Choice D reason: Metoprolol blocks beta-adrenergic effects, slowing heart rate in thyroid storm’s tachycardia, a critical intervention, so this order is clinically sound.

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Correct Answer is C

Explanation

Choice A reason: Fluticasone, an inhaled steroid, treats asthma inflammation safely in heart failure, reducing airway reactivity without cardiac impact, so no clarification is needed.

Choice B reason: Captopril, an ACE inhibitor, reduces preload in heart failure, safe with asthma as it doesn’t affect airways, aligning with standard therapy.

Choice C reason: Carvedilol, a non-selective beta-blocker, treats heart failure but risks bronchospasm in asthma by blocking beta-2 receptors, requiring clarification for safety.

Choice D reason: Isosorbide dinitrate dilates vessels in heart failure, reducing workload, with no asthma contraindication, making it appropriate without needing clarification.

A. 4445 mL B. 4000 mL C. 4250 mL D. 4500 mL

Correct Answer is A

Explanation

Choice A reason: Total output is hemodialysis (4000 mL) + Jackson Pratt (20 mL) + urine (100 mL) + nasogastric (325 mL) = 4445 mL, accurately summing all fluid losses recorded.

Choice B reason: 4000 mL only accounts for hemodialysis, ignoring Jackson Pratt (20 mL), urine (100 mL), and nasogastric (325 mL), underestimating total output significantly.

Choice C reason: 4250 mL likely omits nasogastric (325 mL) or miscalculates, as 4000 + 20 + 100 + 325 = 4445 mL, missing part of the recorded fluid loss.

Choice D reason: 4500 mL overestimates; 4000 + 20 + 100 + 325 = 4445 mL, suggesting an error in adding an extra 55 mL not documented in outputs.

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The nurse is caring for a client who is admitted with a diagnosis of a thyroid storm. Which of the following orders would the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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