To prevent autonomic dysreflexia, which nursing action would the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level?

Mr. Carter, a 35-year-old male, presents to the clinic with complaints of fatigue, nausea, intermittent abdominal pain, and jaundice. He reports that he recently returned from a week-long trip to a rural area in Southeast Asia, where he ate local food and drank untreated water. He denies any history of alcohol use or intravenous drug use.

Laboratory results include:

ALT (Alanine Aminotransferase): 1,200 U/L (Normal range: 7–56 U/L).

AST (Aspartate Aminotransferase): 1,000 U/L (Normal range: 10–40 U/L).

Total Bilirubin: 5.5 mg/dL (Normal range: 0.1–1.2 mg/dL).

Hepatitis A IgM: Positive (Normal range: Negative).

Social History:
Works as a teacher.
Lives alone.

Identify the priority nursing interventions for Mr. Carter (select all that apply):

Determine the flow rate in mL per hour for the following IV being administered by infusion pump: Ampicillin 1.5g in 100 mL 0.9% NS over 45 minutes: Round to the whole number.

Which information from a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?

To prevent autonomic dysreflexia, which nursing action would the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level?

Which instruction will the nurse plan to include in discharge teaching for a patient who was admitted with a sickle cell crisis?

Which action should the nurse plan to take for a patient with multiple sclerosis who has urinary retention caused by a flaccid bladder?

KB is a 65-year-old man admitted to the hospital after a 5-day episode of "the flu" with symptoms of dyspnea on exertion, palpitations, chest pain, insomnia, and fatigue. KB was diagnosed with Graves' disease 6 months ago and placed on methimazole (Tapazole) 15 mg/day. His other past medical history includes heart failure and hypertension requiring antihypertensive medications; however, he says that he has not been taking these medications on a regular basis. Vital signs (VS) are 150/90, 124 irregular, 20, 100.2°F (37.9°C). Admission assessment findings are height 5 ft 8 in (173 cm), weight 132 lb (60 kg), appears anxious and restless, loud heart sounds, bounding radial pulses, 1+ pitting edema noted in bilateral lower extremities, diminished breath sounds with fine crackles in the posterior bases, and hyperactive bowel sounds. KB begins to cry when he tells you he recently lost his wife. You notice someone has punched several more holes in his belt so he could tighten it.

Which of KB's assessment findings represent manifestations of hypermetabolism related to the effect of excess circulating thyroid hormone? Select all that apply.

RM, a 38-year-old woman who is attending graduate school and is very sedentary, comes to a community outpatient clinic. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds (6.8 kg) over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She says she has general body aches and pains with frequent muscle cramps and constipation. You note she is dressed inappropriately warmly for the weather. The physician orders lab work. The lab results are as follows:

WBC - WNL

HGB - WNL

Glucose - WNL

Amylase - WNL

Cholesterol - WNL

T4 (thyroxine) -↓

T3 (triiodothyronine) -↓

Thyroid-stimulating hormone (TSH) -↑

The physician diagnoses RM with an endocrine disorder. The assessment findings and lab work are consistent with which endocrine problem?

Marvin is transferred from the ICU to the Tele/Neuro unit 24 hours after receiving tPA. He has left sided hemiplegia with some dysphagia. What nursing interventions should be part of his plan of care? Select all that apply.

Which group of drugs will the nurse plan to include when teaching a patient who has a new diagnosis of peripheral artery disease (PAD)? Select all that apply: