Page 365 - Critical Care Nursing Demystified

350 CRITICAL CARE NURSING DeMYSTIFIED

REVIEW QUESTIONS

1. Which of the following discharge instructions would be appropriate for the nurse
to provide to a patient following a thyroidectomy? Select all that apply.
A. Report signs and symptoms of hypoglycemia.
B. Take thyroid replacement medication as ordered.
C. Report changes to the doctor such as lethargy, intolerance to cold, dry skin.
D. Avoid all over-the-counter (OTC) medication.
E. Carry injectable Decadron at all times.

2. A patient is to receive 10 U of regular insulin for a blood glucose level of
365 mg/dL. The vial is labeled 100 U/mL. How many milliliters of insulin should
the nurse administer?
A. 1 mL
B. 0.5 mL
C. 0.1 mL
D. 0.375 mL
3. Which of the following findings should the nurse expect to find when assessing a
newly admitted patient diagnosed with diabetes insipidus? Select all that apply.
A. Extreme polyuria Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
B. Excessive thirst
C. Elevated systolic blood pressure
D. Low urine specific gravity
E. Bradycardia
F. Elevated serum potassium level

4. Which of the following patient findings should alert the nurse of inadequate
thyroid replacement therapy? Select all that apply.
A. Tachycardia
B. Low body temperature
C. Nervousness
D. Bradycardia and constipation
E. Dry mouth

5. A 50-year-old woman seeks medical attention for the following symptoms: rav-
enous appetite with a 20-lb weight loss within the past month. A diagnosis of
Graves’ disease is confirmed. What other signs and symptoms of Graves’ disease
would the nurse expect to find? Select all that apply.
A. Rapid, bounding pulse
B. Bradycardia and constipation
C. Heat intolerance
D. Tremors and nervousness