Drug Card Propylthiouracil (Ptu)

The nurse would expect the management of a patient with HHNK to differ from that of a patient with DKA because the patient with HHNK requires:

The nurse draws blood for arterial blood gas analysis. Measurements reveal pH, 7.28: PO2, 50 mmHg, PCO2, 64 mmHg, and HCO3 – 20 mEq/L. Based on these findings, the nurse would expect to:

Which patient would not be considered at risk for developing SIADH?

A friend brings a 25-year-old man to the ED. The patient had been complaining of blurred vision, headache, slurred speech, and weakness. He is now comatose. Earlier in the morning, he had been playing tennis. Immediate laboratory studies indicate a serum glucose level of 34 mg/dL. The nurse suspects that this patient’s symptoms resulted from:

A 65-year-old woman is brought to the ED by ambulance after fainting. Physical examination reveals central-type obesity with a fatty buffalo hump in the neck, hirsutism, thin and fragile extremities with ecchymotic areas, hypertension, and mild congestive heart failure. She informs the nurse that she has experienced extreme weakness and fatigue during the past month and that her sleep patterns have become altered. The nurse realizes that the patient’s signs and symptoms are characteristic of:

A 58-year-old man arrives at the ED, diaphoretic and complaining of severe pain in the right side. He informs the nurse that he had been walking his dog when he suddenly felt a horrible pain. Assessment findings reveal that his blood pressure is 160/70 mmHg, pulse 124 beats/minute and regular, temperature 98.6o F (37oC), and respiratory rate 24 breaths/minute. His abdomen, when palpated, reveals tenderness in the right flank. Urinalysis indicates RBCs in the urine. The patient has a history of hypertension and no known allergies. The physician diagnoses renal calculi and requests a consultation with the urologist. The nurse would expect the history of a patient with renal calculi to reveal a previous diagnosis of:

Which fluid replacement method would the nurse expect to administer to a patient with adrenal crisis?

Nursing care of a patient with adrenal crisis should focus on the prevention of which life-threatening aspect of adrenal crisis:

A 65-year-old woman is brought to the ED by ambulance after fainting. Physical examination reveals central-type obesity with a fatty buffalo hump in the neck, hirsutism, thin and fragile extremities with ecchymotic areas, hypertension, and mild congestive heart failure. She informs the nurse that she has experienced extreme weakness and fatigue during the past month and that her sleep patterns have become altered. The nurse realizes that the patient’s signs and symptoms are characteristic of:

A 65-year-old woman is brought to the ED by ambulance after fainting. Physical examination reveals central-type obesity with a fatty buffalo hump in the neck, hirsutism, thin and fragile extremities with ecchymotic areas, hypertension, and mild congestive heart failure. She informs the nurse that she has experienced extreme weakness and fatigue during the past month and that her sleep patterns have become altered. The nurse realizes that the patient’s signs and symptoms are characteristic of: