A 55-year-old woman is admitted to the ED with a temperature of 105o F (40.5oC), blood pressure 180/110 mmHg, pulse rate 120 beats/minute, and respiratory rate 36 breaths/minute. She shows signs of dehydration and states that she has been experiencing muscle weakness and bone pain for the past week. She has a history of Grave’s disease. The physician diagnoses thyroid crisis. The patient begins to complain of bone pain and thirst. The nurse notes a decreased level of consciousness and hypotonicity of muscles. Which laboratory findings should be monitored in this situation?

A 47-year-old man is brought to the ED. His family reports that he had become confused over the past 72 hours and suffered a seizure while on the way to the hospital. Upon arrival, the patient is minimally responsive. His respiratory rate is 32 breaths/minute, pulse rate 110 beats/minute, and blood pressure 120/90 mmHg. Immediate laboratory work reveals an abnormal sodium level of 117 mEq/L. The patient’s chest X-ray reveals a mass in the right mid-lung field. The nurse suspects that the underlying factor responsible for this patient’s change in mental status is related to:

Which of the following would not be useful in assessing a patient’s thyroid function:

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 55-year-old woman is admitted to the ED with a temperature of 105o F (40.5oC), blood pressure 180/110 mmHg, pulse rate 120 beats/minute, and respiratory rate 36 breaths/minute. She shows signs of dehydration and states that she has been experiencing muscle weakness and bone pain for the past week. She has a history of Grave’s disease. The physician diagnoses thyroid crisis. The nurse would assess this patient for signs of:

The nurse knows that emergency management of a comatose patient with hypoglycemia includes:

A 68-year-old woman is brought to the ED by her son, who informs the nurse that his mother has been experiencing weakness, polydipsia, and polyuria for the past few days.Initial laboratory studies reveal a serum glucose level of 2,000 mg/dL no ketones are detected in the urine. The physician diagnoses HHNK. Which assessment finding would result in a change in the level of consciousness in a patient with HHNK?

An obese patient with Addison’s disease is admitted to the ED after ambulatory surgery. The paramedics report that the patient has a fever, pallor, rapid weak pulse, signs of dehydration, headache, confusion, restlessness, and a blood pressure of 90/50 mmHg. Laboratory findings reveal a serum potassium level of 6.5 mEq/L, white blood cell count, 15,000/mm3 serum glucose level 55 mg/dL, and serum sodium level 124 mEq/L. The physician diagnoses adrenal crisis. The nurse suspects that this patient’s adrenal crisis probably resulted from:

Prevention of which potential complication is the goal of nursing care for a patient with SIADH:

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:

The nurse is caring for a client with Cushing syndrome. The nurse knows to perform which daily activity?

The nurse is working with a client who has been diagnosed with Cushing’s syndrome. The nurse has provided teaching about the disease process and management. Which of the following statements by the client demonstrates a need for additional teaching?

A nurse is caring for a client who has been diagnosed with Cushing’s syndrome. The client is at risk of impaired skin integrity related to skin dryness and edema. Which of the following goals would be most appropriate for this client?

A client with Cushing’s syndrome has become more withdrawn from friends and relatives because of changes in appearance. Upon admission to the healthcare center, the nurse gives the client a nursing diagnosis of Social Isolation related to discomfort with others and feelings of rejection by other people. Which of the following nursing interventions is most appropriate in this situation?

The nurse is caring for a client with Cushing’s syndrome. The nurse knows that this disease is caused by hypersecretion of which of the following hormones? Select all that apply.

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

A student nurse asks the preceptor about Cushing’s triad. The nurse correctly includes all of the following as part of Cushing’s triad except which?

Which of the following electrolyte imbalances is an expected finding for a client with Cushing’s Syndrome? Select all that apply.