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:

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:

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:

Which diagnostic test is the best indicator for a patient with adrenal crisis?

Which electrolyte imbalance would the nurse expect a patient to have in myxedema coma?

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

Paramedics bring a 66-year-old woman to the ED. Her blood pressure is 104/58 mmHg, pulse rate 44 beats/minute, respiratory rate 14 breaths/minute, and temperature 92.4o F (33.6oC). No medical history is available, except for the patient’s statement of not feeling well for the past month. Physical examination reveals a lethargic, thin woman with dry skin and periorbital and facial edema. Bilateral pulmonary congestion is noted. EKG monitoring shows sinus bradycardia. The physician diagnoses impending myxedema coma. The patient remains hypothermic, with a temperature of 95o F (35oC). An appropriate nursing intervention would be to:

Paramedics bring a 66-year-old woman to the ED. Her blood pressure is 104/58 mmHg, pulse rate 44 beats/minute, respiratory rate 14 breaths/minute, and temperature 92.4o F (33.6oC). No medical history is available, except for the patient’s statement of not feeling well for the past month. Physical examination reveals a lethargic, thin woman with dry skin and periorbital and facial edema. Bilateral pulmonary congestion is noted. EKG monitoring shows sinus bradycardia. The physician diagnoses impending myxedema coma. The patient remains hypothermic, with a temperature of 95o F (35oC). The nurse would anticipate the treatment for this patient to include all of the following except:

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