Hyper vs. Hypothyroidism

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

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?

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:

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:

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?

Which statement regarding myxedema coma is true:

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:

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