The clinical signs and symptoms of acute adrenal crisis are caused by:

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:

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:

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

The nurse would assess for hyperkalemia by observing for which EKG change:

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

Which medication should the nurse prepare forimmediate administration got a patient with adrenal crisis?

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 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?