A patient who is taking a thyroid replacement medication tells the nurse that she is starting to experience cold intolerance, depression, constipation, and dry skin. The nurse anticipates that these manifestations are caused by?
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Give both answers please
![Question 10
As RNs we have certain concerns. Please match onset, peak, duration with the appropriate concern.
Onset
Peak
Duration
Question 11
✓ [Choose ]
Time food is eaten.
Greatest risk for hypoglycemia
When the next injection is due
drug interactions with another medication
O possible overdose of the medication
O inadequate doses of the medication
O worsening of the underlying disease
[Choose ]
A patient who is taking a thyroid replacement medication tells the nurse that she is starting to experience cold intolerance,
depression, constipation, and dry skin. The nurse anticipates that these manifestations are caused by?
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- Formulate a Discharge Plan for a 3-year-old male child newly diagnosed with Diabetes Mellitus Type 1. Use the acronym METHODS (medication, exercise(activity /environment, treatment, health education, out-patient follow-up, diets, social/spiritual). His home medication is Regular Insulin 3 units SC TID 30 minutes before meals. The doctor also ordered monitoring of blood glucose TID before an insulin injection. The doctor advised them to return for a follow-up checkup after 2 weeks with the CBG monitoring log, and as needed. The parents are anxious about their child's condition and worried that they might not be able to take care of him. The mother asks for instruction on how to administer the insulin as this is the first time that they will do this. The mother verbalized concern that his child might need diet and activity restrictions. They have heard the word "hyperglycemia and hypoglycemia" from an adult neighbor and asks you if their child would also experience those episodes. The…V Document (1) (2)[1] - Read-... V Layout References A A Aa A A 2. A N Mailings E. Diphenhydramine D. V Review V V Paragraph Search View Help 3 T FS A. Thank you for reminding me, Ill put on my gown now. The patient only requires standard precautions. Normal C. Actually, I only need to wear gloves if I have open cuts on my hand. 69. The nurse is admitting a patient positive for human immunodeficiency virus (HIV). A fellow nurse states, This patient is on contact precautions for his HIV status. You need to wear an isolation gown in addition to your gloves. Which response by the nurse is most appropriate? HIV is only spread by eating infected meat and vegetables. No Spacing Styles Ana Heading 1 Focus5 Mrs. Taylor has a long history of seizures. Elixir of phenobarbital 30 mg po q 12 h is How many milliliters will the nurse administer per dose? ordered. VOID WV 5931 AMX Eli Lilly & Company, Indianapolis, IN 46285, U.S.A. Expiration Date/Control No. Press Esc to exit full screen (15° to 30° C) Store at Controlled Room Temperature 59° to 86° F Keep Tightly Closed NDC 0002-2438-05 16 fl oz (1 pt) (473 ml) Lilly ELIXIR No. 227 PHENOBARBITAL ELIXIR, USP Contains 20 mg Phenobarbital per 5 mL WARNING-May be habit forming. Contains Alcohol 14 Percent CAUTION-Federal (U.S.A.) law prohibits dispensing without prescription. Usual Adult Sedative Dose-60 mg (1 gr) (3 tea- spoonfuls) two to four times a day. Indiscriminate use may be harmful. Dispense in a tight, light-resistant container. 6 50 8272, 2000 €
- QUESTION 17 When changing overload, which is the prudent decision? OA. for unfit individuals, change the amount of workload OB. change one at a time OC. change all intensity factors O D. based on the individual's physical status, change 1 to 2 factors QUESTION 18 Notable health benefits may be gained if an individual O A. exercises at a 40% - 50% (moderate) level 3 times per week, preferably most days of the week O B. exercises at least 60 minutes each day, even if it is two 30 minute bouts OC. exercises 3 times per week at 30% intensity OD. exercises no less than 5 times per week at a moderate level 4 ہےENDOCRINE SYSTEM CASE: A 68-year-old male patient with type 2 Diabetes Mellitus has received optimal metformin monotherapy for the last 2 years (current dose of 2000 mg/day) and tolerates the treatment well. Hypoglycemia has not been an issue to date. His body mass index (BMI) is 28 kg/m2, which he has worked hard to reduce from 35 kg/m2 over the last 2 years. He has mild hypertension, which is well- controlled on a thiazide plus an angiotensin-converting enzyme inhibitor. His blood lipids are well-controlled on atorvastatin 10 mg daily. He now presents at the clinic with an HbA1c of 7.6%. After reviewing the available therapeutic choices and using a shared decision-making model, a dipeptidyl peptidase-4 (DPP-4) inhibitor is selected as add-on therapy based upon simplicity of use, tolerability, and the patient’s wish to avoid anything that might cause weight gain. What specific parts of the endocrine system is affected in this case? What are the normal functions of the body…ENDOCRINE SYSTEM CASE: A 68-year-old male patient with type 2 Diabetes Mellitus has received optimal metformin monotherapy for the last 2 years (current dose of 2000 mg/day) and tolerates the treatment well. Hypoglycemia has not been an issue to date. His body mass index (BMI) is 28 kg/m2, which he has worked hard to reduce from 35 kg/m2 over the last 2 years. He has mild hypertension, which is well- controlled on a thiazide plus an angiotensin-converting enzyme inhibitor. His blood lipids are well-controlled on atorvastatin 10 mg daily. He now presents at the clinic with an HbA1c of 7.6%. After reviewing the available therapeutic choices and using a shared decision-making model, a dipeptidyl peptidase-4 (DPP-4) inhibitor is selected as add-on therapy based upon simplicity of use, tolerability, and the patient’s wish to avoid anything that might cause weight gain. What are the risk factors/ causes of the medical condition? What are the ways to prevent these risk factors/…
- Question 76 Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousnessAY is a 50 year old woman who was prescribed Atorvastatin (Lipitor ®) 40 mg od last week. Today, she came in complaining of muscle pain and weakness, especially in her arms and thighs. Upon going through her medical record, you found that AY is also on diltiazem 240 mg daily and omeprazole 40 mg daily. Ser565 L Sere Phe423 Val683 NH OH OH NH₂ b) Construct a thorough structure-activity relationship (SAR) examination of all three drugs in order to make a proper therapeutic recommendation for AY.a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases What are common side effects of fentanyl? How should they be monitored or avoided?
- a 45 year old female admitted to the psychiatric unit for major depressive disorder withassociated psychosis. She has a history of breast cancer with inoperable metastases to the brain. NKDAAllergies NKDA Current MedicationsFentanyl (Duragesic) 75mcg/hr patch Q3daysSertraline (Zoloft) 200 mg po dailyLorazepam (Ativan) 0.5 – 2 mg po or IM q4h prn agitationRisperidone (Risperdal) 1 mg po BIDPhenytoin (Dilantin) 300 mg po QHSPMH Major depression with psychosisHx of breast cancerBrain metastases 4. What are common side effects of risperidone?Mr. North is 62 years of age and has recently been diagnosed with Type 2 diabetes. What is insulin reaction? Please be detailed. Why is foot care important for diabetic residents? What patient care measures can nurse aides do regarding foot care? What can nurse aides not do?NDC 10019-178-44 Morphine C Sulfate Injection, USP 10 mg/mL Ronly FOR SC, IM OR SLOW IV USE NOT FOR EPIDURAL OR INTRATHECAL USE 25 x 1 mL DOSETTE® Vials Baxter esiLEDERLE Mtd. for an affiliate of Baxter Healthcare Corporation Deerfield, IL 60015 USA by: Elkins-Sinn, Cherry Hill, NJ 08003 400-830-01 Each ml contains morphine sul fate 10 mg, monobasic sodium phosphate, monohydrate 10 mg. dibasic sodium phosphate, anhy- drous 2.8 mg. sodium formal sulfoxylate 3 mg and mg in Water for sulfuric acid 2.5 mg in added, I needed for pH adjust- ment. Sealed under nitrogen Usual Dosage: See package insert. PROTECT FROM LIGHT. 0 25 25-65:s Store at 15-30°C (59-86°F). Avoid freezing. NOTE: Do not use if color is darker than pale yellow, if it is discolored in any other way or if it contains a precipitate. DOSETTE® is a registered trade- mark of A.H. Robins Company. 10019 17844 ZM Use the medication label to complete these calculations. The drug label will supply the dosage strength and the unit.…