Ms. Reham is 39 years old woman has received a diagnosis of Graves' disease. Her thyroid laboratory values today include low TSH level and high free T4 level. She is anxious and always feels warm when others say it is too cold. Which is best for initial treatment of her condition: a. Atenolol b. Lugol's solution. c. Methimazole d. All the options are true
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a. Atenolol
b. Lugol's solution.
c. Methimazole
d. All the options are true.
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- In the moderate stage of thyrotoxicosis which of the following statements is not typical:A. RetinopathyB. Tachycardia 100-120/min.C. 131I uptake after 4 hours within 30- 40%D. 10-20% of weight loss E. Low level of TSHUse the following information to answer the next two questions. Blood Test Results for Patient A Patient A Normal Range Thyroxine Levels 0.6 ug/dl 4.6-12 ug/dl TSH Levels 6.9 mcU/mL 0.4-4.2 mcU/mL 1) Identify the gland(s) and hormone(s) that are causing this condition in Patient A. Explain what is happening. 2) Name the condition that might cause this hormonal imbalance. List three symptoms.Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and is unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg.(Learning Objective10) 1. What type of acid-base imbalance is this client experiencing? What components of the acid-base balance system are involved in this imbalance? 2. What are the normal ABG values?
- Jessica Sagat, 21 years old, is a type 1 diabetic client. She has been ill for the past several days and unable to control her blood sugar. She has developed elevated blood sugar, nausea, vomiting, rapid and deep respirations, and a fruity odor to her breath. An arterial blood gas (ABG) is taken and the results are: pH 7.30, PaCO2 43 mm Hg, Bicarb (HCO3) 19 mEq/L, and PaO2 93 mmHg. What type of acid–base imbalance is this client experiencing? What components of the acid–base balance system are involved in this imbalance? What are the normal ABG values?Indications for prescribing sulfonylurea for diabetes include:A. Type 1 diabetesB. Type 2 diabetes with normal body weightC. Type 2 diabetes with increased body weightD. Type 2 diabetes with weight lossE. Diabetic nephropathyA glucagon emergency kit is prescribed for a client with Type 1 diabetes… administration A. When unable to eat during sick days B. At the onset of signs of diabetic ketoacidosis C. Before meals to prevent hyperglycemia D. When signs of severe hypoglycemia occur
- The nurse working in an endocrine unit should see which client first? A. A client taking corticosteroids who has become disoriented in the last two hours. B. An adolescent male with type 1 diabetes who is arguing about his insulin dose. C. An older client with Addison's disease whose current blood sugar level is 62 mg/dL D. An adult with a blood sugar of 384 mg/dL and urine output of 350 mL in the last hourFolate deficiency may lead to: a.Megaloblastic anemia b.Neural tube defects c.Microcytic anemia d.a, b48) Opioid receptor antagonist administration should be avoided in pregnancy unless absolutely needed, because death of the fetus could result from _______________. 48) Vasodilation Narcotic Withdrawal Malnutrition Acidity
- Amelia Frankish is 67 years old. She presented to her GP last week, complaining of a very strong headache, followed by dizziness. The symptoms had resolved by the time she could see the GP, who was concerned enough to request a CT (computerised tomography) of Amelia's head and neck. medical history: Diabetes mellitus Type 2: Management: metformin 1000mg, daily enalapril 10 mg daily rosuvastatin 10mg, daily Atrial fibrillation (AF) Management: apixaban 2.5 mg, BD sotalol 40 mg, BD Cigarette smoking: 20 - 30 cigarettes/day, quit 5 years ago. GP diagnosis - one week ago. Amelia underwent a CT scan of the head and neck, but the results were normal. Amelia was assessed as requiring changes to her hypertension & AF management and the following changes made: enalapril ceased the following medications commenced or changed; irbesartan/ hydrochlorothiazide 300/25, daily amlodipine 5mg, daily apixaban 5mg, BD. Today: Amelia woke early this morning at 0600 hours with a 5/10 headache.…A 50 year old male is experiencing fatigue, dizziness, and headaches with a rapid decline in his visual acuity. He treats his hypertension and type 2 diabetes with medications. His brow and jaw are enlarged (proganthism), his hands and feet and fingers are wide. His wedding ring no longer fits on his finger. He is obese and has a deep voice. What hormones are of greatest concern of this person? a.) GSH B.) ACTH C.) Prolactin d.) GHA nurse is caring for a preschooler who refuses to take a start dose of oraldiphenhydramine. Which of the following statements should the nurse make?a. The medication isn't bad it tastes like candyb. let me know when you want to take the medicationc. the medication will treat your hypersensitivity reaction d. sometimes, when a child has to take medication, they feel sad