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- Which of the following treatments is appropriate for a patient with diffuse toxic goiter during the third trimester of pregnancy?A. Subtotal thyroid gland resectionB. Treatment with radioactive iodineC. Lugol's solutionD. PropylthiouracilE. PrednisoloneA patient is experiencing severe diarrhea, flushing, and life threatening hypotension associated with carcinoid crisis. The nurse will prepare to administer which drug? a) octreotide (Sandostatin)b) vasopressin (Pitressin)c )somatropin (Humatrope)d) cosyntropin (Cortrosyn)Ms. Mellon is a 43year old woman who has lived in a Residential Habilitation Center from age 11 to 40. For the last three years she has been in a Tenant Support Program. This past year staff noticed that she had begun to lose weight. This became a concern because she had always been rather slender. Staff had encouraged her to eat more and had routinely prepared the foods she liked the most. Still, she was losing weight and was about 15 pounds below her ideal weight. At a staff meeting to discuss Ms. Mellon's food consumption, it was discovered that she was generally eating breakfast but not lunch or dinner. While lunches and dinners were always made and served to her, she often dumped the food in the garbage when staff members were not present. She also was not drinking much water and staff wondered if this was part of the problem. Because Ms. Mellon did not talk, staff could not find out why she wasn't eating more than breakfast. Staff decided to use the "Determine Your Nutritional…
- A pediatric home care nurse schedule a visit to the home of a four week old newborn, who had a low thyroxine T4 and a high thyroid stimulating hormone at birth, and was diagnosed with congenital, hypothyroidism or cretinism, which instruction is most important for the nurse to provide the beatings of the childPatient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTNList the long term complications of DMIndications to estrogen therapy does not include:A. Thromboembolic diseaseB. OsteoporosisC. Disable hot flushesD. Severe mucosal atrophy of the GU tractE. Certain psychiatric symptoms
- Case Scenario A 25-year-old woman delivered 2 weeks ago. She states that she has been breastfeeding with no problems until two days ago. Now she is complaining of right breast tenderness, pain and redness. Her temperature is now 38.5 degree celcius. GUIDE QUESTIONS: What do you think is happening to the client? Explain further. What are the nursing interventions and treatment for this condition?A 45-year-old male presents with jaundice, dark urine, and pruritus. He has a history of alcohol abuse and obesity. On examination, hepatomegaly is noted. Which of the following conditions is most likely? A. Acute hepatitis A B. Alcoholic liver disease C. Gallstones D. Pancreatic cancerA 32-year-old G1PO diabetic patient unsure of the date of her last menstrual period (LMP) sought here first prenatal says that she missed three menses, but her fundus is palpated slightly below the level of umbilicus. The physician requested for ultrasonography to estimate the gestational age. Family history is positive for DM. When should the nurse advise the client to have her checked? a. 32-36 weeks b. 28-32 weeks c. At term d. 24-28 weeks
- A 14-year-old male student was seen by his physician. His chief complaints were fatigue; weight loss; and increases in appetite, thirst, and frequency of urination. For the past 3 to 4 weeks, he had been excessively thirsty and had to urinate every few hours. He began to get up three to four times a night to urinate. The patient has a family history of diabetes Mellitus 1. Based on the preceding information, can this patient be diagnosed with diabetes?Patient is a 55 year old female with a diagnosis of diabetes. She was diagnosed when she was 50 aftershe changed jobs and became more sedentary and which also resulted in a poor diet. She currentlyoverweight with a BMI of 32.Allergies NKDACurrent MedicationsMetformin 1000 mg BIDLisinopril 10 mg once dailyPMH Propranolol 10 mg TIDDMHTN1. What concerns do you have with the propranolol?A 72-year-old man has a radical prostatectomy for localized prostate cancer. After surgery his PSA level was undetectable. He presents 5 years later having been “lost to follow up.” He complains of pain in his hip and lower back. His PSA level is now markedly elevated. What initial investigations are warranted? What therapies are available for this complication?