For the patient diagnosed with hyperthyroidism, several possible causes found on the medical record include Graves' disease, toxic multinodular goiter, and thyroid nodules.
Hyperthyroidism is a condition that occurs when the thyroid gland produces an excessive amount of thyroid hormone. As a result, it can cause weight loss, rapid heartbeat, and other symptoms. Hyperthyroidism is most commonly caused by an autoimmune disorder known as Graves' disease. Other potential causes include toxic nodular goiter, a condition in which one or more nodules in the thyroid gland produce an excessive amount of thyroid hormone, and subacute thyroiditis, which is an inflammation of the thyroid gland. Most people with hyperthyroidism have an underlying autoimmune disorder that causes the immune system to attack the thyroid gland. Some medications, such as lithium, can also cause hyperthyroidism as a side effect. Hyperthyroidism is diagnosed through a combination of blood tests and imaging studies. Blood tests can measure the levels of thyroid hormones and thyroid-stimulating hormone (TSH) in the bloodstream. Imaging studies, such as ultrasound or a thyroid scan, can be used to identify any abnormalities in the thyroid gland.
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In the normal heart, the ________ has the highest rate of discharge and sets the rate of depolarization for the heart as a whole.
In the normal heart, the sinoatrial (SA) node has the highest rate of discharge and sets the rate of depolarization for the heart as a whole.
The SA node is often referred to as the "natural pacemaker" of the heart because it generates electrical impulses that initiate each heartbeat.
These impulses spread through the atria, causing them to contract, and then travel to the atrioventricular (AV) node, which relays the signal to the ventricles, leading to their contraction.
The SA node plays a vital role in maintaining the regular rhythm of the heart and ensuring effective coordination between the atria and ventricles. Any malfunction in the SA node can result in abnormal heart rhythms, such as tachycardia (rapid heart rate) or bradycardia (slow heart rate). In such cases, medical interventions may be necessary to restore the normal rhythm of the heart.
So, the SA node plays a crucial role in coordinating the rhythmic contractions of the heart.
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44 The practical nurse (PN) observes that unlicensed assistive personnel (UAP) are measuring the blood pressure of a client with an arteriovenous fistula in the left lower arm and a cast on the right arm. The UAP applies the blood pressure cuff on the client's thigh with the bladder over the anterior thigh directly above the knee. Which instruction should the PN provide? A. The blood pressure measurement will be more accurate if taken in the client's left upper arm B. Subtract 20 mm when recording the systolic measurement due to use of the larger sized cuff C. The bladder of the blood pressure cuff should be positioned over the posterior aspect of the thigh D. The lower edge of the blood pressure cuff needs to be positioned six inches above the knee
The blood pressure measurement will be more accurate if taken in the client's left upper arm. The answer is A.
Arteriovenous fistula is an abnormal connection between an artery and a vein which allows more blood to flow into the vein. An AV fistula is created by connecting an artery to a vein, usually in the forearm or upper arm. It is used to access blood for dialysis. Due to the presence of the arteriovenous fistula in the left lower arm, the blood pressure should not be measured in that arm.
In addition, the blood pressure cuff should be placed on the client's bare arm. If the client has a cast on the right arm, the blood pressure should be measured on the left arm instead. If the measurement is taken on the thigh, it should be noted that there is no standard measurement for this site, so it may not be accurate.
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16. A patient is scheduled for a g-tube insertion. The patient's warfarin is placed on hold and vitamin K5mg IM is ordered before the procedure. Pharmacy delivers vitamin K with a concentration of 10mg/mL. Calculate the number of milliliters the patient will receive. Enter numeric value only. 17. A critical care nurse is preparing a dose of succinylcholine 20mg IV as a 1 time dose to facilitate intubation. Calculate the milliliters of succinylcholine to be given when a 10 mg/mL concentration is used. Enter numeric value only. 18. A patient has 1000 mL of lactated ringers ordered to infuse over 5 hours. How many milliliters per hour will the nurse program the IV infusion device? Enter numeric value only. 19. A patient with diabetic ketoacidosis has an order for a continuous IV infusion of Regular insulin at 8 units per hour. The insulin has a concentration of Regular insulin 100 units per 50 mL. How many milliliters per hour would the nurse infuse the insulin? Enter numeric value only. 20. The client has an order for digoxin 0.375mg IV stat. The digoxin vial available contains
The patient will receive 2 milliliters.
200 milliliters per hour of succinylcholine to be given when a 10 mg/mL concentration is used.
4 milliliters per hour will the nurse program the IV infusion device.
To calculate the number of milliliters of vitamin K the patient will receive, we divide the ordered dose of 5mg by the concentration of the vitamin K solution, which is 10mg/mL. Therefore, the patient will receive 0.5 mL of vitamin K.
To determine the milliliters of succinylcholine to be given, we divide the dose of 20mg by the concentration of the solution, which is 10 mg/mL. Thus, the nurse will administer 2 mL of succinylcholine.
To calculate the milliliters per hour for the continuous infusion of Regular insulin, we need to consider the concentration of the insulin solution. The concentration is 100 units per 50 mL. Since the order is for 8 units per hour, we can set up a proportion to find the corresponding volume. We have:
100 units/50 mL = 8 units/X mL
Cross-multiplying, we get:
100X = 50 * 8
Simplifying:
100X = 400
X = 4 mL
Therefore, the nurse will infuse 4 milliliters per hour of the Regular insulin solution.
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How will knowing about this Nursing ethics / help you in your degree?
How will your knowledge of Nursing ethics / help you in your nursing career?
Note: Must be 200 words each and it is reflective.
Knowing about nursing ethics can significantly help nursing students in their degree program as well as in their nursing career. As a nursing student, knowing about nursing ethics will help them understand the moral principles and values that guide the nursing profession.
This knowledge is essential for the development of ethical decision-making skills required in the delivery of quality nursing care to patients.
The nursing profession is governed by a set of ethical principles and values that protect the rights and dignity of patients. These ethical principles include autonomy, beneficence, non-maleficence, and justice.
Therefore, every nursing student must strive to learn and apply nursing ethics principles in their practice.
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a client is hospitalized and on multiple antibiotics. the client develops frequent diarrhea. what action by the nurse is most important?
If a client is hospitalized and is on multiple antibiotics and has developed frequent diarrhea, then the most important action the nurse can take is to report it to the healthcare provider.
"Why should the nurse report the occurrence of frequent diarrhea in a client who is hospitalized and on multiple antibiotics"?Frequent diarrhea is one of the most common side effects of antibiotics. The antibiotics may disrupt the normal balance of bacteria in the gut, leading to overgrowth of harmful bacteria such as Clostridium difficile. This may cause diarrhea, which can be severe and life-threatening in some cases.
Therefore, it is crucial for the nurse to report the client's symptoms to the healthcare provider immediately so that appropriate measures can be taken to manage the diarrhea and prevent complications.
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