Your client presents to her appointment with complaints of lethargy and fatigue.  On physical exam, the vital signs include blood pressure 116/78, heart rate 68, respiratory rate 12 and temperature 97.2F, and her skin is cool and dry.  Her bloodwork reveals a thyroid stimulating hormone (TSH) level of 15 mIU/L (normal range 0.3 – 6 mIU/L).  Her current medications which she has been taking for the past 1 year include levothyroxine 50 mcg PO daily before breakfast and atorvastatin 20 mg PO daily at bedtime.  Your next step is to:

The client presents to the unit with complaints of shortness of breath and dyspnea. A tentative diagnosis of respiratory acidosis r/t pneumonia is made. Which arterial lab values would support this diagnosis?

A client is post-operative day 1 of a partial parathyroidectomy and is being bathed by the RN and a CNA. During the bath, the nurse washes the client’s face with a cloth and notices the client’s lips, nose, and side of the face contract. Which of the following will the RN report to the provider? 

The nurse is aware that which of the following is the most common cause of hypermagnesemia? 

A nurse notes that a client has a “STAT” order for kayexalate. Which serum electrolyte imbalance does the nurse anticipate? 

Several days after beginning dialysis therapy, a patient’s serum potassium level is 8.5 mEq/L. The patient is being cared for on the medical surgical floor. The patient’s nurse does not think immediate action is necessary, since the client is to have dialysis sometime today. How would you evaluate the nurse’s response?

The RN is assigned four clients during morning shift report. Which client does the RN anticipate as being the most likely to develop dehydration? 

Which of the following drugs when taken with alcohol can lead to acute liver failure?

Which drug inhibits CNS transporters of serotonin, dopamine, and norepinephrine increasing the duration of these agents in the synaptic cleft thus leading to feeling of euphoria?

Which of the following is the most potent opioid?