A client who has been receiving Haloperidol (Haldol) for 2 d…
A client who has been receiving Haloperidol (Haldol) for 2 days develops muscular rigidity, altered consciousness, a temperature of 103 degrees F (39.4 C) and trouble breathing. The nurse interprets these findings as indicating which of the following?
Read DetailsThe provider orders lispro insulin to be given via sliding s…
The provider orders lispro insulin to be given via sliding scale coverage before meals and at bedtime. The following is the sliding scale: Blood Glucose mg/dL Dose (lispro subcutaneously) 225 Call provider The nurse obtains the following glucose readings (below) and administers the glucose per the orders. 0700: 154 1130: 132 1630: 188 2230: 125 How many total units did the client receive in 24 hours? _______
Read DetailsEndocrine CS Scenario: 54-year-old female client, Olivia pre…
Endocrine CS Scenario: 54-year-old female client, Olivia presents to her primary care physician related to new concerns. Olivia reports constipation, brittle nails, weight gain, feeling “sluggish” and overall fatigued. She is concerned it may be menopause and wants to be evaluated. Vital Signs: BP 110/60, HR 56 bpm, Temp 96.8F, RR 14, SpO2 96% on Room Air Labs: The provider entered a series of lab work to be completed as part of Olivia’s evaluation. Results are noted below; Lab Normal Value Patient Value Calcium 8.5-10.5 mEq/L 8.6 mEq/L Potassium 3.5-5 mmol/L 4.8 mmol/L Sodium 135-145 mEq/L 137 mEq/L Hematocrit 36-44% 45% Hemoglobin 12-15.5 g/dL 15.6 g/dL TSH 0.27–4.2 uIU/m Increased T3 80-220 ng/dL low T4 5-12 mcg/dL low Random Blood Glucose 70-140 mg/dL 72 mg/dL Question 1: Based on the above information, which endocrine imbalance does the nurse suspect Olivia could be experiencing? _______
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