Answer: The home RN should visit the 30-year-old client with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
Explanation: The Registered Nurse should attend to the client with the topmost priority which is characterised as
-patients that are not stable or
-patients that are on life support that needs constant care.
The 30-year-old with an exacerbation of
multiple sclerosis being treated with cortisone via a centrally placed venous catheter us of topmost priority. This is because multiple sclerosis is a life threatening case in which the body's immune system attacks its own tissues. The treatment involves the use of cortisone which should be closely monitored.
Analysing the other options given,
A) the 5 months old baby is stable since the baby has been discharged and placed in amoxicillin liquid suspension.
B)The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes can be done later. It's not an emergency state.
D)The 78-year-old who had a gastrectomy three weeks ago with a PEG tube is stabilised.
Answer:
c. The abnormality is in the thyroid gland itself.
Explanation:
Primary hypothyroidism arises from a pathology in the thyroid gland itself and occurs when the thyroid gland is not able to perform one of its many physiology. Secondary hypothyroidism starts at the level of the pituitary gland and results from under secretion of TSH. TSH is needed to trigger the release of the T3 and T4 stored in the thyroid gland. Tertiary hypothyroidism is caused by a decrease level of the TRH from the hypothalamus. This reduced level, in turn, reduces TSH and thyroid hormone levels in the blood, hence in the body and the patient suffer the symptoms.
Large muscles grow before small muscles grow.
