What two imbalances is a patient at risk for when they have an exacerbation of IBD?

To help with the insomnia associated with thyroid hormone replacement therapy, the nurse will teach the patient to a) take half the dose at lunchtime and the other half 2 hours later.b )use a sedative to assist with falling asleep.c )take the dose upon awakening in the morning.d )reduce the dosage as needed if sleep is impaired.

A student with diabetes is in a class with an upcoming field trip. What is the appropriate protocol?a) Inform the parents that students with diabetes cannot participate in field trips, because they require nursing care.b) Contact the student’s parents to ask them to accompany the child on the field trip.c) Notify a Nursing Supervisor, the Diabetes Resource Nurse, the principal, and the 504 coordinators so that the nursing services the particular child requires can be provided on the field trip.

Given: Your cousin Sofia has not been feeling well lately. She felt hot and anxious all the time, and experienced raised heart rate (> 100 times/sec), palpitation, insomnia, and weight loss (>10 pounds). After multiple doctors’ visits, she was diagnosed with Graves’ disease. Please answer the following questions: Why did Sofia have the above symptoms? The doctors found the T3 and T4 levels in Sofia’s blood were much higher than normal standards, and her TSH level was zero. Please explain why? An endocrinologist prescribed a medicine called methimazole for Sofia. Methimazole blocks the iodination of tyrosyl residues and, therefore, inhibits the synthesis of T3 and T4 in thyroid gland. The doctor said it will take one or two months for the drug to lower Sofia’s hormone level. Please explain why it would take so long for Sofia to finally feel better. (Answer 1,2,3)