A patient who has been prescribed long-term low-dose prednisone to control inflammation reports concern about the changes in her appearance caused by the drug. What is your best response?
a. "This often happens when an individual takes this drug. You now have Cushing's disease."
b. "When you stop taking this drug, the changes will disappear, but it may take a while."
c. "You can make use of different styles of clothes to minimize changes in appearance."
d. "Changes in your diet and an exercise program will eliminate these changes while you are on this drug."
ANS: B
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A nurse is explaining to a family member the pathophysiologic characteristic of vasogenic shock. What information should the nurse include?
a. The intravascular compartment fills beyond capacity, allowing fluid to leak out, compressing vital organs. b. The circulating volume causes excessive constriction of the vessels, causing blood pooling. c. Widely fluctuating blood pressures stimu-late vascular collapse, causing severe al-terations in peripheral perfusion. d. Although the circulating volume is intact, excessive vascular dilation causes drastic drops in the blood pressure.
The parents of a child with muscular dystrophy have the desire to gain additional information regarding services available to children and families affected by this condition. They call the clinic nurse and ask for advice
The nurse's best response is to provide information to the parents related to what? A) Spiritual counseling B) The Muscular Dystrophy Association C) Programs offered by the local school district D) The American Academy of Pediatrics
A nurse is caring for a patient who has been on prolonged bedrest and is now experiencing shortening and tightening of the muscles due to disuse. The nurse identifies this condition as
1. Footdrop. 2. Contractures. 3. Osteoporosis. 4. Thromboembolism.
The nurse left a client a telephone answering machine message with his laboratory results so that he could listen at his convenience. Upon hearing that this happened, which of the following would be the most likely action taken by the nurse's supervisor?
a. Explaining to the nurse that it is the client's responsibility to get in touch with the clinic office b. Applauding the nurse's actions for showing good use of technology c. Asking other nurses to follow this example as it made very efficient use of agency time d. Instructing the nurse to leave a name and phone number for the client to return the call