A patient with pheochromocytoma has been admitted for an adrenalectomy to be performed the following day. To prevent complications, the nurse should anticipate preoperative administration of which of the following?
A) IV antibiotics
B) Oral antihypertensives
C) Parenteral nutrition
D) IV corticosteroids
Ans: D
Feedback:
IV administration of corticosteroids (methylprednisolone sodium succinate [Solu-Medrol]) may begin on the evening before surgery and continue during the early postoperative period to prevent adrenal insufficiency. Antibiotics, antihypertensives, and parenteral nutrition do not prevent adrenal insufficiency or other common complications of adrenalectomy.
You might also like to view...
While reading a research report, the nurse discovers that the researcher used a study instrument that has an established correlation coefficient of .54. How should the reader interpret this information?
1. This information is not pertinent to the critique of the study. 2. This instrument is not very reliable. 3. This is a very valid instrument. 4. The instrument is very reliable.
A hospital's risk-management team provides the nursing staff with an in-service about incident reports. The in-service should include which of the following pieces of information? Select all that apply
1. An incident report always involves the patient. 2. Incident reports are part of the patient's medical record. 3. A medication error should be documented on an incident report. 4. A patient, visitor, or employee injury should be documented on an incident report. 5. An incident report is used to document out-of-the-ordinary things that happen in a health-care facility.
A nurse is providing care for a Cambodian client. The nurse says, "You have to get up and walk whether you want to or not." What is this statement an example of?
A) Culture shock B) Stereotyping C) Cultural imposition D) Cultural competence
A nurse counsels a patient with diabetes who is starting therapy with an alpha-glucosidase inhibitor. The patient should be educated about the potential for which adverse reaction(s)? (Select all that apply)
a. Hypoglycemia b. Flatulence c. Elevated iron levels in the blood d. Fluid retention e. Diarrhea