During assessment of a 45-year-old man with the medical diagnosis of Cushing's syndrome, the nurse would note the most consistent finding of
a. male pattern baldness.
b. peripheral edema.
c. hypertension.
d. jaundice.
C
Aldosterone affects tubular reabsorption of sodium and water and excretion of potassium and hydrogen ions in the renal tubular epithelial cells. This leads to the development of hypernatremia, hypervolemia, hypokalemia, and metabolic alkalosis. With the hypovolemia and hypernatremia, blood pressure increases, often to very high levels, and renin production is suppressed.
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A group of nursing students are reviewing information about the patient-nurse relationship and the various factors affecting it. The students demonstrate a need for additional review when they identify which of the following as a factor?
A) Health care reform B) Health care practice attitudes C) Increased rates of chronic illness D) Increased cultural diversity
How is hepatitis C transmitted?
A) Unintentional needlesticks B) Fecal–oral route C) Contaminated food D) Airborne route
Upon auscultation of the chest, the nurse reports to the preceptor what is heard. About which statement should the preceptor be most concerned?
1. "I heard crackles earlier, but now I am not able to hear anything.". 2. "I hear wheezing in the right lobes, but clear on the left.". 3. "There are coarse crackles that clear with coughing.". 4. "The client was clear, but now there are scattered wheezes bilaterally.".
The nurse is caring for a patient with Clostridium difficile. Which nursing actions will have the greatest impact in preventing the spread of the bacteria?
a. Appropriate disposal of contaminated items in biohazard bags b. Monthly in-services about contact precautions c. Mandatory cultures on all patients d. Proper hand hygiene techniques