The nurse is reading the history and physical records of a patient who has alopecia. What should the nurse recognize as possible causes for this disorder?
Select all that apply.
1. thyroid disorder
2. systemic lupus erythematosus
3. three months of chemotherapy for cancer
4. androgenic causes
5. an overactive pituitary
Correct Answer: 1, 2, 3, 4
Systemic causes of alopecia can include thyroid disorders, systemic lupus erythematosus or pituitary insufficiency, not pituitary oversecretion. Numerous drugs can cause alopecia, including many chemotherapeutic drugs used to treat cancer. Hair loss from androgenic causes may occur in postmenopausal women.
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A patient with chronic pain informs the nurse that he will not take codeine because it makes him constipated. What teaching should be done with this patient?
A) Discuss another form of pain control. B) Constipation will lessen with regular use of codeine. C) Use a stool softener with the codeine to prevent constipation. D) Stool regularity should not replace adequate pain control.
The most common contributing factor to the development of delirium in critically ill patients is
a. sensory overload. c. electrolyte disturbances. b. hypoxemia. d. sleep deprivation.
Which nursing intervention follows the principles of palliative care?
1. Encouraging physical therapy to restore prior level of functioning 2. Talking to the patient about plans for funeral arrangements 3. Talking to the patient about possibly becoming an organ donor 4. Facilitating a consult to promote weight gain
Based on the storage instructions on this label of amiodarone, which of these would you do? 
A. Keep the vials in the original packaging and store in the freezer. B. Keep it in the refrigerator. C. Keep the vials in the original packaging and avoid excessive heat. D. Remove vials from the cartons and place in a well-lighted room.