The client with adrenal hyperfunction screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, "I feel like I am going crazy." Which is the nurse's best response?
a. "I will ask your doctor to order a psychia-tric consult for you."
b. "You feel this way because of your hor-mone levels."
c. "Can I bring you information about sup-port groups?"
d. "I will close the door to your room and restrict visitors."
B
Hypercortisolism can cause the client to show neurotic or psychotic behavior. The client needs to know that these behavior changes do not reflect a true psychiatric disorder and will resolve when therapy results in lower and steadier blood cortisol levels. The client needs to understand this ef-fect and does not need a psychiatrist, support groups, or restricted visitors at this time.
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When educating a patient with a wound that is not healing, the nurse should stress which of the following dietary modifications to ward off some of the negative manifestations that can occur with inflammation?
A) Increase the amount of calcium in the diet, especially drinking milk and eating cheese. B) This is the one time whereby you should eat more fat (both polyunsaturated and saturated), so you can absorb more fat soluble vitamins. C) Since there is a loss of plasma proteins, you should increase your intake of organ meats like liver. D) Increase your intake of oily fish and fish oil so that you will increase absorption of omega-3 polyunsaturated fatty acids.
A client recovering from surgery to repair fractured bones in the face tells the nurse that dinner "tastes horrible." Which response by the nurse is most appropriate?
A) "The meal on your tray is the best the cafeteria has to offer today." B) "Let me see if I can order something else for you from the cafeteria." C) "You do not have to eat anything you don't want to." D) "The facial injuries are affecting your sense of taste and flavor."
An older adult has type 1 diabetes. He can perform self-care activities but needs help with shopping and meal preparation as well as with blood glucose monitoring and insulin administration
Which type of healthcare facility would be most appropriate for him? 1) Acute care facility 2) Ambulatory care facility 3) Extended care facility 4) Assisted living facility
Parietal pain, which originates in the parietal peritoneum, is described as
a. severe from the onset and precisely localized. b. dull initially and poorly localized. c. having a gradual onset and poorly localized. d. cramping throughout the abdominal area.