What potentially life-threatening complication can the client have if corticosteroids are abruptly withdrawn or the client has significant stress due to the impending surgical procedure?
A) Cushing's disease
B) Myxedema coma
C) Thyroid storm
D) Adrenal crisis
D
Feedback:
Adrenal crisis is potentially life threatening and can result from the abrupt withdrawal of corticosteroids or significant stress after the client has been treated with corticosteroids. Cushing's disease is a disease when there are increased levels of cortisol released. Myxedema coma is a result of dangerously decreased levels of thyroid hormone, and thyroid storm is a dangerously increased level of thyroid hormone.
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After teaching a client who is diagnosed with new-onset status epilepticus and prescribed phenytoin (Dilantin), the nurse assesses the client's understanding. Which statement by the client indicates a correct understanding of the teaching?
a. "To prevent complications, I will drink at least 2 liters of water daily." b. "This medication will stop me from getting an aura before a seizure." c. "I will not drive a motor vehicle while taking this medication." d. "Even when my seizures stop, I will continue to take this drug."
The nurse is caring for a victim of post-traumatic stress syndrome. The nurse identifies which techniques as examples of therapeutic communication? (Select all that apply.)
a. Listening b. Reframing c. Characterizing d. Normalizing responses e. Working to develop trust
The nurse holds original licensure in a compact state and has practice privileges in two remote states. Should practice concerns arise with this nurse, what is the status of the nurse's license?
1. Each state can suspend or revoke the nurse's license. 2. Only the states in which the nurse demonstrated poor practice can act to suspend or revoke the nurse's license. 3. License suspension or revocation can only occur if all three states agree to the action. 4. Only the state in which the nurse holds licensure can act to suspend or revoke that license.
Because of their striving for independence and productivity, which age group of children is particularly vulnerable to events that may lessen their feeling of control and power?
a. Infants b. Toddlers c. Preschoolers d. School-age children