The nurse caring for a client monitors for the classic clinical manifestation of Addison's disease, which include:
a. a bronze coloration of the skin resembling a deep suntan
b. moon-shaped face and buffalo hump
c. hoarseness and vocal stridor
d. tetany
A
Addison's disease (adrenal hypofunction) occurs when more than 90 percent of the adrenal gland is destroyed as an autoimmune response to infections such as tuberculosis or human immunodeficiency virus (HIV), or by adrenalectomy or cancer of the adrenal gland. Manifestations include bronze skin coloration, fatigue, muscle weakness, weight loss, and craving for salty foods.
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Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education?
a. Dorothea Dix b. Florence Nightingale c. Clara Barton d. Mary Ann Bickerdyke
A 30-year-old grandchild lives with and provides care for the 75-year-old grandparent. The grandparent has congestive heart failure, hypothyroidism, and chronic pain from a compression fracture and osteoporosis
The grandchild supervises the older adult's medications. The home health nurse notes that the older adult has extra diuretic pills and that the pain medications for a month have been used and cannot be refilled for 2 more weeks. The older adult tells the nurse: "Those pain pills don't work, my back is always hurting." The nurse notes that the older adult's ankles are very swollen. Which of the following things should the nurse do first? A) Call adult protective services and ask for an immediate evaluation. B) Assess the grandchild's understanding of her grandmother's needs. C) Take the grandmother to the emergency department immediately. D) Tell the older adult that her grandchild is probably taking her pain medications.
The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Newborns
A) Have shorter periods of REM sleep B) Are inactive when awake C) Will nap two times per day D) Sleep 16 to 17 hours per day
The nurse enters the patient's room and finds that the patient is not breathing and has no pulse. The patient does not have a do-not-resuscitate order. What would the nurse's most immediate action be?
a. Call the cardiac/respiratory arrest team. b. Begin CPR. c. Call a co-worker for help. d. Get the crash cart.