The nurse caring for a patient with Addison's disease suspects adrenal crisis when the patient exhibits:
1. hypertension and abdominal pain.
2. confusion and tachycardia.
3. bradycardia and nausea.
4. widening pulse pressure and shortness of breath.
2
Confusion and tachycardia are signs that the patient may be in adrenal crisis. This is a med-ical emergency and should be brought to the attention of the charge nurse.
PTS: 1 DIF: Cognitive Level: Analysis REF: 968
OBJ: 3 TOP: Adrenal Crisis
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
You might also like to view...
How might the nurse communicate with a patient who speaks another language?
A) Speak in a loud voice. B) Conduct the conversation quickly to avoid misinterpretation. C) Use short, simple sentences. D) Avoid repetition.
A woman is about to undergo an external version. What action by the nurse takes priority?
A. Determine Rh status; give Rh immune globulin if needed. B. Explain the procedure to the woman and obtain consent. C. Offer emotional support to both the woman and her partner. D. Prepare to administer oxytocin (Pitocin) as per protocol.
The pathophysiological hallmark of ACD is
A. Depleted iron stores B. Impaired ability to use iron stores C. Chronic uncorrectable bleeding D. Reduced intestinal absorption of iron
Which of the following is not prevented by using a condom?
a. pregnancy b. HIV c. chlamydia d. pubic lice