For what complications is the client with hypercortisolism at greater risk?
A. Skin breakdown, infection, GI ulceration
B. Anorexia, constipation, hypotension
C. Kidney stones, weight loss, cataracts
D. Diabetes insipidus, bradycardia, arthritis
A
Under the influence of excessive amounts of cortisol, the skin becomes thinner, prone to stria-tions, and has decreased cell division. Although the white blood cell count may be high, the ac-tivity of the leukocytes (especially lymphocytes) is decreased and the client is immunosup-pressed. Cortisol increases the risk for GI ulceration in many ways, including stimulating in-creased secretion of hydrochloric acid and thinning the protective mucous layer in the stomach.
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The major determinants of the roles in which a psychiatric nurse engages are:
a. personal preference and age. b. local custom and physician support. c. state law and personal qualifications. d. work setting and personal preference.
The nurse is planning care for a pregnant patient prone to substance abuse. When the patient states, "My baby isn't getting my drugs, I am," how does the nurse respond?
1. "Most illicit drugs will cross the placenta and hurt the baby." 2. "Even drugs that do not cross the placenta can hurt your baby by preventing nutrients from getting across the placenta." 3. "Research shows taking drugs can cause your baby to be born too early." 4. "You are correct. You are far enough along in your pregnancy that drugs will not harm your baby." 5. "If you continue to take drugs, it will make you have a very irritable infant."
The nurse is preparing to discuss the goal of care with the client. Which statement should the nurse provide the client that focuses on primary prevention?
A. "The goal of the healthcare team is to improve your overall health." B. "The goal of the healthcare team is to focus on your existing problems." C. "The goal of the healthcare team is to prevent any problems from reoccurring." D. "The goal of the healthcare team is to restore your level of wellness."