To achieve consistency with the body's natural secretion of cortisol, the home care nurse instructs the patient to take her corticosteroid medication:
A) In the evening between 4 PM and 6 PM
B) Prior to going to sleep at night
C) At noon every day
D) In the early morning between 7 AM and 8 AM
Ans: D
Feedback: In keeping with the natural secretion of cortisol, the best time of day for the total corticosteroid dose is in the morning from 7 to 8 AM. Large-dose therapy at 8 AM, when the adrenal gland is most active, produces maximal suppression of the gland. Also, a large 8 AM dose is more physiologic because it allows the body to escape effects of the steroids from 4 PM to 6 PM, when serum levels are normally low, and thus minimizing cushingoid effects.
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While conducting an abdominal physical assessment, the patient complains of pain with deep palpation of the right kidney. To further assess this finding, the nurse should perform:
A) Fist percussion of the costovertebral angles B) Deep palpation of the abdominal left upper quadrant C) Light palpation of the abdominal right lower quadrant D) Auscultate sounds in the abdominal left lower quadrant
The nurse is assessing a patient who is diagnosed with depression. Which clinical manifestation will the nurse assess for when providing care to this patient?
1) Fatigue 2) Restlessness 3) Diaphoresis 4) Pruritus
In a liquid mixture that contains a solid medication, the percent strength represents the number of ________ of medication in each 100 mL of the mixture.
A. milliliters B. liters C. grams D. milligrams
Pain impulses are sent to the brain where the central nervous extracts information regarding location, duration and quality of the pain impulse. What is this process?
A. Transduction B. Transmission C. Perception D. Modulation