A 9-year-old boy has received a diagnosis of giganatism. The pediatric nurse explains to his parents that surgery is the curative treatment of choice in 80% of the cases, but in the remaining 20%, the drug of choice is:
Select all answers that apply
.
A) cortisol (Solu-Cortef).
B) pegvisomant (Somavert).
C) dopamine agonists (Bromocriptine).
D) mineralocorticoid fludrocortisone (Florinef).
B, C
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A nurse is caring for a patient who is postoperative day 1 right hip replacement. How should the nurse position the patient?
A) Keep the patient's hips in abduction at all times. B) Keep hips flexed at no less than 90 degrees. C) Elevate the head of the bed to high Fowler's. D) Seat the patient in a low chair as soon as possible.
A home health nurse encourages the family of a patient with an SCI to use the assisted cough technique. What does this technique require the caregiver to do? (Select all that apply.)
a. Assist the patient to inhale a bronchodila-tor spray and then cough. b. Forcefully press on patient's back below the rib cage while the patient is in the prone position. c. Assist the patient to lean forward, breathe deep, and then cough. d. Apply pressure to diaphragm as the patient coughs. e. Slap the patient on upper back while the patient is in the prone position.
The leadership team of a large healthcare organization is evaluating the success of a new clinical information system. Which finding suggests that usability of the system is poor? Select all that apply.
A) Increased errors B) Increased use of email C) Decreased productivity D) Increased user frustration E) Delayed treatment decisions
A nurse is caring for a client with non-small cell lung cancer (NSCLC) that has metastasized to the brain. What changes in the client's cells have occurred to allow metastasis? Select all that apply.
A) Alterations in lectin binding allow cancer cells to avoid sticking to leukocytes and platelets. B) Human leukocyte antigen (HLA) may be present, allowing malignant cells to escape detection by the immune system. C) The cytoskeleton loses rigidity, making cells more amenable to proliferation. D) Further growth is inhibited at the primary site, encouraging cells to spread to other sites in the body. E) Altered cytoskeletal control leads to the loss of internal and external cellular functions.