The nurse notes that a patient has thin arms and legs, purple striae on the abdomen, upper body obesity, and a round, red face. The nurse would ask additional assessment questions based on a possible disorder of which structure?
1. Hypothalamus
2. Adrenal gland
3. Parathyroid gland
4. Thyroid gland
2
Rationale 1: Disorder of the hypothalamus is not the most likely cause of these symptoms.
Rationale 2: These assessment findings are typical of Cushing syndrome, a hypermetabolic disorder of the adrenal cortex.
Rationale 3: Dysfunction of the parathyroid gland would not result in these findings.
Rationale 4: Dysfunction of the thyroid gland would not result in these findings.
You might also like to view...
The nurse is working in the medical station at a local amusement park. An adult is being seen complaining of dizziness and feelings of "seasickness" after going on several rides. What would the nurse suspect the patient may benefit from?
A) An anticholinergic B) A histamine H2 blocker C) Substance P/neurokinin 1 receptor antagonist D) Cannabis
The nurse caring for a 5-year-old diagnosed with posttraumatic stress disorder (PTSD) knows that which coping mechanisms and/or symptoms may manifest during treatment?
1. Crying and pacing 2. Hoarding and migraines 3. Nausea and separation anxiety 4. Repetitive play and temper tantrums
Which statements are true regarding pediatric patients and pharmacokinetics? (Select all that apply.)
a. The levels of microsomal enzymes are decreased. b. Perfusion to the kidneys may be decreased and may result in reduced renal function. c. First-pass elimination is increased because of higher portal circulation. d. First-pass elimination is reduced because of the immaturity of the liver. e. Total body water content is much less than in adults. f. Gastric emptying is slowed because of slow or irregular peristalsis. g. Gastric emptying is more rapid because of increased peristaltic activity.
An advantage of the prototype patient classification system is:
a. reduction of work. b. ongoing data to monitor accuracy of the nursing requirements. c. ongoing measure of the actual nursing work required. d. commonly used system.