The nurse working in the emergency department is caring for a patient with Addison's disease who has an oral temperature of 102°F and blood pressure of 70/35. The patient is reporting weakness and abdominal pain
The nurse recognizes that which patient statements are likely related to the current manifestations? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "I injured my leg last week when I fell off a ladder.".
2. "I think I have had the flu for the last week.".
3. "I have been using a tanning bed.".
4. "I take my prednisone (Deltasone) every day.".
5. "I have been increasing my intake of calcium-rich foods.".
1,2
Rationale 1: Addisonian crisis is a life-threatening response to acute adrenal insufficiency. Trauma can be a trigger for this response.
Rationale 2: Addisonian crisis is a life-threatening response to acute adrenal insufficiency. A trigger is acute infection such as influenza.
Rationale 3: The use of tanning beds is not associated with Addisonian crisis.
Rationale 4: Patients are prescribed prednisone or related glucocorticoids to treat Addison's disease; they are not a cause of Addisonian crisis.
Rationale 5: Intake of calcium-rich foods is not associated with Addisonian crisis.
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1. "There usually is not that much pain associated with burns, so the areas that hurt are those that might be infected." 2. "Deeper burns release more endorphins because of increased tissue damage, which lessens pain." 3. "Deeper full-thickness burns damage nerve pathways, which interrupt the pain message from reaching the brain." 4. "Deeper partial thickness burns damage nerve pathways, which interrupt the pain message from reaching the brain."
A client tells the nurse that he or she is considering using herbal supplements. What is the nurse's best response?
a. "Herbs are not classified as drugs in the United States, so there is no contraindica-tion to using them." b. "Herbs have pharmacologic effects on the body and can interact with some prescrip-tion medications." c. "It is never permissible to use herbal sup-plements with prescription medications." d. "I will refer you to an herbalist, who can help you decide which medications you can take."
The school nurse is preparing to meet with the parent of a student to discuss increasing aggressive behavior. Which risk factors should the nurse be prepared to discuss? (Select all that apply.)
1. Age 2. Ethnicity 3. Substance use 4. Parental occupation 5. History of head injury
The physician has prescribed phenytoin (Dilantin) for a patient with type 1 diabetes mellitus. What does the nurse include in the plan of care for this patient?
1. Plan to discuss with the physician the need to decrease the patient's insulin based on serum glucose levels. 2. Plan to discuss with the physician the need to increase the patient's insulin based on serum glucose levels. 3. Plan to assess the patient for petechiae, epistaxis, and hematuria. 4. Plan to institute safety precautions, as the patient is at risk for dizziness and ataxia.