Which clinical manifestations alert the nurse to the possibility of anterior pituitary hyper-function?
A. Enlarged hands and feet, heat intolerance
B. Bradycardia, hypotension, and somnolence
C. Chronic constipation and darkening of the skin
D. Hyponatremia, hyperkalemia, and hypercalcemia
A
Pituitary hyperfunction can involve the oversecretion of one or more pituitary hormones. En-larged hands and feet in an adult are indicators of growth hormone excess. Heat intolerance oc-curs as a result of increased secretion of thyroid-stimulating hormone (TSH), increasing the pro-duction and release of thyroid hormones, which increase basal metabolic rate and heat genera-tion.
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The nurse is caring for a patient with pneumonia. The patient is a retired soldier who served in World War II. In light of this, the nurse should:
a. shake the patient's hand and allow the patient time to "warm up." b. expect the patient to be optimistic and question everything. c. allow the patient to multitask and talk in short "sound bites." d. understand that the patient is probably technologically literate.
The female patient scheduled for an invasive procedure the next day complains of headache and nausea and knocks over a glass of water. Which intervention(s) should the nurse implement for therapeutic communication? (Select all that apply.)
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The administrator plans to adopt electronic health records (EHRs) in the nursing home
The licensed vocational/practical nurse serving on a committee to choose one of three EHR systems should consider which system based upon the information listed? System A: Requires the purchase of the most current computers and scanner printer Affordable Care Act (ACA) compliant in exchanging client information/ billing Noncompliant with some of the area hospitals current EHR systems Requires individual traceable login Requires extensive training for users Quick search for research activities System B: Uses current computers, scanner printer Requires a special screen preventing nonusers to view information on screen Requires individual traceable login Minimal training required and provided by EHR provider ACA compliant in exchanging client information/billing/quick research Communicates with all area hospital networks System C: Uses new computers, scanner printer, and monitor display with privacy ACA compliant in exchanging client information/billing Extensive training required/customers rate system performance 2/5 scale overall Communicates with all area hospital networks Individual nontraceable login Limited search ability for research activities A) System A. B) System B. C) System C. D) Any of the systems is acceptable based upon the evidence.