A patient who has been taking a glucocorticoid for several months arrives in the clinic. The nurse notes that the patient's cheeks appear full and that a prominent hump of fat is present on the upper back
The nurse will ask the provider to order which test(s)?
a. Liver function tests
b. Serum electrolytes
c. Tuberculin skin test
d. Vitamin D levels
ANS: B
This patient shows signs of iatrogenic Cushing's syndrome, which may include serum electrolyte disturbances; therefore, the electrolyte levels should be monitored. Liver function tests, tuberculin skin testing, and vitamin D levels are not indicated.
You might also like to view...
A client is scheduled for a mastectomy. As she is about to receive the preoperative medication, she tells the nurse that she does not want to have her breast removed but wants a lumpectomy
Which response indicates that the nurse is acting as a client advocate? a. Telling the client her surgeon is excellent and knows what is best for her condition b. Calling the surgeon to come and explain all treatment options to the client c. Holding the client's hand and offering to pray with her for a good outcome d. Arranging for a postoperative visit from a cancer survivor
When interviewing a candidate for a nursing position who has an Aboriginal background, you recognize that the candidate's lack of eye contact reflects the candidate's cultural sensitivity. You are exhibiting:
a. Acculturation. b. Cultural sensitivity. c. Ethnocentrism. d. Transculturalism.
The nurse working with a child with severe burns instructs the family about the dietary needs of the child explaining that the child needs a diet:
a. high in carbohydrates and fat b. high in calories, protein, vitamin A, and vitamin C c. that consists of strained baby foods d. high in bulk, fruit, and vegetables
A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis
What options should you consider in her plan of care considering her expressed wishes? a. Stationary exercise bicycle, free weights, and spinning class b. Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy c. Chamomile tea and IcyHot gel d. Acupuncture and attending church services