What should a nurse include when planning education to a patient with Addison disease?
a. Discontinue hormonal replacement therapy if the patient becomes nauseated or has diarrhea.
b. Decrease medication if the patient is under stress or is being treated for an infection.
c. Wear a medical alert tag and carry emer-gency dexamethasone.
d. Begin a vigorous exercise program to overcome weakness and muscle wasting.
C
The medical alert bracelet will reduce the patient's risk of not receiving appropriate and timely care in an emergency situation.
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An 82-year-old woman was brought to the emergency department by her granddaughter. She is a widow and lives alone, although her granddaughter checks on her daily
She has been vomiting for 2 days and has not been able to eat or drink anything during this time. She has not urinated for 12 hours. Physical examination reveals the following: T = 99.6°F (37.6°C) orally; P = 110 beats/min, weak and thready; BP = 80/52 mm Hg. Her skin and mucous membranes are dry, and there is decreased skin turgor. The patient states that she feels very weak. The following are her laboratory results: Sodium 138 mEq/L Potassium 3.7 mEq/L Calcium 9.2 mg/dL Magnesium 1.8 mg/dL Chloride 99 mEq/L BUN 29 mg/dL The nurse recognizes that the patient is displaying symptoms associated with which of the following? a. Hypovolemia b. Hypervolemia c. Hypernatremia d. Hyponatremia
The hallmark of hyperglycemic hyperosmolar syndrome (HHS) is
a. hyperglycemia with low serum osmolality. b. severe hyperglycemia with minimal or absent ketosis. c. little or no ketosis in serum with rapidly escalating ketonuria. d. hyperglycemia and ketosis.
When creating plans of nursing care for patients who are undergoing surgery using general anesthetic, what nursing diagnoses should the nurse identify? Select all that apply
A) Disturbed sensory perception related to anesthetic B) Risk for impaired nutrition: less than body requirements related to anesthesia C) Risk of latex allergy response related to surgical exposure D) Disturbed body image related to anesthesia E) Anxiety related to surgical concerns
The patient is receiving hydrochlorothiazide (HydroDIURIL) as well as digoxin (Lanoxin). Which lab result would the nurse recognize as most significant?
1. ALT level of 35 units/L 2. Sodium level of 140 mEq/L 3. Potassium level of 2.9 mEq/L 4. BUN level of 20 mg/dl