A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with the:
a. pituitary gland.
b. adrenal glands.
c. thyroid gland.
d. pancreas.
ANS: A
The pituitary gland may produce an overabundance of growth hormone. This overproduction of hormones may cause changes throughout the patient's body, including enlargement of the pituitary gland and hands and feet. Female patients may develop a deepened voice, increased facial hair growth, and amenorrhea.
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An older patient tells the nurse that alcohol is used occasionally to combat stress. The patient is a recent widow, retired, and admits to feeling worthless at times. The nurse realizes this patient is at risk for which health problem?
1. Suicide 2. Paranoia 3. Dementia 4. Liver failure
A patient is prescribed cyclophosphamide (Cytoxan) for treatment of lymphoma. What should the nurse instruct to maximize the health status of the patient while receiving this medication?
Select all that apply. 1. Avoid eating spicy foods. 2. Discuss approaches to manage hair loss. 3. Identify approaches to reduce bone pain. 4. Brainstorm ways to manage constipation. 5. Ingest 2 to 3 liters of fluid during treatment.
The daughter of a dependent older patient reports to the nurse that the patient requires regular soapsud enemas to manage chronic constipation. The nurse responds that
a. an alternative management technique should be discussed. b. enemas are generally the most effective interventions for the older adult. c. chronic constipation is best managed with oral medications. d. her mother's diet is the most likely cause of the constipation.
Nurses understand that in people who are addicted to alcohol, the person who is most responsible for the patient's recovery is the:
A) Psychiatrist B) Nurse C) Group leader D) Patient