In explaining the condition to a client, a nurse would say that Cushing's syndrome is caused primarily by:
A. Low levels of glucocorticoids
B. Excess secretion of sodium
C. Autoimmunity in the pancreas
D. Elevated levels of cortisol
Ans: D. Elevated levels of cortisol
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The nurse is assisting with teaching a patient who is beginning therapy with neostigmine (Prostigmin) for newly diagnosed myasthenia gravis (MG). The patient asks, "How does that work?" What is the best response by the nurse?
a. "It provides potassium to your muscles so that they will contract better." b. "It reduces the inflammation in your nerves so that they transmit signals better." c. "It makes more neurotransmitter available so that your muscles can contract." d. "It is a muscle relaxant that prevents the cramping in your muscles."
The nurse working on a high-risk prenatal unit is caring for a pregnant woman who asks how to know if the baby is in distress at any time throughout the day. The nurse's best response would be:
A) "Because the fetus can't be seen, there is really no way of knowing if it is in distress." B) "The best way of monitoring fetal status is by monitoring the heart rate and movement of the fetus." C) "When your amniotic fluid sac breaks, we'll look at the fluid to see if it is discolored, and that will tell us if the fetus is in distress." D) "The doctor will perform an amniocentesis to monitor the fetus's status."
While a nurse is performing a recently admitted hospital client's morning care, the client states, "I'm pretty sure I'll never see my own apartment again." Which of the following responses by the nurse best demonstrates effective communication?
A) "What is it that makes you feel that way?" B) ""I'm sure that's not going to be the case." C) "All in all, you're doing quite fine." D) "There's a lot that we can do, dear, to make sure that you do."
Treatment for constipation may be difficult. What is a strategy that may be included in the treatment of constipation?
1. Use of a reward system for successful toileting. 2. The child uses the toilet whenever he/she feels the urge. 3. Have the parents make a mental note about when the child uses the toilet. 4. None of the above are correct.