A 56-year-old female patient has an adrenocortical adenoma, causing hyperaldosteronism. The nurse providing care should
a. monitor the blood pressure every 4 hours.
b. elevate the patient's legs to relieve edema.
c. monitor blood glucose level every 4 hours.
d. order the patient a potassium-restricted diet.
ANS: A
Hypertension caused by sodium retention is a common complication of hyperaldosteronism. Hyperaldosteronism does not cause an elevation in blood glucose. The patient will be hypokalemic and require potassium supplementation before surgery. Edema does not usually occur with hyperaldosteronism.
You might also like to view...
A patient is brought to the ED by family members who tell the nurse that the patient has been exhibiting paranoid, agitated behavior. What should the nurse do when interacting with this patient?
A) Keep the patient in a confined space. B) Use therapeutic touch appropriately. C) Give the patient honest answers about likely treatment. D) Attempt to convince the patient that his or her fears are unfounded.
A PHN evaluating an increase in lung cancer cases in a certain area would take which of the following steps to determine what was causing the increase?
A. Conduct a retrospective case control study. B. Both 1 and 3 C. Ask family members of lung cancer patients for additional information. D. Not survey town residents
Spironolactone (Aldactone) is prescribed for a client diagnosed with hypertension. The nurse recognizes which information as providing the most support for the use of this drug?
1. Diagnosis of hepatic failure 2. Insufficient therapeutic response to hydrochlorothiazide 3. Insufficient therapeutic response to furosemide (Lasix) 4. Diagnosis of renal failure
A patient recently diagnosed with schizophrenia is taking antipsychotic medication to control hallucinations. Which is an appropriate activity for level 2 of wellness that could be included in this patient's treatment? (Select all that apply.)
1. Referral to a job training program 2. Medication management education 3. Group therapy 4. Inpatient admission 5. Family support group