A nurse is developing a plan of care for a patient who has Addison's disease and is taking hydrocortisone [Cortef]. Which of these outcomes should receive priority in the plan?
A. At times of stress, the patient increases the glucocorticoid dose.
B. The patient wears a Medic Alert bracelet at all times.
C. The patient carries an injectable form and an oral form of glucocorticoid.
D. The patient divides the daily dose, taking two-thirds of it in the morning and one-third in the afternoon.
Answer: A. At times of stress, the patient increases the glucocorticoid dose.
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A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly. b. Ask additional health history questions regarding his alcohol intake. c. Describe this dullness as indicative of an enlarged liver, and refer him to a physician. d. Consider this finding as normal, and proceed with the examination.
During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation
The nurse should treat these data as the basis of a nursing diagnosis plan, as they represent: a. symptoms. b. data clustering. c. signs of fluid overload. d. urinary retention.
The nurse is conducting a routine health assessment of a 3-month-old boy and notices a flat occiput. The nurse provides teaching and emphasizes the importance of tummy time
Which of the following responses by the mother indicates a need for further teaching? A) "He must be positioned on his tummy as much as possible.". B) "I need to watch him during his tummy time.". C) "I need to change his head position while he is in an upright chair.". D) "His head has flattened due to the pressure of his head position.".
Shifts such as changes in the percentage of seniors in the population, governmental initiatives in health care, and the influence of income on health status are factors in the __________ environment
a. Public b. Macro c. Competitive d. Social