The client has been taking hydrocortisone (Cortef) for a month and abruptly stops it. What will the best assessment by the nurse include?
1. Fatigue and anorexia
2. Hyperglycemia and depression
3. Dilated pupils and auditory hallucinations
4. Tachycardia and weight gain
1
Rationale 1: Glucocorticoids must be discontinued gradually. Abrupt withdrawal can result in acute lack of adrenal function. Fatigue and anorexia are signs of adrenal insufficiency.
Rationale 2: Hyperglycemia and depression are not signs of adrenal insufficiency.
Rationale 3: Dilated pupils and auditory hallucinations are not signs of adrenal insufficiency.
Rationale 4: Tachycardia and weight gain are not signs of adrenal insufficiency.
Global Rationale: Glucocorticoids must be discontinued gradually. Abrupt withdrawal can result in acute lack of adrenal function. Fatigue and anorexia are signs of adrenal insufficiency. Hyperglycemia, depression, dilated pupils, auditory hallucinations, tachycardia, and weight gain are not signs of adrenal insufficiency.
You might also like to view...
The client receiving radiotherapy complains of increased fatigue. The nurse understands that the most significant reason for this symptom is related to which factor?
A) The cancer is advancing to other tissues. B) Cancer cells are dying at a high rate. C) Radiation suppresses red blood cell production. D) Fighting off infection can be exhausting.
A nurse gathers the necessary equipment and supplies in preparation for the removal of a patient's sutures. Place the following steps for suture removal in the correct order (1–7).(Enter the number of each step in the proper sequence, do not use commas)
1. Pull the suture smoothly and firmly with the nondominant hand. 2. Remove the remaining sutures, unless otherwise ordered. 3. Cut the suture next to the skin, adjacent to the knot. 4. Using the forceps, grasp the knot of the suture with the nondominant hand and lift the suture away from the skin. 5. Remove every other suture and observe the wound edges for any signs of separation. 6. Open the peel pack containing the suture removal set. 7. Using the notched scissors from the removal kit in the dominant hand, slide the notched blade under the suture.
Why should one avoid applying local anesthetic agents to damaged, open, or broken skin?
A. The patient may develop overdose effects. B. The patient may develop hypotension. C. The broken skin allows the anesthetic agent to reach the blood vessels. D. All of the above are true
The nurse is caring for a client with hypertension who is prescribed Clonidine transdermal preparation. What is the correct information to teach this client?
a. Change the patch daily at the same time. b. Remove the patch before taking a shower or bath. c. Do not take other antihypertensive medications while on this patch. d. Get up slowly from a sitting to a standing position.