Identify possible consequences of suddenly stopping dexamethasone (Decadron) therapy
D
What will be an ideal response?
uring exogenous steroid therapy, the feedback systems among the hypothalamus, pituitary, and
adrenal glands are suppressed; if steroids are stopped suddenly, the patient can develop emergent
signs and symptoms of acute adrenal insufficiency. Return of normal adrenal function can take
several months, so steroids must be withdrawn slowly.
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Which of the following causes hypoperfusion of the spinal cord as a result of secondary injury?
A) Immune cells engulf the area around the lesion. B) Microscopic hemorrhage and edema occur. C) Catecholamines and vasoactive chemicals are released. D) b and c are correct.
Sudden onset of an acute headache in a patient who has DIC may be a sign of
A) hypoxemia. B) intracerebral bleeding. C) head trauma. D) electrolyte imbalance.
A child is brought to the emergency department with burns on the face and chest. What is the nurse's first priority?
a. Assess respiratory status. b. Administer pain medication. c. Remove clothing. d. Insert a Foley catheter.
A patient has been brought into the Emergency Department via ambulance with resuscitation efforts being performed. It is unlikely that the patient will survive the severe injuries sustained
Two adult children of the patient are present and are requesting to be with the patient at this time. What is the best response by the nurse? A) "I don't think you should see your loved one like this. Wouldn't you rather remember him the way he was?" B) "Our hospital doesn't allow more than one family member in with a patient. One of you can come in and one of you will have to wait in the waiting area." C) "You may come in with your parent and I will have someone stay with you to explain what is happening." D) "I have been through this many times and I promise you, it is a sight that you don't want to remember."