The nurse is reviewing health history information for a group of patients. Which patient should the nurse identify as being at the lowest risk of developing Cushing syndrome?
1. The patient who received radioactive iodine treatment for hyperthyroidism
2. The patient receiving treatment for rheumatoid arthritis
3. The patient who has had an organ transplant
4. The patient receiving chemotherapy to treat a brain tumor
Correct Answer: 1
The patient who received radioactive iodine treatment for hyperthyroidism is not at increased risk for Cushing syndrome. Patients receiving treatment for rheumatoid arthritis, patients with organ transplants, and patients receiving chemotherapy are frequently prescribed corticosteroids, which are a primary risk factor for Cushing syndrome.
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A nurse assesses clients who are at risk for diabetes mellitus. Which client is at greatest risk?
a. A 29-year-old Caucasian b. A 32-year-old African-American c. A 44-year-old Asian d. A 48-year-old American Indian
The nurse describes a new technological service to the patient that will monitor several assessments remotely. This new intervention is known as ___________ home visits
ANS:
A home health nurse is making a visit to a family with an 8-month-old infant with severe motor deterioration. The physician has diagnosed the infant with Tay-Sachs disease
The parents are asking the nurse why this happened. The nurse will base her answer knowing the root cause of Tay-Sachs is A) high exposure to lead in the home environment. B) an enzyme defect causing abnormal lipid accumulation in the brain. C) hypoxia caused by placing the infant on their abdomen during sleep. D) an increase in bilirubin retention leading to destruction of RBCs.
An 8-year-old child is being treated for tonic–clonic seizures. What should the nurse emphasize when teaching the parents about this disorder?
A) The child should maintain an active lifestyle. B) Immediately provide medication if a seizure begins. C) Have the child carry a padded tongue blade with her at all times. D) Ensure quiet time late in the day, when seizure activity is most likely to occur.