A client has been prescribed glucocorticoids for the treatment of congenital adrenal hyperplasia. Which of the following assessments should the nurse perform for the client?
A) Take and record vital signs every 4 to 8 hours.
B) Test the serum electrolyte levels.
C) Auscultate the abdomen and record the findings.
D) Observe for signs of blanching of the skin.
Ans: A
Feedback:
When glucocorticoids are administered to the client, the nurse should take and record vital signs every 4 to 8 hours. The nurse need not perform assessments related to serum electrolyte levels, abdominal auscultation, or skin blanching. These are appropriate for a client receiving vasopressin therapy.
You might also like to view...
Organ donation
a. is a choice only the patient can make for him- or herself. b. is mandated by legal and regulatory agencies. c. must be requested by the nurse caring for the dying patient. d. is controlled by individual institutional policies.
A client states, "I am an obese, compulsive person." The nurse demonstrates how to conduct a perceptual check when stating which of the following?
a. "Can you tell me more about this?" b. "Is it difficult for you to be this way?" c. "I wouldn't worry about being very neat." d. "It is okay to be this way; you are not hurting anyone."
Which statement best reflects a myth that may interfere with the treatment of pain in infants and children?
a. Infants may have sleep difficulties after a painful event. b. Children and infants are more susceptible to respiratory depression from narcotics. c. Pain in children is multidimensional and subjective. d. A child's cognitive level does not influence the pain experience.
Once you have identified a problem, it is important to brainstorm as many solutions as possible
Indicate whether this statement is true or false.