The nurse is providing patient education to a patient taking a glucocorticoid and advises the patient to take his or her medication at what time of the day?
A) At bedtime
B) With the noon meal
C) At 3:00 PM
D) Immediately on awakening in the morning
D
Feedback:
Glucocorticoids should be taken immediately on awaking in the morning to mimic the normal diurnal pattern. The peak levels of cortisol usually come between 6:00 and 8:00 AM. The levels then fall off slowly and reach a low in the late evening with the lowest levels around midnight. For those patients who work night shifts, the schedule would be changed to accommodate their sleep pattern. Waiting until later in the day could result in sleeplessness.
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A patient is hospitalized following a total hip replacement. To prevent inward rotation of the patient's hip when the patient is in a partial lateral position, the nurse should:
A) Use a triangular pillow. B) Align the head with the spine and support it with a pillow. C) Support the back with a small pillow. D) Place trochanter rolls under the greater trochanter.
Which intervention by the nurse would be effective in the prevention of autonomic dysreflexia in the spinal cord–injured patient?
1. Ensure patency of the urinary catheter. 2. Give patient warm baths to stimulate vasodilation. 3. Keep lighting at a minimum to reduce stimulation. 4. Offer patient four or five small meals daily.
What is the most likely cause of tetany after thyroidectomy?
a. Excess circulating thyroid hormone released during manipulation of the gland during surgery b. Swelling of the incisional area c. Overdose of preoperative antithyroid medication d. Accidental removal of the parathyroids during surgery
A male client is being seen for anger management issues following an incident in which he was late for work, became angry at the driver in front of him for not driving faster, and intentionally ran into the car at a stop sign
This client is displaying actions most typical of: a. Intermittent explosive disorder b. Passive aggressive behavior c. Oppositional defiant disorder d. Adjustment disorder with anxiety