A client is having difficulty learning a concept about self-care at home. The nurse realizes that which of the following external barriers is hindering the client's learning process?
a. Sensory deprivation c. Lack of privacy
b. Anxiety d. Depression
ANS: C
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A patient with suspected adrenal insufficiency has been administered 1 mcg of cosyntropin (Cortrosyn) as an IV bolus. Serum testing 30 minutes later reveals a markedly elevated level of cortisol
What conclusion should the nurse infer from this finding? A) The patient has normal adrenocortical function. B) The patient has primary adrenal insufficiency. C) The patient has secondary adrenal insufficiency. D) The patient has Addison's disease.
A hospital emergency department received a call that multiple casualties were on their way, primarily burns from a large factory fire. Which of the following actions should the hospital take immediately?
a. Ask the governor of the state to declare the area a disaster area so state help can be obtained b. Call surrounding hospitals to set up burn units, because there will be too many patients for one hospital to manage c. Call in physicians and nursing staff who are experts in burn care d. Get in touch with the American Red Cross to assist families of the victims
Which statement made by a lactating woman leads the nurse to believe that the woman might have lactose intolerance?
a. "I always have heartburn after I drink milk." b. "If I drink more than a cup of milk, I usually have abdominal cramps and bloating." c. "Drinking milk usually makes me break out in hives." d. "Sometimes I notice that I have bad breath after I drink a cup of milk."
Fifteen hours after admission, a patient's CK-MB level is markedly increased. What should this indicate to the treatment team?
1. Cellular necrosis of myocardial tissue has occurred. 2. Lactic acid is present. 3. Thrombolytic therapy is indicated. 4. Cardiac function has returned to normal.