A client thought to have a problem with the pituitary gland is given a stimulation test using insulin. A short time later, blood analysis reveals elevated levels of growth hormone (GH) and adrenocorticotropic hormone (ACTH)
Which is the nurse's interpretation of this finding? a. Pituitary hypofunction
b. Pituitary hyperfunction
c. Pituitary-induced diabetes mellitus
d. A normal pituitary response to insulin
D
Some tests for pituitary function involve administering agents that are known to stimulate the secretion of specific pituitary hormones and then measuring the response. Such tests are termed stimulation tests. For example, the presence of insulin in those with normal pituitary function causes increased release of GH and ACTH. The stimulation test for GH or ACTH assessment involves injecting the client with regular insulin (0.05 to 1 U/kg of body weight) and checking circulating levels of GH and ACTH.
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The physician prescribes propranolol for a patient with a blood pressure reading of 200/106 . An electrocardiogram taken shortly afterward shows an AV block. The nurse should immediately report this finding for which reason?
a. Lowering the blood pressure will require a least two different drugs. b. Beta blockers can intensify an AV block. c. There could be some reflex tachycardia associated with this agent. d. The drug may cause a cough, which might further disrupt the cardiac rhythm.
The nurse knows the client needs further teaching regarding a low purine diet when the client makes which of the following statements?
a. "I can have red wine with my meals." c. "I will avoid red meats." b. "I will not eat salmon or sardines." d. "I can drink milk with my meals."
Where should you position your hands (on an adult) when external chest compressions?
What will be an ideal response?
The nurse is caring for a patient requiring PD. In order to monitor the patient's weight, what does the nurse do?
a. Check the weight after a drain and before the next fill to monitor the patient's "dry weight." b. Calculate the "dry weight" by weighing the patient every day and comparing the measurements to baseline. c. Determine "dry weight" by comparing the patient's weight to a standard weight chart based on height and age. d. Weigh the patient each day and count fluid intake and dialysate volume to determine the patient's "dry weight"