A patient reports to the clinic with complaints of nervousness, weight changes, and a general feeling of ill health. History reveals that the patient recently took a demanding new job that requires frequent air travel across the country
The nurse recognizes which risk factors for endocrine disturbance? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Probable exposure to unfamiliar infection pathogens
2. Psychological stress from the new job
3. Physiological stress of travel
4. Disruption of circadian rhythms
5. Ingestion of unfamiliar foods and beverages
2,3,4
Rationale 1: While this patient may have contracted an infection, this is not a likely cause of an endocrine disorder.
Rationale 2: Psychological stress can disrupt levels of hormones such as cortisol.
Rationale 3: Physiological stressors from frequent travel include dehydration and immobility. Physiological stress can disrupt hormonal levels.
Rationale 4: Frequent time zone changes may cause sleep disruption, which can result in hormonal imbalance.
Rationale 5: The patient may be eating and drinking things that are not familiar, but this is not likely to cause endocrine disruption.
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A patient has been diagnosed with hypothyroidism and admits to the nurse that she has heard of her thyroid gland but does not know the function of thyroid hormone. The nurse should explain the fact that thyroid hormone is responsible for
A) regulating the levels of most other hormones in the body. B) stimulating the brain and sex organs. C) controlling the rate of cell metabolism throughout the body. D) regulating levels of glucose in the blood and body tissues.
Which of the following are considered unique identifiers in addition to the full name of a client when establishing the identification of a client? (Select all that apply.)
a. Room number of the client. b. Client's medical record number. c. Initials of the client's name. d. Client's date of birth. e. Name of the client's medication.
A nurse performing an admission assessment on a patient with suspected tuberculosis knows that assessment findings consistent with tuberculosis include:
a. hemoptysis. b. weight gain. c. night terrors. d. hypothermia.
At the conclusion of a genetic counseling session, a family member says to the nurse, "There's got to be something that you aren't telling us." The nurse realizes that this individual is
1. feeling guilty because of the outcome of the testing. 2. demonstrating signs of a congenital abnormality. 3. angry with the findings from the testing. 4. confused by the nondirective approach taken by the genetic healthcare providers.