The nurse is giving discharge instructions to the parents of a child who has had removal of adrenal glands due to a tumor. The nurse knows that the mother needs more instructions when the mother states:
1. "I will give my child his hydrocortisone in the morning."
2. "If my child has any gastric irritation, I will give him antacids."
3. "I will call the doctor if my child has restlessness and confusion."
4. "If my child has vomiting and diarrhea, I will hold his hydrocortisone."
4
Rationale:
1. The child should have hydrocortisone in the morning, which mimics the normal diurnal pattern of cortisol secretion.
2. Hydrocortisone can cause gastric irritation, and antacids are given between meals.
3. Restlessness and confusion can be signs of adrenal insufficiency, and the physician would need to know these symptoms.
4. If the child is ill, and can't take hydrocortisone by mouth, the child would need to have an injection. Failure to give hydrocortisone could lead to severe illness and cardiovascular collapse.
You might also like to view...
To prevent nipple trauma, the mother should be taught to:
a. Limit the feeding time to less than 5 minutes. b. Position the infant so the nipple is far back in the mouth. c. Assess the nipples before each feeding. d. Wash the nipples daily with mild soap and water.
Acetaminophen would NOT be recommended for
A. headache relief B. fever reduction C. a reduction in arthritic inflammation D. all of the above
The nurse is caring for a client who is suffering from atrial fibrillation. Which of the following statements made by the nurse are correct? Select all that apply.
a. It increases the risk of hemorrhagic stroke b. It does not increase the risk of stroke c. It can be caused by heart failure d. The client may have dizziness and syncope e. It arises from several atrial ectopic foci
A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior places her at a greater risk for:
a. Depression of the central nervous system b. Hypotension and vasodilation c. Sexually transmitted diseases d. Postmature birth