The nurse is preparing a patient to undergo a dexamethasone suppression test. Which action is most appropriate?
a. Instruct the patient to be NPO 6 hours be-fore the test.
b. Instruct the patient that urine levels will be assessed after a 24-hour collection period.
c. Administer a steroid the morning of the test.
d. Instruct the patient that a blood specimen will be collected in the morning.
D
When assessing for Cushing disease cortisol levels are evaluated. If elevated cortisol levels are noted, a dexamethasone suppression test should be ordered. In preparation for the test, the patient is given a steroid at night, and blood and urine cortisol levels are then measured in the morning.
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During a health teaching session, the nurse notes that the client is not attentive and loses concentration easily. Which of the following techniques is most appropriate to capture the attention of the client during the teaching?
A) Repeat directions several times B) Tell the client when the session will end C) Use verbal modes of instruction D) Involve the client in an active way
The nurse is planning educational materials to help the parents care for a cognitively challenged child at home. What should the nurse include in this teaching? (Select all that apply.)
A) Provide generous praise. B) Reduce environmental stimulation. C) Scold for not learning abstract concepts. D) Break a large task down into smaller steps. E) Demonstrate the skill that the child is to perform.
Eighty percent of older adults have one chronic illness, and 60% have at least two. The older adult's ability to adapt determines:
A) whether they are ill or healthy. B) degree of loss of the physiologic reserve of the various organ systems C) that not wanting to change makes them more determined. D) how quickly they become overwhelmed with the stress of it all.
Jolene has breast cancer that has been staged as T1, N0, M0. What might this mean?
a. The tumor size cannot be evaluated, the cancer has not spread to the lymph nodes, and the distant spread cannot be evaluated. b. The cancer is in situ, it is spreading into the lymph nodes, but the spread otherwise cannot be evaluated. c. The cancer is less than 2 cm in size and has not spread to the lymph nodes or other parts of the body. d. The cancer is about 5 cm in size, nearby lymph nodes cannot be evaluated, and there is no evidence of distant spreading.