A patient enters the emergency department in adrenal crisis. The patient is lethargic and vital signs are blood pressure 85/52 mm Hg and pulse 88 beats/min. Which event in the patient's week most likely precipitated this crisis?
a. Eating a high-fat diet
b. Being laid off from a job
c. Taking Tylenol for a headache
d. Maintaining usual exercise of walking each night
ANS: B
Stress causes a need for an increase in cortisol, the body's stress hormone. Being laid off is a stressor. A. C. D. Tylenol, walking, and a high-fat diet are not unusually stressful.
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The nurse is caring for an 88-year-old patient who is recovering from an ileac-femoral bypass graft. The patient is day 2 postoperative and has been mentally intact, as per baseline
When the nurse assesses the patient, it is clear that he is confused and has been experiencing disturbed sleep patterns and impaired psychomotor skills. What should the nurse suspect is the problem with the patient? A) Postoperative delirium B) Postoperative dementia C) Senile dementia D) Senile confusion
The nurse considering interventions for the outcome of prevention of contractures in a spinal cord–injured patient will include which of the following in the nursing care plan?
1. Apply cold wraps to the limbs twice a day. 2. Perform full range of motion every 2 hours. 3. Use significant tactile stimuli each shift. 4. Apply splints to the limbs.
LPNs/LVNs are supervised by
a. Doctors, dentists, and RNs b. Physical therapists and occupational the-rapists c. Agency administrators d. Social workers, pharmacists and RNs
A client has been admitted to the detoxification unit after binge drinking. Even though the client is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
A) Risk for Injury related to effects of alcohol abuse B) Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes C) Risk for Other-Directed Violence related to alcohol withdrawal D) Risk for Delayed Development related to chronic effects of alcohol intoxication