A client is found to be deficient in a mineralocorticoid. The nurse assesses the client for manifestation of this deficiency by noting evidence of:
a. hypotension.
b. hypertension.
c. bradycardia.
d. edema.
ANS: A
A severe decrease in the mineralocorticoid aldosterone leads to hypotension and vascular collapse, such as in Addison's disease.
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The nurse cares for critically ill patients in a busy trauma unit. The nurse manager has instituted a program to incorporate principles of palliative care into the care of all patients in the unit. What is the best reason for this inclusion?
A) Most of the patients in critical care will die, so palliative care will be necessary. B) Primary palliative care focuses on relief of suffering and improvement of quality of life. C) This action has been mandated by the nurse manager and must be implemented. D) Palliation is another way of managing pain control in critical care.
A nurse is planning discharge teaching for an 80-year-old patient with mild short-term memory loss. The discharge teaching will include how to perform basic wound care for the venous ulcer on his lower leg
When planning the necessary health education for this patient, what should the nurse plan to do? A) Set long-term goals with the patient. B) Provide a list of useful Web sites to supplement learning. C) Keep visual cues to a minimum to enhance the patient's focus. D) Keep teaching periods short.
The nurse is caring for a client with an intraosseous catheter placed in the leg 20 hours ago. Which assessment is of greatest concern?
a. Length of time catheter is in place b. Poor vascular access in upper extremities c. Affected leg cool to touch d. Site of intraosseous catheter placement
When it is time for a patient's third round of chemotherapy for colon cancer, the patient's white blood cell count is low and the treatment is delayed. The patient is upset at this delay. What is your best response?
a. "This extra time will give your hair a chance to grow back in." b. "This is for the best. You are too weak to receive chemotherapy now." c. "I will call the physician and request a prescription for something to calm your nerves." d. "Try not to worry. Your counts will probably be high enough next week and the chemotherapy will work just as well then."