A 37-year-old patient is being admitted with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?
a. Chronically low blood pressure
b. Bronzed appearance of the skin
c. Purplish streaks on the abdomen
d. Decreased axillary and pubic hair
ANS: C
Purplish-red striae on the abdomen are a common clinical manifestation of Cushing syndrome. Hypotension and bronzed-appearing skin are manifestations of Addison's disease. Decreased axillary and pubic hair occur with androgen deficiency.
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The nurse is caring for a patient 3 days following a split-thickness burn injury from a fire. Which of the following best indicates that nursing interventions to promote adequate cardiac output have been effective?
a. Urine output is 1,050 mL in 24 hours. b. Radial pulses are thready at 112/min. c. Blood pressure is 128/66 mmHg. d. Patient weight is 4 pounds less than admission weight.
The nurse is preparing to administer a beta2 antagonist and understands that this medication is most likely indicated for which of the following patients?
a. The patient in preterm labor b. The patient with a blood glucose level of 58 c. The patient with an exacerbation of asthma d. The patient with a sustained heart rate of 121/minute
When interacting with patients, it is important for the nurse to recognize that defense mechanisms
a. keep id impulses from gaining control. b. protect the ego from excessive anxiety. c. access unconscious feelings and memories. d. prevent conflict among the id, ego, and superego.
A 75-year-old woman visits a healthcare facility for a routine physical checkup. When obtaining the client's medical history, which of the following points should the nurse keep in mind while communicating with the client?
A) Address the client as "dear" or use similar terms to display affection. B) Let the client speak about various topics to make her feel comfortable. C) Use direct, open-ended questions rather than inquiries that result in "yes" or "no." D) Speak loudly so that the client has no problems understanding the instructions.