The patient in addisonian crisis is receiving IV fluids for rehydration. The nursing care is focused on:
a. early assessment of hypotension.
b. monitoring for hyperglycemia.
c. keeping the patient cool with sponge baths.
d. prevention of skin breakdown.
A
The patient with Addison's disease is at risk for an addisonian crisis. Addisonian crisis requires immediate fluid replacement therapy in order to prevent irreversible shock. Intravenous hydro-cortisone is given along with sodium, fluids, and dextrose until blood pressure becomes stable. The hydrocortisone is then tapered off slowly. Hyperkalemia must also be addressed with insulin, Kayexalate, and loop diuretics, and by monitoring arrhythmias and the patient's intake and out-put. Hypoglycemia is treated with IV glucose and with glucagon as needed; blood glucose is monitored every hour.
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A nurse manager is listing the number and type of staff needed for a procedure, otherwise known as which of the following?
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The nurse is removing gloves after performing client care activities. Place the steps in correct order for removing gloves. A) Pull off one glove by touching the outside of the glove at the cuff.B) Slip one finger of ungloved hand under glove cuff of other hand.C) Pull down and off so both gloves are removed as one.D) Roll up glove and place in gloved hand.
Fill in the blank(s) with the appropriate word(s).