A patient is receiving fludrocortisone (Florinef Acetate). What condition does the health care provider expect to see in the patient's medical history?
a. Adrenal insufficiency
b. Pituitary insufficiency
c. Excess adrenal function
d. Excess pituitary function
ANS: A
Fludrocortisone is the drug of choice for chronic mineralocorticoid replacement where normal aldosterone synthesis is absent or impaired.
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A 7-year-old boy has been diagnosed with juvenile idiopathic arthritis (JIA), and his parents are anxious to know how his health problem will affect his short-term and longer-term future
What can his health care provider most accurately tell the family? A) "Because JIA is an autoimmune disease, the long-term prognosis is quite poor and his mobility is likely to decline over time." B) "The earlier that we can schedule joint replacement surgeries, the better his prognosis will be." C) "With appropriate use of anti-inflammatory drugs along with lifestyle modifications, your son stands a good chance of leading a normal life." D) "We can relieve many of the symptoms or JIA and ensure his mobility, but there is a risk he'll develop a systemic immune response beyond his joints."
The priority nursing diagnosis of a 45-year-old client with auditory hallucinations would be which of the following?
1. Risk for Violence, Self-Directed or Other-Directed 2. Disturbed Thought Processes 3. Individual Ineffective Coping 4. Impaired Verbal Communication
A nurse is leading a single mothers' parenting class. A pregnant teenager discloses her ambivalence toward the pregnancy and the subsequent guilt that these thoughts cause. A 34-year-old mother of three admits to having felt that way herself
Which of Yalom's curative group factors is illustrated by the 34-year-old mother's statement? A) Imparting of information B) Instillation of hope C) Altruism D) Universality
A 75-year-old man reports he stopped playing cards with his friends because their voices sounded mumbled. How does the nurse explain the cause of this change?
a. Sudden low-frequency hearing loss b. Accumulation of earwax in the outer ear c. Damage to the middle ear from ear infections d. Gradual high-frequency hearing loss