A 46-year-old female patient presents to the emergency department with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 83/44 mm Hg. pulse oximetry 98%. and T 98.8 F oral.

Which nursing intervention is the highest priority for this patient?

Administering furosemide (Lasix)

Replacing potassium losses

Providing isotonic ﬂuids

Restricting sodium.

Answer and Explanation

The Correct Answer is C

The patient's vital signs suggest that she is experiencing hypotension, tachycardia, and possibly dehydration due to acute adrenal insufficiency. The highest priority nursing intervention for this patient is to provide isotonic ﬂuids to restore intravascular volume and blood pressure. This will also help to correct any electrolyte imbalances that may be present. Administering furosemide (Lasix) or replacing potassium losses may be necessary interventions, but they are not the highest priority at this time. Restricting sodium would be contraindicated in this situation as the patient is hypotensive and needs ﬂuids to increase intravascular volume.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Lipase is an enzyme that is produced by the pancreas and is involved in the digestion of fats. In acute pancreatitis, the pancreas becomes inﬂamed, and lipase levels in the blood can become significantly elevated. Monitoring lipase levels can help healthcare providers to assess the severity of pancreatitis, track the eﬀectiveness of treatment, and determine when it is safe to start a patient on a normal diet.

A. mg B. ml C. Units

Correct Answer is C

Explanation

An insulin syringe is measured in units (U). The concentration of insulin is usually expressed in units per milliliter (U/mL), and the volume of the syringe is also measured in milliliters (mL), but the actual dosing of insulin is in units. It is important to use the correct syringe size and to measure the correct number of units to ensure accurate dosing of insulin.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 46-year-old female patient presents to the emergency department with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 83/44 mm Hg. pulse oximetry 98%. and T 98.8 F oral. Which nursing intervention is the highest priority for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which laboratory test result will the nurse monitor to evaluate the eﬀects of therapy for a patient who has acute pancreatitis?

Correct Answer is C

Explanation

An insulin syringe is measured in which of the following?

Correct Answer is C

Explanation

Which information will the nurse include when teaching a patient who has type 2 diabetes about glyburide?

A hospitalized patient who is diabetic received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient was away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. What is the best action by the nurse to prevent hypoglycemia?

The nurse is preparing to teach a 43-year-old man who is newly diagnosed with type 2 diabetes home management of the disease. Which action should the nurse take first?

A patient calls the clinic to report a new onset of severe diarrhea. What should the nurse anticipate that the patient will need to do?

Which action by the patient who is self-monitoring blood glucose indicates a need for additional teaching?

Which information from a 70-year-old patient during a health history indicates to the nurse that the patient should be screened for hepatitis C?

Desmopressin acetate (DDAVP) is prescribed to a patient for the treatment of diabetes insipidus. The nurse administering the medication monitors the patient for which therapeutic response?

A 46-year-old female patient presents to the emergency department with acute adrenal insufficiency and the following vital signs: P 118 beats/min, R 18 breaths/min, BP 83/44 mm Hg. pulse oximetry 98%. and T 98.8 F oral.

Which nursing intervention is the highest priority for this patient?