A client with a history of adrenal insufficiency is admitted to the intensive care unit with an acute adrenal crisis. The client is complaining of nausea and joint pain.

Exhibits

Which intervention should the nurse implement first?

Obtain an analgesic prescription.

Cover client with a cooling blanket.

Infuse an intravenous fluid bolus.

Administer PRN oral antipyretic.

Answer and Explanation

The Correct Answer is C

A. Obtaining an analgesic prescription addresses pain but is not the most urgent need in the context of an acute adrenal crisis with hypotension.
B. Covering the client with a cooling blanket addresses fever but is not the priority intervention compared to managing the client’s critical low blood pressure and shock.
C. Infusing an intravenous fluid bolus is the most critical intervention for managing hypotension in an acute adrenal crisis. Fluid resuscitation is essential to stabilize blood pressure and address the crisis.
D. Administering a PRN oral antipyretic would help manage fever but does not address the more immediate issue of hypotension and shock.

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 D

Explanation

A. Hiring a private duty nurse may be a solution, but it does not address the immediate need for support for the caregiver's well-being.
B. Proposing that extended family return is a potential solution but may not be practical or immediate. It does not directly address the caregiver's current stress and emotional needs.
C. A case management evaluation of the home environment might be useful but does not directly address the caregiver’s immediate need for relief from caregiving duties.
D. Suggesting social services be contacted to find a respite care facility provides immediate relief for the caregiver and addresses their emotional and physical exhaustion by offering temporary care for the client.

A. Initiate seizure precautions. B. Measure urinary output every hour. C. Monitor serum potassium frequently. D. Assess pupillary response to light hourly.

Correct Answer is B

Explanation

A. Initiate seizure precautions: Seizure precautions are not directly related to the administration of dopamine for hypotension. Dopamine primarily affects cardiovascular function.
B. Measure urinary output every hour: Monitoring urinary output is essential because dopamine can increase renal perfusion, and adequate urine output indicates effective renal function and response to treatment.
C. Monitor serum potassium frequently: While monitoring potassium levels might be necessary in some situations, it is not a primary focus of dopamine therapy unless there are specific concerns about electrolyte imbalances.
D. Assess pupillary response to light hourly: Pupillary response is not a primary concern when administering dopamine unless there are symptoms of neurological compromise, which is not indicated in this scenario.

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 client with a history of adrenal insufficiency is admitted to the intensive care unit with an acute adrenal crisis. The client is complaining of nausea and joint pain. Exhibits Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A client who is hypotensive is receiving dopamine, an adrenergic agonist, intravenously (IV) at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Correct Answer is B

Explanation

The parents of a 6-year-old child recently diagnosed with Duchenne muscular dystrophy tell the nurse that their child wants to continue attending swimming classes. How should the nurse respond?

Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an intravenous (IV) site in the client's arm?

The nurse observes erythema under the chin of a client receiving oxygen at 2 L/minute per nasal cannula. Which intervention should the nurse implement?

The nurse is monitoring a client with Cushing's disease in the postanesthesia care unit (PACU) after a hypophysectomy. Which intervention is most important for the nurse to include in the client's plan of care?

In formulating the nursing care plan for a client diagnosed with Parkinson's disease, which nursing problem has the highest priority?

The nurse is assigned to care for a client diagnosed with psoriasis. Which behavior by the nurse addresses this client's psychosocial need for acceptance?

The nurse observes erythema under the chin of a client receiving oxygen at 2 L/minute per nasal cannula. Which intervention should the nurse implement?

A client with a history of adrenal insufficiency is admitted to the intensive care unit with an acute adrenal crisis. The client is complaining of nausea and joint pain.

Exhibits

Which intervention should the nurse implement first?