The nurse has received SBAR report on a patient with Cush and ecchymoses on the upper extremity.
What action should the nurse implement first?

Notify the healthcare provider.

Administer insulin using the sliding scale.

Provide skin care after assessing the skin.

Monitor intake and output and daily weight.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Notifying the healthcare provider is the appropriate first action when significant ecchymosis is observed in a patient with Cushing's syndrome, as it may indicate a need for medical intervention.

Choice B rationale

Administering insulin is not relevant as the primary concern here is the ecchymosis, not hyperglycemia.

Choice C rationale

While providing skin care is important, it does not address the potential underlying cause of the ecchymosis, necessitating provider notification first.

Choice D rationale

Monitoring intake and output and daily weight is a general care measure but does not address the immediate concern of ecchymosis observed.

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Free Nursing Study Resources

Correct Answer is ["675"]

Explanation

Step 1 is (198 ÷ 2.2) × 15 = 1350 mg/day.

Step 2 is 1350 ÷ 2 = 675 mg/dose.

A. Dairy milk. B. Eggs. C. Spinach. D. Green beans.

Correct Answer is A

Explanation

Choice A rationale

Dairy milk is a rich source of calcium, which is essential for patients with hypoparathyroidism. This condition leads to low levels of parathyroid hormone, causing hypocalcemia (low calcium levels in the blood). Including calcium-rich foods like dairy milk helps to manage this deficiency and maintain normal calcium levels.

Choice B rationale

Eggs provide some calcium, but their primary nutritional value is their protein content. While beneficial for overall health, eggs alone are not sufficient to address the calcium needs of patients with hypoparathyroidism, who require higher calcium intake.

Choice C rationale

Spinach contains calcium; however, it also has high levels of oxalates, which can bind to calcium and reduce its absorption in the body. Therefore, relying on spinach for calcium intake is not ideal for patients with hypoparathyroidism, who need to maximize calcium absorption to manage their condition effectively.

Choice D rationale

Green beans are nutritious and provide some calcium, but they are not among the top sources of calcium required for managing hypoparathyroidism. Patients with this condition need higher calcium intake from more concentrated sources like dairy products.

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The nurse has received SBAR report on a patient with Cush and ecchymoses on the upper extremity.What action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hours to a patient with neutropenic fever. The patient weighs 198 lb. How many mg will the nurse administer with each dose? Round the answer to the nearest whole number. Write numerical answer only - no units.

Correct Answer is ["675"]

Explanation

The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.Which will the nurse encourage the patient to include in their diet?

Correct Answer is A

Explanation

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The nurse has received SBAR report on a patient with Cush and ecchymoses on the upper extremity.
What action should the nurse implement first?