The nurse is performing a shift assessment of a client with aldosteronism. What assessments should the nurse include? Select all that apply.

Urine output

Signs or symptoms of venous thromboembolism

peripheral pulses

blood pressure

skin integrity

Answer and Explanation

Correct Answer : A,C,D

A. Urine output should be monitored because excess aldosterone leads to sodium and water retention and increased potassium excretion, which can impact fluid balance and renal function.
B. Venous thromboembolism is not a typical complication of aldosteronism and is not a priority in this context.
C. Peripheral pulses help assess circulation, which can be affected by blood pressure changes caused by fluid retention.
D. Blood pressure should be closely monitored, as aldosteronism often leads to hypertension due to sodium and water retention.
E. While skin integrity is important in general assessments, it is not directly related to aldosteronism and is not a priority focus for this condition.

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Correct Answer is C

Explanation

A. Surgical intervention is not the primary treatment for chronic pancreatitis and may not be necessary for all patients.
B. Blood glucose management is important, especially if there’s pancreatic endocrine involvement, but it is part of a broader need for lifestyle changes.
C. Post-discharge lifestyle modifications—such as alcohol cessation, smoking cessation, dietary changes, and medication adherence—are essential in preventing flare-ups and slowing disease progression, making this the priority focus.
D. Pancreatic transplantation is a rare and extreme measure, not commonly considered in the management of chronic pancreatitis.

A. "I will need to have your medications adjusted, so you will need to be readmitted to the hospital for a complete workup." B. "Limiting your fluids can create imbalances that can result in confusion, so let's try adjusting the timing of your fluids." C. "It is normal to be a little confused following surgery, and it is safe not to urinate at night." D. "Confusion and bladder issues are a normal consequence of aging, so I am not too concerned."

Correct Answer is B

Explanation

A. Hospital readmission is premature at this stage and may not be necessary if the issue can be addressed with education and support.
B. This response addresses the root problem — inadequate fluid intake — and offers a practical solution that promotes hydration while respecting the client’s concern about nocturia. Dehydration can lead to electrolyte imbalances and confusion, especially in older adults.
C. Confusion is not a normal post-op state and should never be dismissed. Urination at night is common but should not come at the expense of hydration.
D. While aging can bring some changes, confusion and dehydration should never be considered normal or acceptable and require assessment and intervention.

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The nurse is performing a shift assessment of a client with aldosteronism. What assessments should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been admitted to the hospital for the treatment of chronic pancreatitis. The client has been stabilized, and the nurse is now planning health promotion and educational interventions. Which of the following should the nurse prioritize?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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