The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

Events requiring steroid dose adjustments.

Need to check temperature daily.

Importance of recording daily weights.

Adherence to a high fiber, low fat diet.

Answer and Explanation

The Correct Answer is A

A.   Clients with Addison's disease need to understand situations that require an adjustment in their steroid dose, such as stress, infection, or surgery, to prevent an Addisonian crisis.
B.   Daily temperature checks are not typically required for Addison's disease unless there is a concern for infection.
C.   While daily weights can be helpful in some conditions, it is not the primary focus for managing Addison's disease.

D.   Dietary modifications such as high fiber, low fat may be beneficial for overall health but are not specific to managing Addison's disease.

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Correct Answer is C

Explanation

A. Normalized electrolytes are important but do not specifically indicate gastrointestinal motility.
B. Decreased nausea can be a sign of improvement but is less specific than passing flatus.
C. Passing flatus indicates that there is movement of gas through the intestines, which is a direct sign of returning gastrointestinal motility.
D. Return of appetite can occur for various reasons and is not as direct an indicator of GI motility as passing flatus.

Correct Answer is []

Explanation

Potential Condition: Anthrax

The client's flu-like symptoms followed by shortness of breath, cough, and chest pain align with potential inhalation anthrax. Furthermore, working in a government building and opening a suspicious package containing white powder suggests potential exposure to anthrax spores.
Actions to Take:

Place the client in isolation - Isolating the client helps prevent potential transmission of anthrax to others.
Apply oxygen via nasal cannula: The client's low oxygen saturation (88%) necessitates oxygen therapy to improve oxygen delivery to tissues.

Parameters to Monitor:

Arterial blood gases - Monitoring arterial blood gases helps assess the client's respiratory status and oxygenation levels, which may be compromised in anthrax-related respiratory distress.
Breath sounds - Monitoring breath sounds helps assess the effectiveness of respiratory interventions and detect any changes indicative of worsening respiratory status.

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The nurse is preparing an adult with Addison's disease for self-management. Which information should the nurse include in the client's instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted for medical management of a bowel obstruction. The drainage volume from the nasogastric tube over the last 12 hours is 300 milliliters. Which assessment finding provides the earliest indication that the client is experiencing gastrointestinal motility?

Correct Answer is C

Explanation

Patient Data Exhibits Complete the diagram by dragging from the choices below to specify 1 potential condition the client is most likely experiencing, 2 actions the nurse would take to address that condition, and 2 parameters the nurse would monitor to assess the client's progress.

Correct Answer is []

Explanation

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