What is the priority nursing assessment for a client diagnosed with acute adrenal insufficiency (adrenal crisis)? Assessing...
respiratory rate
cranial nerves
blood glucose levels
range of motion
The Correct Answer is A
A. Respiratory rate is correct. In acute adrenal insufficiency (also known as adrenal crisis), there is a severe deficiency of cortisol, which can lead to hypotension, shock, and respiratory distress. Assessing the respiratory rate is crucial to identify any signs of respiratory compromise or distress, which can occur in adrenal crisis due to circulatory and metabolic instability.
B. Cranial nerves is incorrect. While cranial nerve assessment is important in neurological evaluations, it is not the priority assessment for acute adrenal insufficiency. Respiratory and circulatory assessments take precedence in this emergency situation.
C. Blood glucose levels is incorrect. While blood glucose levels should be monitored in adrenal crisis (due to potential hypoglycemia), the priority assessment is focused on respiratory function and signs of shock, as these are the most immediate threats to the client's life.
D. Range of motion is incorrect. While it’s important to assess mobility in general nursing care, assessing the range of motion is not a priority in acute adrenal insufficiency, where immediate concerns are more related to respiratory status and hemodynamic stability.
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Related Questions
Correct Answer is D
Explanation
A. covers all prescription medications with no out-of-pocket costs for beneficiaries is incorrect. Medicare Part D does not cover all prescription medications. It provides coverage for many prescription drugs, but beneficiaries may still have out-of-pocket costs such as premiums, deductibles, and co-pays. Additionally, not all medications are covered under Part D, as each plan has its own list of covered drugs.
B. is only available to individuals with low income is incorrect. While low-income individuals may qualify for additional assistance under Medicare Extra Help, Medicare Part D is available to all Medicare beneficiaries, not just those with low income. Individuals must be enrolled in Medicare Part A or Part B to be eligible for Part D.
C. is administered by the Centers for Medicare & Medicaid Services (CMS) is incorrect. While CMS oversees Medicare, Medicare Part D is actually administered through private insurance companies that are approved by CMS. These private plans provide prescription drug coverage to beneficiaries.
D. provides prescription drug coverage to Medicare beneficiaries is correct. Medicare Part D is specifically designed to provide prescription drug coverage for individuals who are eligible for Medicare. It helps beneficiaries pay for prescription medications through private insurance plans approved by CMS.
Correct Answer is ["B","D","E","F","G"]
Explanation
A. Potatoes is incorrect. While potatoes are nutritious, they are not a good source of calcium. They are primarily a source of carbohydrates and potassium, not calcium.
B. Collard greens is correct. Collard greens are a good source of calcium and are beneficial for individuals with hypoparathyroidism who need to increase their calcium intake.
C. Brown rice is incorrect. While brown rice is a healthy whole grain, it is not a significant source of calcium.
D. Soy products is correct. Many soy products, such as tofu, soy milk, and edamame, are often fortified with calcium and can be beneficial in treating hypoparathyroidism.
E. Calcium and vitamin D-fortified orange juice is correct. Fortified orange juice contains both calcium and vitamin D, which are important for calcium absorption, making it a good option for treating hypoparathyroidism.
F. Sardines is correct. Sardines are high in calcium, especially because they are typically eaten with their bones, which are a great source of calcium.
G. Kale is correct. Kale is a leafy green vegetable that provides a good amount of calcium, making it beneficial for individuals with hypoparathyroidism.
H. Stewed figs is incorrect. While figs do contain some calcium, they are not as significant a source as other foods like dairy products, leafy greens, or fortified products.
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