Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?

Decreasing serum chloride levels

Increasing serum sodium levels

Increasing serum potassium levels

Decreasing blood sucrose levels

Answer and Explanation

The Correct Answer is B

Acute adrenal insufficiency, also known as adrenal crisis, is characterized by low levels of adrenal hormones, particularly cortisol. One of the primary manifestations of adrenal insufficiency is electrolyte imbalance, specifically hyponatremia (low sodium) and hyperkalemia (high potassium). Inadequate cortisol levels can lead to impaired sodium reabsorption in the kidneys, resulting in sodium loss and low serum sodium levels.

When the patient receives appropriate therapies for acute adrenal insufficiency, such as administration of glucocorticoids (e.g., hydrocortisone), the cortisol levels begin to normalize. As a result, the impaired sodium reabsorption improves, leading to an increase in serum sodium levels.

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Correct Answer is D

Explanation

Compartment syndrome is a condition characterized by increased pressure within a muscle compartment, leading to impaired blood flow and potential tissue damage. It can occur when swelling or bleeding within a confined space, such as a cast, causes increased pressure on the surrounding tissues.

Tingling in the toes and decreased sensation can be indicative of nerve compression or damage due to increased pressure in the compartment. It is important to recognize these neurological changes as potential signs of compartment syndrome.

Signs and symptoms of compartment syndrome may include:

Severe pain that is out of proportion to the injury or not relieved by pain medication.
Swelling and tightness in the affected area.
Numbness or tingling.
Pale or cool skin over the affected area.
Weakness or decreased sensation in the affected limb.
In severe cases, paralysis or loss of pulse in the affected area.

A. Client states they are hungry. B. Presence of abdominal cramping. C. Presence of bowel sounds. D. Passing of flatus or stool

Correct Answer is C

Explanation

Bowel sounds are the result of muscular contractions in the intestines, indicating the movement of food, fluids, and gas through the gastrointestinal tract. After surgery, the normal function of the intestines, including peristalsis, may be temporarily impaired. As the intestines recover and regain their normal motility, bowel sounds will become audible.

The return of bowel sounds is an encouraging sign that the gastrointestinal system is starting to function again. It indicates that peristaltic activity has resumed and that the intestines are moving and processing the contents within. This is an essential step in the postoperative recovery process, as it indicates the return of normal gastrointestinal function and can lead to the resumption of oral intake and passage of stool.

While the other options may also be associated with the return of GI function, such as feeling hungry or passing flatus or stool, the presence of bowel sounds is a more reliable and direct assessment finding that indicates the resumption of peristaltic activity.

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Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment finding indicates possible compartment syndrome?

Correct Answer is D

Explanation

Which assessment finding is the best Indicator to the nurse that a client's peristaltic activity (Gl motility) has resumed after surgery?

Correct Answer is C

Explanation

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