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 C

Explanation

School-age children typically have a growing awareness of their bodies and an understanding of potential harm or pain. They may fear procedures or treatments that involve physical discomfort, such as injections, blood draws, or invasive procedures. The fear of experiencing pain or bodily injury can cause anxiety and distress in school-age children.

It is important for the nurse to acknowledge and address the child's fear of pain or bodily injury by providing age-appropriate explanations, offering reassurance, and implementing strategies to minimize discomfort. This may involve using distraction techniques, providing emotional support, and ensuring proper pain management during procedures.

While loss of privacy and control, separation anxiety, and stranger anxiety can also be stressors for school-age children, the fear of pain or bodily injury is often a significant concern that may require specific attention and interventions from the nurse.

A. Patient stopped taking the medication 2 days ago. B. Patient's blood pressure is 148/94 mm Hg. C. Patient has bilateral 2+ pitting ankle edema. D. Patient has not been taking the prescribed vitamin D.

Correct Answer is B

Explanation

Prednisone is a corticosteroid medication that can cause a range of side effects, including fluid retention, electrolyte imbalance, and increased blood pressure. A blood pressure reading of 148/94 mm Hg indicates hypertension, which may be related to the use of prednisone. It is essential to report this finding to the health care provider as it may require further evaluation and management, such as adjusting the medication dosage or initiating additional treatments to control blood pressure. The other information provided, such as stopping the medication, ankle edema, and not taking prescribed vitamin D, is relevant but does not pose an immediate threat to the patient's health compared to uncontrolled hypertension.

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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

As a nurse caring for a school-age child, the nurse may anticipate which primary stressor/fear?

Correct Answer is C

Explanation

Which information obtained by the nurse about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

Correct Answer is B

Explanation

The nurse is assessing a patient's postoperative wound and finds it has separated from the suture line with extrusion of the intestine through the opening. How does the nurse document this finding?

A student nurse correctly explains the pathophysiology of celiac when it is stated that patients who have celiac disease:

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