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Week 8 CON
Week 8 Adrenal Disorders
Question | Answer |
---|---|
A patient with Addison’s disease asks the nurse what causes the disease. Which is the best response by the nurse? | Addison’s disease is the result of the decreased production of adrenal corticosteroids.” |
Which manifestations would the nurse expect to find when assessing a patient with Cushing’s syndrome? | 1. Obesity 2. Bruising 3. Edema |
Which manifestations would the nurse expect to find when assessing a patient with Addison’s disease? | 1. Hypotension 2. Weakness 3. Diarrhea |
The nurse is caring for a patient with adrenocortical hyperplasia. Which treatment would the nurse expect the health care provider to prescribe for this patient? | Administration of mifepristone |
Which orders would the nurse expect the health care provider to give for a patient diagnosed with Cushing’s syndrome secondary to a pituitary adenoma? | 1. Radiation therapy 2. Transsphenoidal resection |
A nurse is discussing dietary management with a patient diagnosed with Addison’s disease. Which meal would the nurse recommend to this patient? | Tomato soup with grilled cheese sandwich |
Which information is most important for the nurse to include in the discharge teaching provided to a patient with Addison’s disease? | Follow-up appointment date and time |
A nurse is providing care to a patient with Cushing’s syndrome. On examination, the nurse notes gynecomastia, truncal obesity, and bruising. The patient reports pain of “9” on a scale of 1 to 10. Which nursing action is priority? | Access vital signs |
The nurse is educating a patient with Cushing’s syndrome about preventative care. Which statements by the patient indicate the teaching was effective? | 1. “I should wear a medical alert bracelet at all times.” 2. “I should avoid doing yardwork when it is hot outside.” 3. “I should notify my health care provider if I experience weakness.” |
A nurse is caring for a patient with Cushing’s syndrome whose blood pressure is 160/100 mm Hg on two occasions. Which adrenal hormone is likely altered in this patient? | Mineralocorticoid |
Which is the most common cause of primary adrenal insufficiency? | Decreased production of corticosteroids |
Which is the most common cause of Cushing’s syndrome? | Long-term corticosteroid use |
The nurse is caring for a patient with Addison’s disease who has abdominal pain, vomiting, and the following vital signs: temperature 101.1° F, heart rate 110, respiratory rate 22, and blood pressure 84/58. Which action should the nurse take first? | Administer a 1000-mL IV bolus of normal saline solution |
The nurse notes a “moon” face, abdominal striae, truncal obesity, and hirsutism during the assessment of a patient with Addison’s disease who takes daily oral corticosteroids. Which order by the health care provider would the nurse anticipate? | Obtain a plasma adrenocorticotropic hormone (ACTH) level |
The health care provider has ordered methylprednisolone, 75 mg, to be administered intravenously for a patient in Addisonian crisis. Methylprednisolone is supplied at 120 mg/2mL. How many milliliters would the nurse administer? Round your answer to one de | 75 mg / 120 mg x 2 mL = 1.25mL = 1.3mL |
The nurse is caring for a patient with Addison’s disease who has abdominal pain, a craving for salt, and temperature 101.3° F, heart rate 118, respiratory rate 24, and blood pressure 86/52. Which nursing intervention is the priority? | Wash hands and maintain a calm environment |
The nurse is providing discharge teaching to a patient with Cushing’s syndrome. Which statement made by the patient indicates the need for further teaching? | “I should stop taking my medications because they caused Cushing’s syndrome.” |
A patient with suspected Addison’s disease arrives in the emergency department, lethargic and confused. Which action by the nurse is the priority? | Check the patient’s medical alert bracelet |