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concept of nursing 1
Adrenal Disorders
Question | Answer |
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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? | 1.3 mL |
The nurse is caring for a patient with Addison’s disease who has abdominal pain, a craving for salt, and the following vital signs: 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 |