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concept of nursing 1

Adrenal Disorders

QuestionAnswer
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
Created by: Lightnning54
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