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croth99 croth99
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6 years ago
During discharge teaching with a client diagnosed with autosomal dominant polycystic kidney disease, the nurse should stress which of the following points? (Select all that apply.)
 
  1. Take more tub baths.
  2. Void frequently.
  3. Practice good perineal hygiene.
  4. Void after intercourse.
  5. Take showers.
  6. Limit fluids.

Question 2

The nurse is providing instructions to a client receiving treatment for Cushing's syndrome. Which of the following instructions would not be appropriate for this client?
 
  1. Monitor glucose levels.
  2. Implement safety precautions.
  3. Wear medical identification.
  4. Volunteer at the hospital to prevent depression.

Question 3

A client, complaining of weight gain, has thin extremities, a buffalo hump, and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process?
 
  1. Addison's disease
  2. Cretinism
  3. Cushing's syndrome
  4. Obesity

Question 4

For a client to be diagnosed with Anti-Glomerular Basement Membrane disease, the nurse realizes that which of the following characteristics must be present? (Select all that apply.)
 
  1. Antiglomerular basement membrane (GBM) antibodies
  2. Sinus infection
  3. Pulmonary hemorrhage
  4. Proliferative glomerulonephritis
  5. Increased heart rate
  6. Rapidly dropping blood pressure

Question 5

A client is prescribed medication after recovering from surgery to treat acromegaly. Which of the following medications would the nurse expect to see prescribed?
 
  1. None
  2. Cabergoline (Dostinex) 1 mg PO twice a week
  3. Cortisone acetate (Cortone) 100 mg PO three times a day
  4. Octreotide (Sandostatin) 20 mg IM every 4 weeks

Question 6

The nurse is assessing circulation through a client's arteriovenous shunt. Which of the following are signs of a patent site? (Select all that apply.)
 
  1. Normal blood pressure
  2. Positive bruit
  3. Pulse present distal to the site
  4. Dry dressing
  5. Palpable thrill
  6. Good skin turgor
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Replies
wrote...
6 years ago
The answer to question 1  2, 3, 4, 5
Tub baths should be avoided for female patients. The client should not be instructed to limit fluids. Discharge teaching should include frequent voiding, good perineal hygiene, voiding after intercourse, and taking showers instead of tub baths.

The answer to question 2  4
A client diagnosed with Cushing's syndrome is predisposed to falls, injury, and increased glucose levels. The client should wear an identification bracelet indicating her disease process. The client should avoid crowds and persons with infections.

The answer to question 3  3
Even though the client has gained weight (obesity), the distribution of that weight is characteristic for the disease process of Cushing's syndrome. Cretinism and Addison's disease do not exhibit those symptoms.

The answer to question 4  1, 3, 4
Anti-glomerular basement membrane disease must include the three characteristics of proliferative glomerulonephritis, pulmonary hemorrhage, and the presence of anti-GBM antibodies. Sinus infection is an assessment finding of Wegener's granulomatosis. Increased heart rate and rapidly dropping blood pressure are not characteristics of this disorder.

The answer to question 5  4
Sandostatin is used for residual growth hormone hypersecretion following surgery. Cortone is used to treat adrenocorticotropic dysfunction, and Dostinex is used to treat hyperprolactinemia.

The answer to question 6  2, 5
A positive bruit and palpable thrill indicate potential site patency. Blood pressure and a dry dressing do not assess circulation to the shunt. Good skin turgor does not indicate good circulation through the shunt. A pulse present distal to the site is a normal finding that does not indicate site patency.
croth99 Author
wrote...
6 years ago
I wanna give this person a hug.
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