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lorrkelly1 lorrkelly1
wrote...
Posts: 561
Rep: 3 0
6 years ago
The nurse is providing care to a patient recovering from a bilateral adrenalectomy. What should the nurse do to assess for the onset of adrenal insufficiency?
 
  1. monitor strict intake and output
  2. change the dressing using clean technique
  3. question the order for cortisol administration
  4. place the patient on fluid restriction

Question 2

The nurse is providing care to a patient with a low level of serum parathyroid hormone. What should the nurse expect to assess in this patient?
 
  Select all that apply.
  1. facial grimacing
  2. abdominal cramps
  3. hair loss
  4. dysrhythmias
  5. smooth, soft skin

Question 3

A patient taking steroids for an autoimmune disorder asks when the weight loss in the legs is going to stop. What should the nurse realize the patient is experiencing?
 
  1. muscle wasting
  2. poor wound healing
  3. risk for compression fractures
  4. increased susceptibility to infections

Question 4

The nurse is assessing a female patient who has an abnormally high level of parathyroid hormone. Which assessment findings would be consistent with this diagnosis?
 
  Select all that apply.
  1. muscle atrophy
  2. muscle weakness
  3. diarrhea
  4. weight gain
  5. hypotension

Question 5

The family of an older patient with hypothyroidism is concerned about the open wounds on the patient's legs and arms. How should the nurse respond to the family's questions about bathing?
 
  1. Use warm water to bathe the patient.
  2. Make sure she has a daily bath.
  3. Use firm, consistent strokes when bathing.
  4. Follow the bath with a rubbing-alcohol massage.

Question 6

A patient whose thyroid gland produces an insufficient amount of thyroid hormone is concerned about an elevated cholesterol level. What should the nurse explain to this patient?
 
  1. The thyroid gland malfunction can affect your cholesterol level.
  2. Maybe you don't realize how much fat is in the foods you eat.
  3. Elevated cholesterol is a normal part of aging.
  4. Describe your typical bedtime snack.
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1
Removal of an adrenal gland, especially a bilateral adrenalectomy, results in adrenal insufficiency. Addisonian crisis and hypovolemic shock may occur. The nurse should monitor intake and output. While care should be taken during dressing changes to avoid infection, this will not prevent adrenal insufficiency. Cortisol is often given on the day of surgery and in the postoperative period to replenish inadequate hormone levels. Intravenous fluids are also administered postoperatively.

The answer to question 2

Correct Answer: 1, 2, 3, 4
Facial grimacing, abdominal cramps, hair loss, and dysrhythmias are manifestations of hypoparathyroidism. Smooth, soft skin is not a common finding in the patient with hypoparathyroidism.

The answer to question 3

Correct Answer: 1
Long-term use of steroids can place a patient at risk for developing Cushing syndrome. One characteristic of this syndrome is muscle weakness and wasting, particularly in the extremities. Poor wound healing, risk for compression fractures, and increased susceptibility to infections are common in patients who are being treated with steroids. However, these problems would not manifest as weight loss in the limbs.

The answer to question 4

Correct Answer: 1, 2
Manifestations of hyperparathyroidism are related to hypercalcemia. Elevated calcium levels alter neural and muscular activity, leading to muscle atrophy and weakness. Diarrhea, weight gain, and hypotension are not manifestations of hyperparathyroidism.

The answer to question 5

Correct Answer: 1
The patient with hypothyroidism has dry skin and edema, which increase the risk of skin breakdown. Hot water, rough massage, and the use of alcohol-based products increase skin dryness. The patient should bathe only when necessary, with warm, not hot, water. Gentle motions should be used. Alcohol-free oils and lotions should be used.

The answer to question 6

Correct Answer: 1
Deficient amounts of thyroid hormone can cause abnormalities in lipid metabolism, with elevated serum cholesterol and triglyceride levels. As a result, the patient is at increased risk for atherosclerosis and cardiac disorders. The nurse should not make assumptions about the patient's dietary intake. Comments about aging and eating at bedtime are not therapeutic.
lorrkelly1 Author
wrote...
6 years ago
All correct
wrote...
6 years ago
Happy to help
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