The adrenal cortex secretes glucocorticoids. The most important is cortisol. It is involved in: (Select all that apply)
a. glucose metabolism.
b. releasing androgens and estrogens.
c. providing extra reserve energy during stress.
d. decreasing the level of potassium in the blood stream.
e. increasing retention of sodium in the blood stream.
Question 2The nurse is caring for a patient admitted with chronic obstructive pulmonary disease. During assessment, the nurse finds that the patient is experiencing a change in his respiratory and mental status.
The nurse is aware that the most accurate measurement of the concentration of oxygen in the patient's blood is what?
A) A capillary blood sample
B) Pulse oximetry
C) An arterial blood gas (ABG) study
D) Assessment of the patient's nail beds
Question 3An older patient being treated for intermittent pain is complaining of increased pain despite being started on a new pain management plan. What should the nurse do to help this patient?
A) Discussing alternative methods of pain management
B) Identifying underlying factors that could be interfering with the current plan
C) Reevaluating and setting realistic, specific goals for the pain management plan
D) Discussing with the pain management team about increasing the dosage of the medication
Question 4An emergency department (ED) nurse is caring for a patient complaining of dyspnea. The nurse assesses the patient's chest and hears wheezing throughout the lung fields. What might this indicate?
A) The patient is in bronchospasm.
B) The patient has pneumonia.
C) The patient needs physiotherapy.
D) The patient has a hemothorax.
Question 5The children of a 78-year-old frail woman are exasperated at what they perceive to be her obsession with her ailing health.
The children state that their mother rarely talks about anything other than her health problems and is constantly scheduling appointments with her physician that they believe are frivolous. How should the woman's nurse direct the family to deal with their mother's problem? A) Focus on fostering their mother's health in the knowledge that the problem will diminish if her health improves.
B) Bar their mother from making appointments that they deem unnecessary and reassure her that her health is stable.
C) Resolve to accept their mother's priorities and engage with her prioritization of her health problems.
D) Focus on engaging their mother in conversations that include a discussion of topics other than her health.
Question 6Which of the following are possible indications of alcohol abuse? (Select all that apply.)
A) Drinking one alcoholic beverage daily over a prolonged period of time
B) Frequent injuries or falls due to clumsiness
C) Keeping to oneself and being irritable around others
D) Experiencing blackouts
E) Using alcohol to calm nerves or improve mood
Question 7The three major life-threatening complications postoperatively of a thyroidectomy are: (Select all that apply)
a. Hemorrhaging
b. Seizures
c. Tetany
d. Hypoglycemia
e. Thyroid crisis (storm)
f. SIADH
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