The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). When assessing the client skin, which clinical manifestations would the nurse expect to find? correct answer: Bronze color
The nurse is developing a plan of care for the client diagnosed wit...
Nightingale College BSN 246 Fall 2023 HESI
Health Assessment Part 2 Questions With
Complete Solutions
The nurse is admitting a client diagnosed with primary adrenal cortex insufficiency (Addison's disease). When assessing the client skin, which clinical manifestations would the nurse expect
to find? correct answer: Bronze color
The nurse is developing a plan of care for the client diagnosed with acquired immuno- deficiency syndrome (AIDS) who has developed an infection in the adrenal gland. Which problem would have the highest priority? correct answer: Fluid volume deficit
The nurse is planning the care of a client diagnosed with Addison's disease. Which interventions should be included? correct answer: Administer steroid medications.
The client is admitted to rule out Cushing's syndrome. Which laboratory tests would the nurse anticipate being ordered? correct answer: Plasma levels of ACTH and cortisol.
The client has developed iatrogenic Cushing's disease. Which is a scientific rationale for the development of this problem? correct answer: The client has been taking steroid medications for an extended period for another
disease process. The nurse is performing discharge teaching for a client diagnosed with Cushing's disease. Which statement made by the
client demonstrates an understanding of the instructions? correct
answer: "I will be sure to notify my health-care provider if I start to run a fever."
The charge nurse of an intensive care unit is making assignments for the night shift. Which client should be assigned to the most experienced intensive care nurse? correct answer: The client diagnosed with Addison's disease who is lethargic and has a BP of 80/45,
P 124, and R 28.
The nurse writes a problem of "altered body image" for a 34-
year-old client diagnosed with Cushing's disease. Which interventions should be implemented? correct answer: Use therapeutic communication to allow the client to discuss feelings.
The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should be the emergency department nurse's first action? correct answer: Start
an IV with an 18-gauge needle and infuse NS rapidly.
The client diagnosed with Cushing's disease has developed +1peripheral edema. The client has been receiving intravenous fluids at 100 mL per hour via IV pump for the past 79 hours. The client has also received IVPB medication in 50 mL of fluid every 6 hours for 15 doses. How many mL of fluid has the client
received? ______ correct answer: 8650 mL
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