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Questions 227

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Extract:

The nurse should observe Valerie closely for signs of infectious complications because in Addison's disease there is disturbance in


Question 1 of 5

fluid balance.

Correct Answer: D

Rationale: Because of diminished glucocorticoid production, there is a decreased inflammatory effect, increasing susceptibility to infections.

Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 2 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

Extract:

Ms. Wilson was admitted in the hospital for subtotal thyroidectomy. Two days prior to surgery she complains to the nurse and states, 'It looks like that she is coming down with flu.'


Question 3 of 5

An appropriate nursing action is:

Correct Answer: A

Rationale: Lugol's solution is given a few days before thyroidectomy to decrease the vascularity of the thyroid glands. Should the patient develop an infection, thyroidectomy will be canceled, so the Lugol's solution should not be given.

Extract:


Question 4 of 5

One of the campers at summer camp sprains his ankle. What action can the nurse take to help reduce the pain?

Correct Answer: B

Rationale: Ice reduces swelling and pain in acute sprains. Exercise, dependent positioning, or steroids are inappropriate initially.

Extract:

A male, Hispanic client with history of excessive 'alcohol-drinking', was admitted with a diagnosis of recurrent pancreatitis. On admission, the client was complaining of unbearable pain.


Question 5 of 5

The nurse

Correct Answer: A

Rationale: Demerol is preferred for pancreatitis pain to avoid sphincter of Oddi spasm associated with morphine.

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