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HESI RN Med Surg 3 Questions

Extract:

Medical History
Vital Signs
Physical Examination
Chronic use of hydrocortisone and fludrocortisone
History of hypertension
Recent viral illness with vomiting and diarrhea
A 55-year-old male client is brought to the emergency department by his spouse due to sudden weakness, dizziness, and confusion. The spouse states that the client has had persistent fatigue and nausea for the past few days but suddenly became disoriented and lethargic this morning. The client also reports severe abdominal pain and muscle cramps


Question 1 of 5

Complete the diagram by specifying which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Actions to Take Choices A. Hold hydrocortisone dose B. Collect urine for a urinalysis C. Check blood glucose D. Bolus intravenous fluids E. Change intravenous fluids to 0.45%
Potential Conditions Choices A. Ketoacidosis B. Diabetes insipidus C. Myxedema D. Acute adrenal crisis
Parameters to Monitor Choices A. Blood pressure B. Urine output C. Thyroid stimulating hormone D. Electrolytes E. Heart rate

Correct Answer: D,E,F,A,D

Rationale: The client's symptoms and history of steroid use suggest acute adrenal crisis. Fluid resuscitation and glucose monitoring are critical actions, while blood pressure and electrolytes are key parameters to monitor.

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Question 2 of 5

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Question 5 of 5

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