Practice Question
The nurse is caring for a patient who was treated for Addisonian crisis. What clinical change indicates to the nurse that the prescribed therapy was effective?
Answer Choices:
Correct Answer:
Increase of 25 mmHg in the patient's systolic blood pressure.
Rationale:
🟡 Addisonian crisis: Results from acute cortisol deficiency, leading to severe hypotension and shock.
🟡 Treatment effect: IV hydrocortisone restores vascular tone and sensitivity to catecholamines.
🟡 BP improvement: Rise in systolic BP signals effective crisis reversal.
🟡 Electrolyte effects: Cortisol also helps normalize sodium and lower potassium levels.
🟡 Follow-up: Continue stress-dose steroids until patient stabilizes.
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This question is from Med surg Exam-Montgomery College which contains 38 questions.
More Questions from This Exam
The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia. Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?
Answer Choices:
A. Facial swelling and jugular vein distension (JVD).
B. Muscle weakness, confusion, polyuria, and polydipsia.
C. Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm.
D. Elevated liver function tests, jaundice, and blistering skin rash.
The nurse is caring for a patient with recurrent prostate cancer who is scheduled to begin treatment with immunotherapy medication. During patient teaching, which statement by the patient will indicate a need for further teaching by the nurse?
Answer Choices:
A. "You will monitor me for flu-like symptoms during my immunotherapy infusions.”
B. "I do not have to worry about losing my hair after this treatment.”
C. "Immunotherapy uses my own immune system to help fight the cancer.”
D. "This therapy will prevent me from getting hospital-acquired infections.”
The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy. Which statement from the patient indicates the medication therapy is effective?
Answer Choices:
A. "I have lost weight since taking this medication.”
B. "I perspire a lot throughout the entire day.”
C. "I have excess energy throughout the day.”
D. "I am able to sleep and rest at night.”
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4