A female patient comes into the clinic to be seen for fatigue and ...

[K@]

A female patient comes into the clinic to be seen for fatigue and a cold that won't go away, both of which began when she started a new job and her mother moved in with her family.
 
  The nurse realizes that this patient might be experiencing what reaction?
  1. an increase in glucocorticoid secretion
  2. an increase in epinephrine secretion
  3. a drop in mineralocorticoid secretion
  4. a reduction in norepinephrine secretion

Question 2

The nurse is assessing a patient for Trousseau sign. In which order should the nurse conduct this assessment?
 
  1. Inflate the cuff.
  2. Wait 25 minutes.
  3. Note a point greater than systolic blood pressure.
  4. Place a blood pressure cuff above the antecubital space.
  5. Observe for carpal spasms in the patient's hands and fingers.

[cat123]

Answer to Question 1

Correct Answer: 1
The glucocorticoids include cortisol and cortisone. These hormones affect carbohydrate metabolism and are released in times of stress. An excess of glucocorticoids in the body depresses the inflammatory response and inhibits the effectiveness of the immune system. Alteration in epinephrine, norepinephrine, or mineralocorticoids would have an influence on cardiovascular function and fluid and electrolyte balance, but would not influence immune response as much as an increase in glucocorticoid secretion.

Answer to Question 2

Correct Answer: 4, 1, 3, 2, 5
Trousseau sign is a test for hypocalcemia with resulting tetany (tonic muscle spasms). It is assessed by placing a blood pressure cuff above the antecubital space, inflating the cuff to a point greater than systolic blood pressure and waiting for 25 minutes to observe for carpal spasms in the patient's hands and fingers.

[K@]

Thank you

[cat123]

No problemo