Answer to Question 1
ANS: A
The patient is exhibiting signs of adrenal insufficiency (Addison's disease) given the regular use of corticosteroids. Cortisone, hydrocortisone (Cortef), prednisone, and fludrocortisone (Florinef) are used for the treatment of adrenocorticoid deficiency. Treatment of Addisonian crisis includes administration of hydrocortisone, saline solution, and sugar (dextrose) to correct the insufficiency. The priority intervention is to start an intravenous line so that appropriate treatments may be administered. A urine specimen may be collected but is not the priority intervention. Since the patient is vomiting, administration of antiemetics or analgesia would be given through an intravenous line. The nurse should also assess for changes in the level of consciousness; so administration of analgesia may be contraindicated if any decrease in level of consciousness occurs.
Answer to Question 2
ANS: B
The GCS gives a standardized numeric score of the neurologic patient assessment. An electroencephalogra m is used in diagnosing and localizing the area of seizure origin. This scale is an example of one type of specific tool for nurses to use when assessing a patient following stroke. The Monroe-Kellie doctrine is not an assessment or monitoring strategy; it describes the interrelationship of volume and compliance of the three cranial components, brain tissue, cerebral spinal fluid, and blood.
Palpating the Apical Impulse with the Patient on the Left Side
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
An emergency department physician at work
A visually impaired patient is assisted by a service dog.
Circular palmar petrissage back up the spine from buttocks to shoulders. Tissues lift as hands trace ...
Emergency Care