Author Question: A nurse cares for a client with chronic hypercortisolism. Which action should the nurse take? a. ... (Read 76 times)

Alainaaa8

  • Hero Member
  • *****
  • Posts: 576
A nurse cares for a client with chronic hypercortisolism. Which action should the nurse take?
 
  a. Wash hands when entering the room.
  b. Keep the client in airborne isolation.
  c. Observe the client for signs of infection.
  d. Assess the client's daily chest x-ray.

Question 2

A nurse cares for a client who is recovering from a hypophysectomy. Which action should the nurse take first?
 
  a. Keep the head of the bed flat and the client supine.
  b. Instruct the client to cough, turn, and deep breathe.
  c. Report clear or light yellow drainage from the nose.
  d. Apply petroleum jelly to lips to avoid dryness.



wilsonbho

  • Sr. Member
  • ****
  • Posts: 322
Answer to Question 1

ANS: A
Excess cortisol reduces the number of circulating lymphocytes, inhibits maturation of macrophages, reduces antibody synthesis, and inhibits production of cytokines and inflammatory chemicals. As a result, these clients are at greater risk of infection and may not have the expected inflammatory manifestations when an infection is present. The nurse needs to take precautions to decrease the client's risk. It is not necessary to keep the client in isolation. The client does not need a daily chest x-ray.

Answer to Question 2

ANS: C
A light yellow drainage or a halo effect on the dressing is indicative of a cerebrospinal fluid leak. The client should have the head of the bed elevated after surgery. Although deep breathing is important postoperatively, coughing should be avoided to prevent cerebrospinal fluid leakage. Although application of petroleum jelly to the lips will help with dryness, this instruction is not as important as reporting the yellowish drainage.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

Drying your hands with a paper towel will reduce the bacterial count on your hands by 45–60%.

For a complete list of videos, visit our video library