Author Question: A nurse cares for a client with chronic hypercortisolism. Which action should the nurse take? a. ... (Read 71 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?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

For a complete list of videos, visit our video library