The nurse is caring for a patient who is postoperative after ...

[kshipps]

The nurse is caring for a patient who is postoperative after esophageal resection. Shortly after the nurse starts a feeding, the patient suddenly becomes dyspneic and complains of substernal pain. What should the nurse do first?
 
  a. Stop the feeding.
  b. Ambulate the patient.
  c. Notify the charge nurse.
  d. Reassure the patient.

Question 2

Which causative factor(s) may be responsible for primary endocrine disorders? (select all that apply.)
 
  a. Hormone overproduction
  b. Long periods of limited mobility
  c. Trauma
  d. Severe infection
  e. Effects of certain drugs

[firehawk60]

Answer to Question 1

A
After esophageal resection, pain, increased temperature, and dyspnea may indicate leakage of the feeding into the mediastinum. The nurse should immediately discontinue the feeding, then notify the charge nurse and address any patient concerns. Ambulation is not indicated at this time; am-bulation is an intervention to address gas pains.

Answer to Question 2

A, D
Endocrine disorders are caused by an imbalance in the production of hormone or by an alteration in the body's ability to use the hormones produced. Primary endocrine dysfunction means that an endocrine gland is either oversecreting or undersecreting hormone(s). Tumor or hyperplasia of the endocrine gland may lead to hypersecretion. Infection, mechanical damage, or an autoimmune response may be an inflammatory response in a gland and lead to hyposecretion. Secondary endocrine dysfunction occurs from factors outside the gland itself. Medications, trauma, hormone therapy, and other factors may cause secondary dysfunction. Long periods of limited mobility do not cause endocrine disorders.