The nurse suspects that a patient with chronic hyperfunction of ...

[crobinson2013]

The nurse suspects that a patient with chronic hyperfunction of the adrenal cortex has an infection. What did the nurse assess to come to this conclusion?
 
  1. general feeling of malaise
  2. recent weight loss
  3. muscular tremors
  4. sense of nervous energy

Question 2

The nurse is caring for a patient with hypoparathyroidism. What actions should the nurse expect to perform to help this patient with a low calcium level?
 
  Select all that apply.
  1. administering calcium tablets as prescribed
  2. arranging for a dietary consult regarding foods high in calcium
  3. restricting fluids
  4. administering intravenous IV calcium gluconate
  5. administering calcimimetic

[iman]

Answer to Question 1

Correct Answer: 1
Elevated cortisol levels impair the immune response and put the patient with Cushing syndrome at risk for infection. A generalized feeling of malaise may be the primary manifestation of infection. Weight change, muscle tremors, and nervous energy are not manifestations of infection in the patient with chronic hyperfunction of the adrenal cortex.

Answer to Question 2

Correct Answer: 1, 2, 4
Treatment of hypoparathyroidism focuses on increasing calcium levels. Intravenous calcium gluconate is given immediately to reduce tetany. Long-term therapy includes supplemental calcium and increased dietary calcium. Fluids are not restricted in the treatment of hypoparathyroidism. Calcimimetic would reduce the amount of calcium in the body.

[crobinson2013]

Gracias!

[Alyson.hiatt@yahoo.com]

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