This topic contains a solution. Click here to go to the answer

Author Question: The client with chronic obstructive pulmonary disease (COPD) is being changed from an oral ... (Read 62 times)

karlynnae

  • Hero Member
  • *****
  • Posts: 599
The client with chronic obstructive pulmonary disease (COPD) is being changed from an oral glucocorticoid to triamcinolone (Azmacort) by inhalation.
 
  The nurse plans to monitor the client for which of the following signs and symptoms during the change? 1. Chills, fever, generalized rash
  2. Vomiting and diarrhea, increased thirst
  3. Blurred vision, headache, and insomnia
  4. Anorexia, nausea, weakness, and fatigue

Question 2

The nurse hears in intershift report that a client receiving parenteral nutrition (PN) at 100 mL/hr has bilateral crackles and 1+ pedal edema. When the nurse obtains a daily weight, the nurse notes that the client has gained 4 lb in 2 days.
 
  Which of the following nursing actions should the nurse take first? 1. Encourage the client to cough and deep-breathe.
  2. Compare the intake and output records of the last 2 days.
  3. Slow the PN infusion rate to 50 mL/hr per infusion pump.
  4. Administer the prescribed daily diuretic, and check the client in 2 hours.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Li Jun

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

4

Rationale: Triamcinolone (Azmacort) is an adrenocortical steroid. The client who is being changed from an oral to an inhalation glucocorticoid could experience signs of adrenal insufficiency. The nurse should monitor the client for anorexia, nausea, weakness, and fatigue. The nurse should also monitor for hypotension and hypoglycemia.

Answer to Question 2

2

Rationale: The client is showing signs of fluid retention and possible excess fluid intake, as not-ed by the presence of crackles, edema, and weight gain. Noting the client's intake and output records adds to the database of information, which should then be reported. The problem may or may not be related to the PN. (Other possible causes are impaired respiratory, cardiovascular, or renal function.)




karlynnae

  • Member
  • Posts: 599
Reply 2 on: Jul 22, 2018
YES! Correct, THANKS for helping me on my review


Jossy

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

Malaria was not eliminated in the United States until 1951. The term eliminated means that no new cases arise in a country for 3 years.

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

For a complete list of videos, visit our video library