Answer to Question 1
ANS: A
The patient is exhibiting signs of adrenal insufficiency (Addison's disease) given the regular use of corticosteroids. Cortisone, hydrocortisone (Cortef), prednisone, and fludrocortisone (Florinef) are used for the treatment of adrenocorticoid deficiency. Treatment of Addisonian crisis includes administration of hydrocortisone, saline solution, and sugar (dextrose) to correct the insufficiency. The priority intervention is to start an intravenous line so that appropriate treatments may be administered. A urine specimen may be collected but is not the priority intervention. Since the patient is vomiting, administration of antiemetics or analgesia would be given through an intravenous line. The nurse should also assess for changes in the level of consciousness; so administration of analgesia may be contraindicated if any decrease in level of consciousness occurs.
Answer to Question 2
ANS: B
The GCS gives a standardized numeric score of the neurologic patient assessment. An electroencephalogra m is used in diagnosing and localizing the area of seizure origin. This scale is an example of one type of specific tool for nurses to use when assessing a patient following stroke. The Monroe-Kellie doctrine is not an assessment or monitoring strategy; it describes the interrelationship of volume and compliance of the three cranial components, brain tissue, cerebral spinal fluid, and blood.
The liver in this photograph was from a deceased patient with an advanced state of cirrhosis.
Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel
Severe varicose veins in the leg.
Compared to a chimpanzee, the human newborn has relatively little room to spare as it passes through
Algorithm for assessing a patient at risk for self-directed violence.
Slap the foot bottom with the back of the hand. Rapid, light slaps create a stimulating sensation.