Author Question: A patient was admitted with Addison's disease. Assessment now reveals nausea, vomiting, and ... (Read 72 times)

pragya sharda · **on:** Jul 23, 2018

A patient was admitted with Addison's disease. Assessment now reveals nausea, vomiting, and confusion. The nurse anticipates which urgent intervention?

1. Placement of a nasogastric tube.
2. Administration of intravenous hydrocortisone.
3. Administration of intravenous diuretic.
4. Immediate endotracheal intubation.

Question 2

The client receives lorazepam (Ativan) for chronic anxiety. The nurse determines that medication education has been most effective when the client makes which statement?

1. I will probably always need this medication for my anxiety.
2. This medication will help me relax so I can focus on problem solving.
3. This medication is not addictive.
4. My anxiety will be eliminated when I take this medication.

iman · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2
Rationale 1: A nasogastric tube may be necessary but is not the priority.
Rationale 2: Acute adrenal insufficiency requires immediate treatment with intravenous hydrocortisone.
Rationale 3: A diuretic may or may not be necessary but is not the priority.
Rationale 4: Intubation may or may not be necessary but is not the priority.

Global Rationale: Acute adrenal insufficiency requires immediate treatment with intravenous hydrocortisone. A nasogastric tube may be necessary but is not the priority. A diuretic and intubation may or may not be necessary but are not the priority.

Answer to Question 2

2

Rationale 1:I will probably always need this medication for my anxiety is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.
Rationale 2:This medication will help me relax so I can focus on problem solving. Benzodiazepines do not cure anxiety; they provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.
Rationale 3:This medication is not addictive is incorrect because all benzodiazepines are addictive, but most clients should not need to take benzodiazepines indefinitely for anxiety.
Rationale 4:My anxiety will be eliminated when I take this medication is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.

Global Rationale: This medication will help me relax so I can focus on problem solving. Benzodiazepines do not cure anxiety; they provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress. I will probably always need this medication for my anxiety is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress. This medication is not addictive is incorrect because all benzodiazepines are addictive, but most clients should not need to take benzodiazepines indefinitely for anxiety. My anxiety will be eliminated when I take this medication is incorrect because benzodiazepines provide short-term relief of anxiety while the client focuses on alternative therapies. Clients should be encouraged to explore and develop coping strategies for dealing with stress.