This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 35-year-old woman reports lethargy, difficulty remembering things, facial edema, dry skin, and ... (Read 96 times)

daltonest1984

  • Hero Member
  • *****
  • Posts: 536
on: Jul 23, 2018
A 35-year-old woman reports lethargy, difficulty remembering things, facial edema, dry skin, and cessation of menses. The nurse notes a heart rate of 60 beats per minute and a weight increase of 5 pounds from a previous visit.
 
  The nurse will notify the provider of which possible condition?
  a. Cretinism
  b. Early menopause
  c. Hyperthyroidism
  d. Myxedema

Question 2

The nurse administers intravenous corticotropin (Acthar) to a patient. A serum cortisol level drawn 60 minutes later shows no change in serum cortisol levels from prior to the dose. What is the nurse's first action?
 
  a. Notify the provider to discuss a possible non-functioning adrenal gland.
  b. Recognize the need for an increased dose to treat pituitary insufficiency.
  c. Request an order for a second dose of corticotropin to treat cortisone deficiency.
  d. Request an order to repeat the serum cortisol level in 1 to 2 hours.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

gabrielle_lawrence

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Myxedema is severe hypothyroidism characterized by this woman's symptoms. Cretinism is congenital hypothyroidism. Early menopause is not characterized by memory loss, facial edema, dry skin, or bradycardia. Hyperthyroidism would include tachycardia and weight loss.

Answer to Question 2

ANS: A
Corticotropin is given to diagnose adrenal gland disorders as well as to treat adrenal gland insufficiency. When given intravenously, the serum cortisol level should increase within 30 to 60 minutes if the adrenal gland is functioning. The nurse should report adrenal gland dysfunction. The provider will determine how to treat. Since the levels should increase in 30 to 60 minutes, there is no need to repeat the test in 1 to 2 hours.


daltonest1984

  • Member
  • Posts: 536
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

miss.ashley

  • Member
  • Posts: 371
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Why Different Constellations Are Visible at Different Times of the Year Why Different Constellations Are Visible at Different Times of the Year
Common skin signs are often evidence of an illness or disorder. A pustule is a small, elevated, ... Common skin signs are often evidence of an illness or disorder. A pustule is a small, elevated, ...
A Pokot married woman, Kenya. A Pokot married woman, Kenya.
This patient presented with a case of facial palsy caused by an infection by the bacterial ... This patient presented with a case of facial palsy caused by an infection by the bacterial ...
Facial Movements and Muscles Facial Movements and Muscles
Last year, Terrific Copying had total revenue of $475 000, while operating at 60% of capacity. ... Last year, Terrific Copying had total revenue of $475 000, while operating at 60% of capacity. ...
Video: Subunits of DNA And Semi Conservative Replication

For a complete list of videos, visit our video library