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Test Bank for Success in Practical Vocational Nursing 10th Edition Carroll | Complete Q&A 2026/2027 Latest Update

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Excel in your practical and vocational nursing studies with this comprehensive test bank for Success in Practical/Vocational Nursing 10th Edition by Carroll, featuring complete questions and answers for 2026/2027. Master all essential endocrine nursing topics including Cushing syndrome (dexamethasone suppression test oral 11PM plasma cortisol 8AM, nursing priority risk for injury weakness, physical changes buffalo hump moon face truncal obesity, disturbed body image, nutritional needs vitamin D protein calcium, transsphenoidal hypophysectomy blood glucose monitoring), Addison's disease (muscle weakness anorexia hyperpigmentation hypotension, lifelong steroid replacement, addisonian crisis signs pallor tachypnea hypotension, increased sodium during GI losses, ACTH stimulation test indicating pituitary hypofunction), aldosteronism (hypertension, hypokalemia, urine output monitoring, BP monitoring), corticosteroid therapy (increased infection risk, thrombophlebitis risk, morning dosing 7-8 AM mimicking natural cortisol secretion, adrenal suppression lasting up to 1 year after 2-week course, taper slowly to prevent adrenal insufficiency, never skip doses, always have supply available, stress periods require supplementary glucocorticoids, high-protein diet for muscle wasting), diabetes insipidus (dilute urine specific gravity 1.001-1.005, fluid deprivation test monitor HR BP terminate if tachycardia hypotension), SIADH (excess fluid volume priority, fluid restriction), pheochromocytoma (adrenalectomy preoperative IV corticosteroids, intraoperative hypertension heart rate changes from tumor manipulation), and adrenal tumors (vital sign changes hypertension tachycardia during manipulation). Perfect for LPN/LVN students, nursing fundamentals courses, and NCLEX-PN preparation.

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TEST BANK – SUCCESS IN
PRACTICAL AND VOCATIONAL
NURSING, 10TH EDITION CARROLL
Q&A 2026/2027 LATEST UPDATE


The nurse caring for a patient with Cushing syndrome is describing the
dexamethasone suppression test scheduled for tomorrow. What does the nurse
explain that this test will involve?




A) Administration of dexamethasone orally, followed by a plasma cortisol
level every hour for 3 hours




B) Administration of dexamethasone IV, followed by an x-ray of the
adrenal glands

,C) Administration of dexamethasone orally at 11 PM, and a plasma
cortisol level at 8 AM the next morning




D) Administration of dexamethasone intravenously, followed by a plasma
cortisol level 3 hours after the drug is administered - ✔✔✔✔✔✔-Ans: C



Feedback:




Dexamethasone (1 mg) is administered orally at 11 PM, and a plasma cortisol
level is obtained at 8 AM the next morning. This test can be performed on an
outpatient basis and is the most widely used and sensitive screening test for
diagnosis of pituitary and adrenal causes of Cushing syndrome.

You are developing a care plan for a patient with Cushing syndrome. What
nursing diagnosis would have the highest priority in this care plan?




A) Risk for injury related to weakness




B) Ineffective breathing pattern related to muscle weakness

, C) Risk for loneliness related to disturbed body image Autonomic dysreflexia
related to neurologic changes -

✔✔✔✔✔✔-Ans: A Feedback:
The nursing priority is to decrease the risk of injury by establishing a
protective environment. The patient who is weak may require assistance from
the nurse in ambulating to prevent falls or bumping corners or furniture. The
patient's breathing will not be affected and autonomic dysreflexia is not a
plausible risk. Loneliness may or may not be an issue for the patient, but
safety is a priority.

The nurse is performing a shift assessment of a patient with aldosteronism.
What assessments should the nurse include?
Select all that apply.




A) Urine output




B) Signs or symptoms of venous thromboembolism




C) Peripheral pulses

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