1
,2
, The nurse is preparing a client for a test that will measure negative feedback suppression
of ACTH. Which medication will the nurse administer in conjunction for this test?
Dexamethasone
ACTH deficiency results in secondary hypocortisolism
ACTH deficiency is most commonly caused by?
glucocorticoid withdrawal
6 symptoms of an ACTH deficiency
tiredness
weakness
anorexia
N/V
hypoglycemia
orthostatic hypotension
interpretation of ACTH levels requires simultaneous assessment of plasma cortisol
levels
ACTH levels are normal to high in primary adrenal insufficiency
ACTH levels are low to absent in secondary adrenal insufficiency
The client has been taking an oral cortisol preparation for 2 years to manage an
autoimmune disease. What effects does the nurse expect this therapy to have on this
client's circulating levels of ACTH and aldosterone?
Decreased ACTH, decreased aldosterone
A nurse checks lab results as both Cushing syndrome and Addison disease can manifest
with elevated levels of:
3
, Adrenocorticotropic hormone (ACTH)
3. Acute epiglottitis
A caregiver calls the pediatrician's office and reports to the nurse that her 4-year-old, who
was fine the previous day, complained of a sore throat early in the morning and now has a
temperature of 102.6° F (39.2° C). The caregiver has tried to get the child to nap but the
child gets panicky, immediately sits back up, and leans forward with her mouth open and
tongue out when the caregiver encourages her to lie down. The nurse suspects the child
has which of the following conditions?
Epiglottitis
The caregivers of a child report that their child had a cold and complained of a sore
throat. When interviewed further they report that the child has a high fever, is very
anxious, and is breathing by sitting up and leaning forward with the mouth open and the
tongue out. The nurse recognizes these symptoms as those seen with which of the
following disorders?
Epiglottitis
The nurse is caring for a 5-year-old girl who shows signs and symptoms of epiglottitis.
The nurse recognizes a common complication of the disorder is for the child to:
be at risk for respiratory distress.
A 5-year-old child is brought to the clinic by his father because the child developed a
high fever over the past 2 to 3 hours. The nurse suspects epiglottitis based on which signs
and symptoms?
4
,2
, The nurse is preparing a client for a test that will measure negative feedback suppression
of ACTH. Which medication will the nurse administer in conjunction for this test?
Dexamethasone
ACTH deficiency results in secondary hypocortisolism
ACTH deficiency is most commonly caused by?
glucocorticoid withdrawal
6 symptoms of an ACTH deficiency
tiredness
weakness
anorexia
N/V
hypoglycemia
orthostatic hypotension
interpretation of ACTH levels requires simultaneous assessment of plasma cortisol
levels
ACTH levels are normal to high in primary adrenal insufficiency
ACTH levels are low to absent in secondary adrenal insufficiency
The client has been taking an oral cortisol preparation for 2 years to manage an
autoimmune disease. What effects does the nurse expect this therapy to have on this
client's circulating levels of ACTH and aldosterone?
Decreased ACTH, decreased aldosterone
A nurse checks lab results as both Cushing syndrome and Addison disease can manifest
with elevated levels of:
3
, Adrenocorticotropic hormone (ACTH)
3. Acute epiglottitis
A caregiver calls the pediatrician's office and reports to the nurse that her 4-year-old, who
was fine the previous day, complained of a sore throat early in the morning and now has a
temperature of 102.6° F (39.2° C). The caregiver has tried to get the child to nap but the
child gets panicky, immediately sits back up, and leans forward with her mouth open and
tongue out when the caregiver encourages her to lie down. The nurse suspects the child
has which of the following conditions?
Epiglottitis
The caregivers of a child report that their child had a cold and complained of a sore
throat. When interviewed further they report that the child has a high fever, is very
anxious, and is breathing by sitting up and leaning forward with the mouth open and the
tongue out. The nurse recognizes these symptoms as those seen with which of the
following disorders?
Epiglottitis
The nurse is caring for a 5-year-old girl who shows signs and symptoms of epiglottitis.
The nurse recognizes a common complication of the disorder is for the child to:
be at risk for respiratory distress.
A 5-year-old child is brought to the clinic by his father because the child developed a
high fever over the past 2 to 3 hours. The nurse suspects epiglottitis based on which signs
and symptoms?
4
