Med Surg

The nurse caring for a patient with Addison disease suspects adrenal crisis when the patient exhibits: A. Hypertension and abdominal pain B. Confusion and tachycardia C. Bradycardia and nausea D. Widening pulse pressure and shortness of breath B. Confusion and tachycardia In drawing up a teaching plan for a patient with Addison disease, the nurse will include: A. discontinuing hormonal replacement therapy if the patient becomes nauseated or has diarrhea. B. Decreasing medication if the p...

. A patient has been admitted with anaphylactic shock due to an unknown allergen. The nurse understands that the patient is probably having an immunoglobulin E (IgE)-mediated response as a result of what physiologic mechanism? a. Direct activation of mast cells and basophils b. Nonimmunologic stimulation of biochemical mediators c. Repeat exposure to an antigen in the presence of preformed IgE antibodies d. Activation of the systemic inflammatory response ANS: C Immunoglobulin E (IgE) ...

B ~ Urine output changes are a sensitive early indicator of shock. The nurse should delegate emptying the urinary catheter and measuring output to the UAP as a baseline for hourly urine output measurements. The UAP cannot assess for pain. Repositioning may or may not be effective for decreasing restlessness, but does not take priority over physical assessments. Reassurance is a therapeutic nursing action, but the nurse needs to do more in this situation. A client is in shock and the nur...