Drug Card Cortisone (Cortone)

A 65-year-old woman is brought to the ED by ambulance after fainting. Physical examination reveals central-type obesity with a fatty buffalo hump in the neck, hirsutism, thin and fragile extremities with ecchymotic areas, hypertension, and mild congestive heart failure. She informs the nurse that she has experienced extreme weakness and fatigue during the past month and that her sleep patterns have become altered. The nurse realizes that the patient’s signs and symptoms are characteristic of:

All of the following nursing diagnoses would be appropriate for a patient with HHNK except:

The nurse learns that a patient is iodine-sensitive and is in thyroid crisis. Based on this information, which drug would the nurse expect to be included in the treatment plan?

The nurse draws blood for arterial blood gas analysis. Measurements reveal pH, 7.28: PO2, 50 mmHg, PCO2, 64 mmHg, and HCO3 – 20 mEq/L. Based on these findings, the nurse would expect to:

A friend brings a 25-year-old man to the ED. The patient had been complaining of blurred vision, headache, slurred speech, and weakness. He is now comatose. Earlier in the morning, he had been playing tennis. Immediate laboratory studies indicate a serum glucose level of 34 mg/dL. The nurse suspects that this patient’s symptoms resulted from:

The nurse knows that an increase in antidiuretic hormone (ADH) secretion may result from:

Which statement regarding myxedema coma is true:

A 55-year-old woman is admitted to the ED with a temperature of 105o F (40.5oC), blood pressure 180/110 mmHg, pulse rate 120 beats/minute, and respiratory rate 36 breaths/minute. She shows signs of dehydration and states that she has been experiencing muscle weakness and bone pain for the past week. She has a history of Grave’s disease. The physician diagnoses thyroid crisis. Which nursing measure would be inappropriate in controlling a patient’s pyrexia that is in thyroid crisis?

A 68-year-old woman is brought to the ED by her son, who informs the nurse that his mother has been experiencing weakness, polydipsia, and polyuria for the past few days.Initial laboratory studies reveal a serum glucose level of 2,000 mg/dL no ketones are detected in the urine. The physician diagnoses HHNK. Which assessment finding would result in a change in the level of consciousness in a patient with HHNK?

Which nursing action is not a priority during the initial management of a patient with HHNK?

Which of the following electrolyte imbalances is an expected finding for a client with Cushing’s Syndrome? Select all that apply.

A student nurse asks the preceptor about Cushing’s triad. The nurse correctly includes all of the following as part of Cushing’s triad except which?

The nurse is caring for a client with Cushing’s syndrome. The nurse knows that this disease is caused by hypersecretion of which of the following hormones? Select all that apply.

The nurse is caring for a client with Cushing syndrome. The nurse knows to perform which daily activity?

A nurse is caring for a client who has been diagnosed with Cushing’s syndrome. The client is at risk of impaired skin integrity related to skin dryness and edema. Which of the following goals would be most appropriate for this client?

The nurse is working with a client who has been diagnosed with Cushing’s syndrome. The nurse has provided teaching about the disease process and management. Which of the following statements by the client demonstrates a need for additional teaching?

A client with Cushing’s syndrome has become more withdrawn from friends and relatives because of changes in appearance. Upon admission to the healthcare center, the nurse gives the client a nursing diagnosis of Social Isolation related to discomfort with others and feelings of rejection by other people. Which of the following nursing interventions is most appropriate in this situation?

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?