A nurse in the emergency department is caring for female client.
Glucose level
Weight change
Emotional feelings
Blood pressure
The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"}}
Glucose level: Elevated glucose is a hallmark of Diabetes Mellitus. In Cushing syndrome, excess cortisol causes insulin resistance and hyperglycemia. In Hyperthyroidism, increased metabolism leads to rapid glucose absorption and glucose intolerance.
Weight change: The client experienced weight loss. This is consistent with Hyperthyroidism (high metabolism burns calories faster than intake) and Diabetes (breakdown of fats/proteins due to lack of insulin). Cushing syndrome is characterized by weight gain (truncal obesity/moon face).
Emotional feelings: Both Cushing syndrome (excess cortisol) and Hyperthyroidism (excess thyroid hormone) are well-known for causing severe mood lability, irritability, anxiety, and insomnia. While unstable blood sugar in diabetes can affect mood, it is not a primary psychiatric characteristic of the disease pathology in the same way.
Blood pressure: Hypertension is found in all three. Cushing's causes fluid/sodium retention. Hyperthyroidism increases cardiac workload. Diabetes causes vascular damage and renal complications leading to hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Initiate client decontamination:While decontamination (removing clothes and washing with soap and water) is important if there is visible powder or immediate exposure, the prompt describes a group who "may have been exposed" in a farm setting (likely inhalation of spores). The priority medical intervention for the potential progression of the disease is prophylaxis.
B. Treat clients with an antitoxin:Antitoxins are used for the treatment of severe, active anthrax disease (to neutralize toxins already released). They are not the first line for exposureprophylaxis.
C. Administer antibiotic therapy: Prophylactic antibiotics are the standard of care for individuals exposed to anthrax spores to prevent the spores from germinating and causing infection. The standard regimen usually involves Ciprofloxacin or Doxycycline for 60 days.
D. Place the clients in isolation: Cutaneous and inhalation anthrax are not contagious from person to person. Standard precautions are sufficient; isolation is not required.
Correct Answer is D
Explanation
A. Yogurt and mozzarella:These are dairy products high in calcium but poor sources of iron. Furthermore, calcium interferes with the absorption of non-heme iron (plant-based iron) and should generally not be taken at the exact same time as iron supplements or high-iron meals.
B. Milk and turkey slices:While turkey contains some iron, milk is a poor source and, as mentioned above, the calcium content inhibits iron absorption.
C. Fish and cottage cheese:Fish is a good source of iron, but cottage cheese (calcium) inhibits absorption.
D. Spinach and beef: This option provides the best combination. Beef contains heme iron (found in animal products), which is highly absorbable. Spinach contains non-heme iron (plant-based). Combining these maximizes iron intake. Additionally, red meats and dark green leafy vegetables are the gold standard recommendations for dietary iron deficiency treatment.
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