An adult client underwent a short plasma corticotropin (ACTH) stimulation test this morning. What subsequent assessment finding would rule out a diagnosis of adrenal insufficiency?
Static levels of serum cortisol
Blood glucose <70 mg/dL (3.80 mmol/L)
Decreased serum sodium levels
Elevated cortisol levels
The Correct Answer is D
would rule out a diagnosis of adrenal insufficiency after a short plasma corticotropin (ACTH) stimulation test. In this test, a synthetic form of ACTH is given to stimulate the adrenal glands to produce cortisol. If the adrenal glands are functioning normally, they should produce an increased amount of cortisol in response to the ACTH. Therefore, if the client has elevated cortisol levels after the test, it would indicate that their adrenal glands are functioning properly and ruling out adrenal insufficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This intervention is important to ensure accurate dosing and prevent medication errors. Insulin is a high-alert medication, meaning that it has a high potential for causing significant harm to the patient if administered incorrectly. Doublechecking the insulin dosage with a colleague can help prevent errors in dosing, which could lead to hypoglycemia or hyperglycemia in the client. It is also important to confirm the dosage since insulin dosing is based on individualized factors such as the client's blood glucose levels, weight, and overall health status.
Correct Answer is C
Explanation
Regular insulin is usually administered subcutaneously, and the TB syringe is commonly used for this purpose in pediatric patients due to its small size and ability to accurately measure small doses. The nurse will need to ensure that the proper injection technique is used to ensure the safety and effectiveness of the insulin administration.
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