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 C
Explanation
Metformin is an oral medication used to lower blood sugar levels in clients with type 2 diabetes. It works by decreasing the production and absorption of glucose in the liver and intestines, respectively. However, metformin is contraindicated in clients with severe infections, as the drug can increase the risk of developing lactic acidosis, a rare but serious complication characterized by the buildup of lactic acid in the bloodstream.
During a severe infection, the body may experience a state of inflammation and stress, which can cause metabolic changes that increase the risk of developing lactic acidosis. Therefore, metformin should be temporarily discontinued in clients with severe infections and resumed only after the infection has been successfully treated and resolved.
In the meantime, the client's diabetic regimen may need to be adjusted to maintain appropriate blood sugar levels. This may include the use of alternative medications such as insulin, which can be used to control blood sugar levels during times of illness or infection. The healthcare provider will determine the appropriate management plan based on the individual client's needs and medical history.
Correct Answer is B
Explanation
When using an insulin pump, the best site for inserting the infusion set is in the abdomen. This is because the abdomen has a higher amount of subcutaneous fat and a larger surface area, which allows for better absorption of the insulin. In addition, the abdomen is more accessible and easier to reach for self-insertion, and it also allows for better flexibility and comfort for the patient during daily activities.
It is important to rotate the infusion set insertion sites within the abdomen to avoid tissue damage and to ensure consistent absorption. Other sites, such as the hip, thigh, or deltoid, may be used but are generally not recommended due to the potential for slower absorption, tissue damage, and discomfort for the patient
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