Which instruction is highest priority when the nurse is developing a teaching plan for a patient with Addison's disease?

Avoiding infection

Managing lifelong corticosteroid replacement

Wearing a Medic-Alert bracelet

Practicing stress-management techniques

Answer and Explanation

The Correct Answer is B

A. While avoiding infection is important for individuals with Addison's disease due to their weakened immune system, the priority is ensuring proper medication management.
B. Managing lifelong corticosteroid replacement is the most crucial instruction because individuals with Addison's disease have insufficient production of adrenal hormones, particularly cortisol. Without appropriate corticosteroid therapy, they can experience life-threatening adrenal crises.
C. Wearing a Medic-Alert bracelet is a helpful precaution, but it is not as immediately critical as ensuring proper medication management.
D. Practicing stress-management techniques is beneficial, as stress can exacerbate symptoms of Addison's disease, but corticosteroid replacement remains the highest priority.

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Correct Answer is C

Explanation

A. Discharge immediately following an open lung biopsy is unlikely. The patient will need observation post-procedure for complications such as bleeding, infection, or pneumothorax, and it usually requires a stay in the hospital for monitoring.
B. It is unlikely that supplemental oxygen will not be needed following an open lung biopsy. The patient may require oxygen post-procedure due to potential respiratory compromise, such as atelectasis or pneumothorax.
C. A chest tube is commonly inserted after an open lung biopsy to allow the lung to re-expand and to drain air or fluid that may accumulate in the pleural space. This is a standard part of the postoperative care for this procedure.
D. Collecting a sputum specimen is not typically necessary immediately after an open lung biopsy. The focus will be on monitoring the patient’s respiratory status, ensuring proper lung expansion, and preventing complications like pneumothorax or bleeding.

A. Hepatitis B B. Radon C. Mold D. Cockroaches

Correct Answer is C

Explanation

A. Hepatitis B is a viral infection and is not typically a concern for asthma patients in terms of environmental triggers.
B. Radon is a radioactive gas that can cause lung cancer with long-term exposure, but it is not a common asthma trigger.
C. Mold is a common environmental allergen and asthma trigger. It can exacerbate asthma symptoms and lead to allergic reactions, so it is important for clients with asthma to avoid mold exposure.
D. Cockroaches are another common asthma trigger, and clients with asthma should avoid exposure to cockroach allergens.

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Which instruction is highest priority when the nurse is developing a teaching plan for a patient with Addison's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?

Correct Answer is C

Explanation

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

Correct Answer is C

Explanation

A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

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The nurse assists a patient into which position in preparation for a diagnostic thoracentesis?

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A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

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