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The nurse is caring for a client with Addison's disease. Which finding is expected with this diagnosis?
- A. Hypotension
- B. Weight gain
- C. Hyperglycemia
- D. Hypokalemia
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When teaching a client with a new diagnosis of diabetes mellitus about foot care, which of the following instructions should the nurse include?
- A. Soak your feet in hot water every day.
- B. Apply lotion between your toes.
- C. Inspect your feet daily.
- D. Use over-the-counter products to remove corns.
Correct Answer: C
Rationale: Inspecting the feet daily is crucial for clients with diabetes mellitus to detect early signs of injury or infection promptly. This practice helps prevent serious complications such as diabetic foot ulcers. Soaking feet in hot water daily can lead to skin dryness and increase the risk of injury. Applying lotion between toes can cause moisture buildup, leading to fungal infections. Using over-the-counter products to remove corns can result in skin damage and should be done under healthcare provider supervision.
A client has a new prescription for a metered-dose inhaler (MDI). Which of the following statements indicates an understanding of the teaching?
- A. I will shake the inhaler before use.
- B. I will breathe out forcefully after inhaling the medication.
- C. I will take the medication with food.
- D. I will use a spacer with the inhaler.
Correct Answer: A
Rationale: Shaking the inhaler before use is crucial to ensure proper mixing of the medication inside the inhaler. This action helps to disperse the medication evenly, allowing for consistent dosing during inhalation. Breathing out forcefully, taking the medication with food, and using a spacer are not related to the correct use of a metered-dose inhaler and may not lead to optimal medication delivery.
Nelson syndrome is seen after:
- A. Adrenalectomy
- B. Hypopituitarism
- C. Hyperpituitarism
- D. Deficiency of Growth hormone
Correct Answer: A
Rationale: Nelson syndrome follows bilateral adrenalectomy (choice A), often for Cushing's, causing ACTH oversecretion from pituitary hyperplasia, darkening skin, and tumor risk. Hypopituitarism (choice B) reduces hormones, opposite effect. Hyperpituitarism (choice C) is unrelated. Growth hormone deficiency (choice D) doesn't cause this. A is correct, per endocrinology. Nurses monitor ACTH, skin changes, and support imaging, managing this rare sequel.
Which of the following is an expected reaction from a client who has just been told by the physician that his tumor is malignant and has metastasis in to several organs?
- A. Crying uncontrollably
- B. Criticizing medical care
- C. Refusing to visit visitors
- D. Asking for additional medical consultations
Correct Answer: A
Rationale: A malignant, metastatic diagnosis often triggers grief's depression stage (Kübler-Ross), with crying as a natural emotional release. Criticism, withdrawal, or seeking consultations may reflect denial or bargaining, less immediate than sorrow. Nurses expect and support this reaction, offering empathy and presence, facilitating coping as patients process a life-altering prognosis, critical for emotional care.
A healthcare professional is assessing a client who has chronic pain. Which of the following findings should the healthcare professional expect?
- A. Hypotension
- B. Tachycardia
- C. Hyperthermia
- D. Depression
Correct Answer: D
Rationale: Chronic pain is associated with various psychological effects, including depression. Clients experiencing chronic pain may develop feelings of hopelessness, helplessness, and despair, which are characteristic of depression. It is essential for healthcare professionals to recognize and address these psychological impacts when caring for clients with chronic pain.