Question

C. Staphylococcus aureus D. Neisseria gonorrhoeae 24 A 60-year-old male enters the emergency room complaining of burning pain under his sterum that radiates to his jaw. He has been experiencing this pain for three weeks, periodically, with episodes that occur as often as three times a week. The nurse proceeds in which of the following ways? A. Prepares the patient for immediate transfer to the cardiac laboratory B Administers a dose of ibuprofen C. Asks the patient if he has tried antacids D. Administers 25 grams of 50% dextrose solution E. Immediately calls the physician 25 A 65-year-old male client has been admitted for complications due to chronic heart failure, and is receiving several medications. Medications include digoxin, Lasix, and metoprolol. The nurse enters the client room and he informs her that he is feeling nauseous and has vomited. She suspects the client is experiencing digoxin toxicity. What has most likely caused the client to experience digoxin toxicity? A. Digoxin level of 1.5ngmL B. Right sided heart failure C. Change in heart rate due to metoprolol D. Left ventricular hypertrophy E. Hypokalemia due to Lasix 26 What is the most common cause of Cushing's disease? A. Pituitary adenoma B. Paraneoplastic syndrome C. Renal adenoma D. Corticosteroid use 27 Full-thickness (transmural) ulceration of the bowel wall occurs in what condition? A. Irritable bowel syndrome B. Crohn's disease C. Celiac disease D Ulcerative colitis

Answer 1

25) The client is taking lasix which is a diuretics that removes excess fluid from the body. Laxis causes potassium loss in which the symptoms inlude tiredness, muscle weakness, and nausea or vomiting. A low level of potassium in the body (hypokalemia) can increase the risk of digitalis toxicity.

Hence, option E. Hypokalemia due to lasix is the answer.

26)  Cushing syndrome occurs when the body is exposed to high levels of the hormone cortisol for a long time.

The most common cause of Cushing syndrome is the use of corticosteroid medications, such as prednisone, in high doses for a long period.These medications are used to prevent rejection of a transplanted organ and also used to treat inflammatory diseases.

D. Corticosteroid use is the answer.

27) Crohn disease is an idiopathic, chronic regional enteritis that most commonly affects the terminal ileum but has the potential to affect any part of the gastrointestinal tract from mouth to anus. Untreated crohn's disease is characterized by transmural (full-thickness) inflammation, involvement of discontinuous segments of the intestine (skip areas), and, in a proportion of cases, by non-necrotizing granulomas composed of epithelioid histiocytes.

option B. Crohn's disease is the answer.