After Receiving Change-Of-Shift Report About These Four Patients, Which Patient

question 3

Multiple Choice

After receiving change-of-shift report about these four patients, which patient should the nurse assess first?

• A) A 22-year-old admitted with SIADH who has a serum sodium level of 130 mEq/L.
• B) A 31-year-old who has iatrogenic Cushing's syndrome with a capillary blood glucose level of 244 mg/dl.
• C) A 53-year-old who has Addison's disease and is due for a scheduled dose of hydrocortisone (Solu-Cortef).
• D) A 70-year-old who recently started levothyroxine (Synthroid) to treat hypothyroidism and has an irregular pulse of 134.

---

Definitions:

Negative Feedback

A process in biological systems where the output of a system suppresses or diminishes its activity, helping to maintain stability or homeostasis.

Pelvic Inflammatory Disease

Pelvic Inflammatory Disease (PID) is an infection of the female reproductive organs, often caused by sexually transmitted bacteria, leading to symptoms like pelvic pain.

Swollen Lymph Glands

Enlargement of lymph nodes often due to infection, inflammation, or malignancy, indicating an immune response.

Night Sweats

Excessive sweating during the night, which is not related to an overheated environment and can be a symptom of various medical conditions.