A nurse is assessing a client with Cushing's syndrome. The nurse is aware that an exogenous cause of Cushing's syndrome is which of the following?

Insufficient insulin production

Long term use of glucocorticoids

Adrenal insufficiency

Overproduction of growth hormones

Answer and Explanation

The Correct Answer is B

A. Insufficient insulin production is related to diabetes mellitus, not Cushing's syndrome.
B. Long-term use of glucocorticoids is a well-known exogenous cause of Cushing's syndrome, as it leads to excess cortisol in the body.
C. Adrenal insufficiency refers to a deficiency of adrenal hormones and would not cause Cushing's syndrome, which is characterized by excess hormones.
D. Overproduction of growth hormones is associated with acromegaly or gigantism, not Cushing's syndrome, which primarily involves excess cortisol.

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Correct Answer is []

Explanation

Rationale:

Potential Condition: Hypothyroidism - The client exhibits signs consistent with hypothyroidism, including fatigue, weight gain, decreased appetite, hair loss, constipation, and intolerance to cold. The laboratory results show low serum T3 and T4 levels, confirming this diagnosis.
Actions to Take:
- Request a prescription for Thyroid hormone replacement: This is crucial for managing hypothyroidism and restoring normal metabolic function.
- Administer supplemental oxygen: Given the client’s low oxygen saturation (92%), this intervention is essential to ensure adequate oxygen delivery and prevent further complications.
Parameters to Monitor:
- Bowel function: Monitoring bowel habits is important since constipation is a common symptom of hypothyroidism, and managing this aspect can improve the patient's overall comfort and health.
- Oxygen saturation: Continuous assessment of oxygen levels is necessary to address the patient's respiratory needs and detect any further deterioration.

A. Bradycardia B. Bounding peripheral pulses C. Urine specific gravity 1.002 D. Normal urine output

Correct Answer is C

Explanation

A. Bradycardia is not a common finding in diabetes insipidus; rather, patients may experience tachycardia due to volume depletion.
B. Bounding peripheral pulses may occur in conditions with fluid overload, which is not typical in diabetes insipidus where there is a lack of fluid retention.
C. Urine specific gravity of 1.002 indicates dilute urine, which is consistent with diabetes insipidus, where the body fails to concentrate urine due to insufficient antidiuretic hormone (ADH).
D. Clients with diabetes insipidus typically experience polyuria, resulting in increased urine output rather than normal levels.

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A nurse is assessing a client with Cushing's syndrome. The nurse is aware that an exogenous cause of Cushing's syndrome is which of the following?

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Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is assessing a client diagnosed with diabetes insipidus. The nurse should expect which of the following assessment findings?

Correct Answer is C

Explanation

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