A nurse is caring for a 30-year-old client who has been diagnosed with Cushing syndrome. What psychosocial nursing diagnosis should the nurse prioritize when planning the client's care?

Decisional conflict related to treatment options

Spiritual distress related to changes in cognitive function

Disturbed body image related to changes in physical appearance

Powerlessness related to disease progression

Answer and Explanation

The Correct Answer is C

A. While treatment decisions may be necessary, they are typically made with medical guidance and are not usually the primary psychosocial concern.
B. Spiritual distress can occur but is less commonly reported than body image issues in younger clients with visible physical changes.
C. Disturbed body image is a key psychosocial concern in Cushing syndrome, especially in young adults, due to physical changes like moon face, truncal obesity, and skin alterations that can significantly affect self-esteem.
D. Feelings of powerlessness may arise but are generally secondary to the distress caused by altered appearance and self-perception.

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Correct Answer is C

Explanation

A. While potassium may be important in some cases (e.g., if the patient is on diuretics), it is not the first dietary priority in managing ascites.
B. Fluid restriction may be necessary if the client has severe hyponatremia, but it is not the initial dietary focus in ascites management.
C. Reduction in sodium intake is the most critical intervention for managing ascites, as sodium promotes fluid retention and worsens abdominal fluid accumulation.
D. Protein needs must be balanced in liver disease, especially if hepatic encephalopathy is present. While a high-protein, low-fat diet may be helpful in some cases, sodium restriction takes precedence in ascites management.

A. Have blood glucose levels checked annually. B. Stop using tobacco in any form. C. Undergo eye examinations regularly. D. Lose weight, if obese.

Correct Answer is D

Explanation

A. Annual glucose checks aid early detection but do not reduce the risk of developing diabetes.
B. Stopping tobacco use improves overall health but has less direct impact on diabetes risk compared to weight loss.
C. Eye exams help detect diabetic complications but do not prevent diabetes.
D. Weight loss in obese individuals significantly reduces insulin resistance and is the most effective action to lower the risk of developing type 2 diabetes.

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A nurse is caring for a 30-year-old client who has been diagnosed with Cushing syndrome. What psychosocial nursing diagnosis should the nurse prioritize when planning the client's care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with liver disease who has developed ascites; the nurse is collaborating with the client to develop a nutritional plan. The nurse should prioritize which of the following in the client's plan?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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