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 B

Explanation

A. While foot ulcers can be painful, diabetic polyneuropathy often causes loss of sensation, making ulcers less noticeable rather than more painful.
B. Preventing foot ulcers is critical because complications can lead to infections, amputations, and loss of mobility, potentially resulting in institutionalization; maintaining foot health supports independent living.
C. Hypoglycemia and fall risk are valid concerns in diabetes but are not directly related to foot care.
D. Oral antihyperglycemics do not directly cause decreased circulation; this is more commonly related to underlying vascular disease, not medication side effects.

A. Oral calcium chloride and vitamin D B. IV calcium gluconate C. STAT levothyroxine D. Administration of parathyroid hormone (PTH)

Correct Answer is B

Explanation

A. Oral calcium is too slow for acute tetany treatment.
B. IV calcium gluconate is the treatment of choice for acute tetany caused by hypocalcemia, which can occur after thyroidectomy due to parathyroid gland injury or removal.
C. Levothyroxine treats hypothyroidism, not hypocalcemic tetany.
D. PTH administration is not commonly used acutely and is less accessible in emergency settings.

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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

The nurse reviews foot care with an older adult client. Why would the nurse feel that foot care is so important to this client?

Correct Answer is B

Explanation

The nurse's assessment of a client with thyroidectomy suggests tetany and a review of the most recent blood work corroborates this finding. The nurse should prepare to administer what intervention?

Correct Answer is B

Explanation

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