A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?

Ataxic dysarthria

Hypotension

Hyperkalemia

Bone fracture

Answer and Explanation

The Correct Answer is D

A. Ataxic dysarthria: This is not a common complication associated with Cushing syndrome. It is more related to neurological disorders affecting speech and coordination.
B. Hypotension: Cushing syndrome typically causes hypertension rather than hypotension due to fluid retention and increased vascular resistance.
C. Hyperkalemia: Cushing syndrome is associated with hypokalemia rather than hyperkalemia due to the effects of excess cortisol on potassium levels.
D. Bone fracture: Cushing syndrome increases the risk of osteoporosis and bone fractures due to prolonged exposure to high levels of cortisol, which affects bone density and strength.

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Correct Answer is D

Explanation

A. "I will include protein and carbohydrates in every meal": This is appropriate for a client with Graves' disease. A balanced diet with adequate protein and carbohydrates helps meet increased caloric needs due to hypermetabolism.
B. "I will avoid caffeinated beverages": This is a correct statement. Clients with Graves' disease should avoid caffeine as it can exacerbate symptoms like tremors and palpitations.
C. "I will eat a high-fiber diet": This is beneficial for maintaining gastrointestinal health. Hyperthyroidism can cause increased bowel movements, so a high-fiber diet helps prevent diarrhea.
D. "I will eat six full meals per day, with snacks in between": This indicates a need for further teaching. While frequent meals may be needed, "six full meals" can be excessive. Instead, a high-calorie, nutrient-dense diet with smaller, more frequent meals may be recommended to address increased metabolic demands without overloading the digestive system.

A. Acetaminophen B. Furosemide C. Ketoconazole D. Levothyroxine

Correct Answer is C

Explanation

A. Acetaminophen: While acetaminophen can help manage fever, it is not a primary treatment for acute thyrotoxicosis. The management of acute thyrotoxicosis involves addressing the overproduction of thyroid hormones, not just symptom relief.
B. Furosemide: Furosemide is a diuretic used for fluid retention and hypertension, not for managing thyrotoxicosis. It does not address the underlying cause of acute thyrotoxicosis.
C. Ketoconazole: Ketoconazole is an anti-fungal medication that also has the effect of inhibiting cortisol synthesis and can be used to treat acute thyrotoxicosis by reducing the production of thyroid hormones. It is used as part of a broader treatment plan.
D. Levothyroxine: Levothyroxine is used to treat hypothyroidism by providing synthetic thyroid hormone. It is not used to treat thyrotoxicosis, which involves excessive thyroid hormone levels, not deficiency.

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A nurse is caring for a client who has developed Cushing syndrome due to long-term corticosteroid therapy to treat multiple sclerosis. The nurse understands that Cushing syndrome puts the client at increased risk for which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?

Correct Answer is D

Explanation

Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?

Correct Answer is C

Explanation

A nurse is caring for a client Exhibits Select the 3 interventions that the nurse should anticipate for this client.

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At the beginning of the shift, a nurse receives report on the following four patients. Which patient should the nurse place priority on assessing first?

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