A nurse is caring for a client with Cushing syndrome who has been hospitalized after a fall. The dietician works with the client to improve the patient's nutritional intake. What foods should a client with Cushing syndrome eat to optimize health? Select all that apply.

Foods high in vitamin D

Foods high in calories

Foods high in protein

Foods high in calcium

Foods high in sodium

Answer and Explanation

Correct Answer : A,C,D

A. Foods high in vitamin D are important because Cushing syndrome can lead to bone demineralization and osteoporosis. Vitamin D helps with calcium absorption and bone health.
B. Foods high in calories are not typically recommended, as clients with Cushing syndrome often experience weight gain and fat redistribution; calorie control is important.
C. Foods high in protein support muscle mass, which may be reduced in Cushing syndrome due to protein catabolism.
D. Foods high in calcium are essential to help counteract the risk of osteoporosis caused by excess cortisol.
E. Foods high in sodium should be avoided, as Cushing syndrome often causes fluid retention and hypertension — a low-sodium diet is usually recommended.

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Correct Answer is A

Explanation

A. Cardiac dysrhythmias are a serious complication of hypokalemia (potassium <3.5 mEq/L), especially in clients taking loop diuretics like furosemide, which increase potassium excretion. Monitoring heart rhythm is essential.
B. Hypoglycemia is not directly associated with low potassium or furosemide.
C. Seizures are more commonly linked to hyponatremia or severe hypocalcemia, not mild hypokalemia.
D. Neurogenic shock is typically caused by spinal cord injury, not by electrolyte imbalance.

A. Increase in hours of sleep per night B. Decrease in level of thyroxine (T4) C. Increase in weight D. Decrease in level of thyroid stimulating hormone (TSH).

Correct Answer is D

Explanation

A. Increased sleep may suggest persistent hypothyroidism or overtreatment leading to fatigue, not necessarily a sign of effective therapy.
B. A decrease in T₄ would indicate a worsening of hypothyroidism or inadequate dosing, not a therapeutic response.
C. Weight gain is a common symptom of untreated hypothyroidism; effective levothyroxine therapy should help normalize weight.
D. A decrease in TSH indicates that the body is receiving adequate thyroid hormone, suppressing the pituitary's signal for more, and is a primary marker of a therapeutic response to levothyroxine.

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A nurse is caring for a client with Cushing syndrome who has been hospitalized after a fall. The dietician works with the client to improve the patient's nutritional intake. What foods should a client with Cushing syndrome eat to optimize health? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?

Correct Answer is D

Explanation

The nurse providing care for a client with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk?

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