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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Verbal explanation shows understanding but does not confirm the client can perform the skill correctly.
B. Direct observation allows the nurse to accurately assess the client’s technique, identify any errors, and provide immediate feedback — making it the most effective method.
C. Education is important but does not evaluate the client's skill performance.
D. Hemoglobin A1c reflects long-term glucose control and cannot assess immediate insulin administration competency, especially prior to discharge.
Correct Answer is A
Explanation
A. Respiratory acidosis is indicated by a low pH (< 7.35) and elevated PaCO₂ (> 45 mm Hg), which fits this ABG profile: pH 7.21 (acidic), PaCO₂ 64 mm Hg (elevated), HCO₃ normal — confirming an uncompensated respiratory acidosis.
B. Metabolic alkalosis would present with a high pH and elevated HCO₃, which is not the case here.
C. Respiratory alkalosis involves high pH and low PaCO₂, the opposite of this patient's values.
D. Metabolic acidosis presents with low pH and low HCO₃, but the bicarbonate here is normal (24 mm Hg), ruling this out.
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