A nurse is collecting data from a client who has Cushing's syndrome.Which of the following findings should the nurse expect?

The nurse should clarify the prescription for Digoxin due to the client's Irregular heart rhythm.

Rationale for correct prescription: Digoxin requires clarification because it can cause or exacerbate irregular heart rhythms. The client's irregular heart rhythm could indicate digoxin toxicity or an inappropriate dose. Monitoring and adjusting the digoxin prescription can prevent complications. Digoxin is used to control atrial fibrillation but needs careful management. Clarification ensures safe and effective use.

Rationale for other options: Warfarin does not need immediate clarification as there is no indication of excessive bleeding risk. Metoprolol is unlikely to be the cause of irregular rhythm in this scenario. Atorvastatin, used for hyperlipidemia, does not affect heart rhythm. Reported dizziness can be due to various causes and is not specific to digoxin. Palpitations are common in atrial fibrillation and need broader management beyond digoxin adjustment. Irregular heart rhythm strongly points to potential issues with digoxin. Bleeding risk pertains to warfarin management, not relevant here.

Clarification of digoxin is the priority due to direct impact on heart rhythm and patient safety.

Choice A rationale

Exercise can increase pressure in the middle ear and should be avoided until cleared by a healthcare provider. Engaging in physical activities too soon can impair the healing process after tympanoplasty.

Choice B rationale

Closing the mouth while sneezing reduces the risk of pressure changes in the middle ear, which could disrupt the surgical repair. The client should also avoid actions that can increase ear pressure, such as blowing their nose forcefully.

Choice C rationale

Shampooing hair can introduce water into the ear, potentially causing infection or damage to the surgical site. The client should follow the healthcare provider’s instructions regarding when it is safe to resume washing their hair.

Choice D rationale

Drinking through a straw creates negative pressure that can affect the middle ear and the healing process. The client should avoid using straws and other activities that create pressure changes in the ear.