A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?
Increase carbohydrate intake.
Limit intake of potassium-rich foods.
Restrict sodium intake.
Decrease protein intake.
The Correct Answer is C
A. Increase carbohydrate intake.: This is incorrect. Cushing’s disease is characterized by excessive cortisol, which can lead to increased blood glucose levels, making carbohydrate intake less desirable. Clients with Cushing's disease often need to manage their blood sugar levels, so they should not increase carbohydrates indiscriminately.
B. Limit intake of potassium-rich foods.: This is incorrect. In Cushing’s disease, elevated cortisol levels can lead to potassium depletion, so clients should actually increase their intake of potassium-rich foods to help counteract the effects of low potassium, not limit them.
C. Restrict sodium intake.: This is correct. Cushing’s disease often results in fluid retention and hypertension due to increased cortisol and aldosterone levels. Restricting sodium helps manage these symptoms and reduces the risk of complications such as edema and high blood pressure.
D. Decrease protein intake.: This is incorrect. While protein breakdown is a feature of Cushing's disease, protein intake should not necessarily be decreased. Adequate protein intake is important to prevent muscle wasting, a common issue in clients with Cushing’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypotension is not a risk factor for metabolic syndrome; in fact, metabolic syndrome is often associated with hypertension.
B. Hypoglycemia is not a risk factor for metabolic syndrome. It is typically a concern in diabetes, not directly related to metabolic syndrome.
C. A large waist size is a significant risk factor for metabolic syndrome, as it is one of the key components in diagnosing the syndrome. Abdominal obesity (visceral fat) is strongly associated with insulin resistance, high cholesterol, and increased cardiovascular risk.
D. While asthma may affect overall health, it is not a direct risk factor for metabolic syndrome.
Correct Answer is ["B","C","D"]
Explanation
A. Moon face is typically associated with Cushing's syndrome, not acromegaly, which is characterized by changes in the hands, feet, and facial features rather than a rounded, moon-shaped face.
B. Enlarged distal extremities (hands and feet) are classic symptoms of acromegaly due to excessive growth hormone production.
C. Hepatomegaly (enlarged liver) is a common finding in acromegaly due to the overproduction of growth hormone, which affects organ size.
D. Coarse facial features (such as a protruding jaw, enlarged nose, and thickened lips) are a hallmark of acromegaly, resulting from the overgrowth of soft tissues.
E. Loss of color discrimination is not typically associated with acromegaly and may be seen in other conditions affecting the optic nerve or eye, but it is not a key symptom of acromegaly.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.