A nurse is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?
Decrease sodium intake.
Increase calorie intake.
Limit potassium-rich foods in the diet.
Consume more calories from carbohydrates than protein.
The Correct Answer is A
A. Decreasing sodium intake is crucial in Cushing's disease due to the risk of fluid retention and hypertension associated with excess cortisol levels.
B. Increasing calorie intake is not typically recommended; managing weight and controlling calorie intake is often necessary.
C. Limiting potassium-rich foods is not appropriate, as patients with Cushing's disease often require adequate potassium to balance the effects of increased sodium and cortisol.
D. A balanced diet with adequate protein is important; focusing solely on carbohydrates at the expense of protein is not advisable for nutritional health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.8"]
Explanation
To calculate the dose per administration, we need to determine the total daily dose and then divide it by the number of doses per day.
- Convert pounds to kilograms:
- 22 lb (1 kg / 2.2 lb) = 10 kg
- Calculate the total daily dose:
- 1.5 mg/kg/day 10 kg = 15 mg/day
- Determine the dose per administration:
- 15 mg/day / 4 doses/day = 3.75 mg/dose
- Calculate the volume to administer:
- 3.75 mg / 1 mg/mL = 3.75 mL
Therefore, the nurse should administer = 3.8 mL
Correct Answer is D
Explanation
A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.
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