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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Weight gain, rather than weight loss, is associated with hypothyroidism and myxedema.
B. High-fiber foods are encouraged in hypothyroidism to manage constipation, not limited.
C. Clients with myxedema experience cold intolerance and need warmth, making the application of warm blankets an appropriate intervention.
D. While clients may experience fatigue, bedrest is not a primary intervention; maintaining activity as tolerated is encouraged.
Correct Answer is A
Explanation
A. Airway patency is the priority concern following a thyroidectomy due to the risk of swelling or bleeding that can compress the airway, leading to respiratory compromise.
B. Hoarseness can occur due to laryngeal nerve irritation but is not the priority over airway concerns.
C. Pain control is important but is not the primary priority compared to maintaining a patent airway.
D. Visual deficits are not typically related to postoperative thyroidectomy care.
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