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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Related Questions
Correct Answer is D
Explanation
A. Diabetes insipidus typically causes dehydration, which leads to weak rather than bounding pulses.
B. Clients with diabetes insipidus often have dry mucous membranes due to excessive fluid loss.
C. Bradycardia is not associated with diabetes insipidus. Tachycardia is more likely due to dehydration.
D. Diabetes insipidus leads to excessive urination, resulting in diluted urine with decreased specific gravity.
Correct Answer is D
Explanation
A. Hypertension does not contraindicate the use of sulfonylureas.
B. A blood glucose level of 140 mg/dL is a common finding in type 2 diabetes, and sulfonylureas are used to control such levels.
C. Shingles (herpes zoster) does not directly contraindicate the use of sulfonylureas.
D. Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.
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