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. Bradycardia is not specifically associated with Addison's disease and can occur in various conditions.
B. Addison's disease typically causes hyperkalemia, not hypokalemia, due to insufficient aldosterone production.
C. Hypotension is a common manifestation in Addison's disease because of inadequate cortisol and aldosterone, leading to decreased blood volume and vascular resistance.
D. Hypernatremia is not typical in Addison's disease; rather, clients usually experience hyponatremia due to the lack of aldosterone leading to sodium loss.
Correct Answer is C
Explanation
A. Soaking feet is not recommended for clients with diabetes as it can cause skin maceration and increase the risk of infection.
B. Wearing sandals exposes the feet to injury and is not recommended for clients with diabetes. Closed-toed shoes are better for protecting the feet.
C. Daily foot inspection for sores, cuts, or bruises is essential for clients with diabetes to prevent infections and complications like diabetic ulcers.
D. Lotion should not be applied between the toes because it can promote excess moisture and fungal infections.
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