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?

Limit potassium-rich foods in the diet.

Decrease sodium intake.

Increase calorie intake.

Consume more calories from carbohydrates than protein.

Answer and Explanation

The Correct Answer is B

Choice A reason: Cushing's disease often causes hypokalemia, or low potassium levels, due to increased aldosterone production. Therefore, limiting potassium-rich foods is not advisable; rather, patients may need to increase their potassium intake to maintain electrolyte balance.

Choice B reason: The correct answer is b because Cushing's disease leads to sodium retention and fluid retention, causing hypertension and edema. Decreasing sodium intake helps manage these symptoms by reducing fluid retention and controlling blood pressure.

Choice C reason: Increasing calorie intake is not recommended for clients with Cushing's disease. The condition often leads to weight gain and increased adipose tissue, so a balanced diet with controlled calorie intake is more appropriate.

Choice D reason: Consuming more calories from carbohydrates than protein is not a specific recommendation for Cushing's disease. A balanced diet with adequate protein is important for maintaining muscle mass and supporting overall health, especially since Cushing's disease can cause muscle weakness and loss of muscle mass.

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Correct Answer is D

Explanation

Choice A reason: Telling the partner to call the nurse to push the button is not appropriate. PCA is designed to allow the client to self-administer pain medication based on their own perception of pain. Only the client should press the button to avoid the risk of over-sedation and respiratory depression.

Choice B reason: Encouraging the partner to press the button while the client is asleep can lead to over-medication and serious complications such as respiratory depression.

Choice C reason: Asking the partner why they think more medication is needed when the client is asleep does not address the underlying issue of inappropriate use of the PCA pump.

Choice D reason: The correct answer is d because the client should be the one to decide when more medication is needed. This ensures that the client receives the appropriate amount of pain relief based on their individual needs and prevents the risk of over-sedation.

A. Actinic keratosis B. Kaposi's sarcoma C. Actinic dermatitis D. Basal cell carcinoma

Correct Answer is B

Explanation

Choice A reason: Actinic keratosis is a rough, scaly patch on the skin caused by long-term sun exposure. It is usually not purplish-brown and is more common in fair-skinned individuals. These lesions are considered pre-cancerous and can develop into squamous cell carcinoma if left untreated. The description of purplish-brown lesions in the context of an AIDS diagnosis is more indicative of Kaposi's sarcoma.

Choice B reason: Kaposi's sarcoma is a type of cancer that forms in the lining of blood and lymph vessels. It often presents as purplish-brown, red, or bluish lesions on the skin or mucous membranes and is commonly associated with AIDS. The multiple, widespread nature of the lesions described aligns with the typical presentation of Kaposi's sarcoma, making it the most likely diagnosis in this scenario.

Choice C reason: Actinic dermatitis, also known as photodermatitis, is an inflammatory reaction of the skin to sunlight. It does not typically present as purplish-brown lesions. This condition manifests as redness, swelling, and possibly blistering in sun-exposed areas. The description given is not consistent with actinic dermatitis and points more towards Kaposi's sarcoma in an AIDS client.

Choice D reason: Basal cell carcinoma does not usually present with multiple, widespread purplish-brown lesions. It is typically a localized lesion that appears as a pearly or waxy bump. The description of multiple, widespread lesions is more characteristic of Kaposi's sarcoma in clients with AIDS, making basal cell carcinoma an unlikely diagnosis in this context.

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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?

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Correct Answer is D

Explanation

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Correct Answer is B

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