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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
Choice A reason: Massaging erythematous bony prominences can actually cause further damage to the skin and underlying tissues. It is better to relieve pressure and monitor the skin closely for any signs of breakdown.
Choice B reason: Implementing a turning schedule every 4 hours is not frequent enough. Clients with spinal cord injuries should be repositioned every 2 hours to prevent prolonged pressure on any one area and reduce the risk of skin breakdown.
Choice C reason: The correct answer is c because using pillows to keep the heels off the bed surface helps prevent pressure ulcers on the heels, which are common sites of skin breakdown in immobilized clients. This technique helps distribute pressure more evenly and reduces the risk of ulcers.
Choice D reason: Keeping environmental humidity less than 30% is not recommended, as low humidity can lead to dry and cracked skin, increasing the risk of skin breakdown. Maintaining a moderate humidity level helps keep the skin hydrated and intact.
Choice E reason: The correct answer is e because minimizing skin exposure to moisture, such as sweat, urine, or wound exudate, helps prevent maceration and skin breakdown. Using moisture-wicking materials and keeping the skin dry and clean are important measures in skin care for paralyzed clients.
Correct Answer is D
Explanation
Choice A reason: Feeding the client soft foods is not necessary after cataract surgery. Cataract surgery does not affect the client's ability to eat regular foods, and a normal diet can be resumed unless otherwise instructed by the healthcare provider.
Choice B reason: Positioning the client on the affected side is contraindicated after cataract surgery because it can increase pressure on the eye and disrupt the healing process. Clients are usually advised to avoid sleeping on the side of the operated eye to prevent complications.
Choice C reason: It is not necessary for the client to remain in bed for 3 days following cataract surgery. Clients are encouraged to resume normal activities as tolerated, but they should avoid strenuous activities and heavy lifting to prevent increased intraocular pressure.
Choice D reason: The correct answer is d because wearing dark glasses while outdoors helps protect the eyes from bright light and UV rays, which can cause discomfort and harm the healing eye after cataract surgery.
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