A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

Limit intake of potassium-rich foods.

Restrict sodium intake.

Increase carbohydrate intake.

Decrease protein intake.

Answer and Explanation

The Correct Answer is B

A. Limiting intake of potassium-rich foods is not recommended; clients with Cushing's disease often need to increase potassium intake due to hypokalemia.
B. Restricting sodium intake is important to help manage fluid retention and hypertension associated with Cushing's disease.
C. Increasing carbohydrate intake is not advisable as it can exacerbate hyperglycemia, a common issue in Cushing's disease.
D. Decreasing protein intake is not necessary; maintaining adequate protein intake is important for muscle mass and overall health.

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Correct Answer is ["2.4"]

Explanation

Rationale:
To calculate the dosage of Nitroprusside in mcg/min, first convert the client's weight from pounds to kilograms, knowing that 1 kg equals 2.2 lbs. Therefore, 176 lbs is approximately 80 kg. Next, multiply the client's weight in kg by the dosage rate: 0.5 mcg/kg/min. So, 80 kg * 0.5 mcg/kg/min equals 40 mcg/min. To find mcg/hr, multiply the mcg/min dosage by 60, the number of minutes in an hour, which gives us 2400 mcg/hr. Finally, to calculate mL/hr, use the concentration of the drug: 500 mg in 500 mL. Since 1 mg equals 1000 mcg, 500 mg is 500,000 mcg. Divide the hourly dosage in mcg by the total number of mcg in the available fluid to find the mL/hr. Thus, 2400 mcg/hr divided by (500,000 mcg / 500 mL) results in 2.4 mL/hr. Rounded to the nearest tenth, the final dosages are 40 mcg/min, 2400 mcg/hr, and 2.4 mL/hr.

A. Place the child on a low-sodium diet. B. Discuss the manifestations of hyperglycemia with the parents. C. Teach the parents about cortisol replacement therapy. D. Monitor the child for fluid volume excess.

Correct Answer is C

Explanation

A. A low-sodium diet is not appropriate for Addison's disease; instead, adequate sodium intake is necessary.
B. Hyperglycemia is not typically associated with Addison's disease; hypoglycemia is more common.
C. Teaching the parents about cortisol replacement therapy is crucial because children with Addison's disease require lifelong cortisol replacement to manage their condition.
D. Monitoring for fluid volume excess is not typically a concern in Addison's disease; fluid volume deficit is more common.

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A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Give Nitroprusside 0.5 mcg/kg/min. The client weighs 176 lbs. The drug is available as 500mg in 500 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Round your answer to the nearest tenth and include the units of measure.)

Correct Answer is ["2.4"]

Explanation

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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