Important nursing intervention(s) when caring for a patient with Cushing syndrome include:

observing for signs of hypotension.

monitoring blood glucose levels.

protecting patients from exposure to infection.

restricting protein intake.

Answer and Explanation

Correct Answer : A,B,C

b. Monitoring blood glucose levels: This is an essential nursing intervention as patients with Cushing syndrome are at risk for developing diabetes mellitus because of cortisol on glucose metabolism. The nurse should monitor the patient's blood glucose levels regularly and report any abnormal readings to the healthcare provider.

c. Protecting patients from exposure to infection: Patients with Cushing syndrome are also at risk for developing infections due to the immunosuppressive eﬀects of cortisol. The nurse should take appropriate infection control measures, such as frequent handwashing, wearing gloves, and isolation precautions if necessary.

a. Observing for signs of hypotension: Although hypotension is not typically seen in patients with Cushing syndrome, it can occur in some cases due to the depletion of cortisol. The nurse should monitor the patient's blood pressure regularly and report any abnormal readings to the healthcare provider.

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Correct Answer is C

Explanation

Lipase is an enzyme that is produced by the pancreas and is involved in the digestion of fats. In acute pancreatitis, the pancreas becomes inﬂamed, and lipase levels in the blood can become significantly elevated. Monitoring lipase levels can help healthcare providers to assess the severity of pancreatitis, track the eﬀectiveness of treatment, and determine when it is safe to start a patient on a normal diet.

A. Request that if testing is further delayed, the patient will eat lunch first. B. Send a glass of orange juice to the patient in the diagnostic testing area. C. Save the lunch tray for the patient's later return. D. Plan to discontinue the evening dose of insulin.

Correct Answer is B

Explanation

The patient received 38 U of NPH insulin at 7:00 AM, and by 1:00 PM, the insulin has been active for approximately 6 hours. The patient has missed lunch, which may lead to hypoglycemia, especially with the activity of the insulin.

Sending a glass of orange juice will provide the patient with a quick source of glucose to prevent hypoglycemia. If testing is further delayed, the nurse may request that the patient be allowed to eat lunch first or save the lunch tray for later, but immediate intervention is necessary to prevent hypoglycemia. Discontinuing the evening dose of insulin is not an appropriate action and should not be considered without consulting the healthcare provider.

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Important nursing intervention(s) when caring for a patient with Cushing syndrome include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which laboratory test result will the nurse monitor to evaluate the eﬀects of therapy for a patient who has acute pancreatitis?

Correct Answer is C

Explanation

A hospitalized patient who is diabetic received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient was away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. What is the best action by the nurse to prevent hypoglycemia?

Correct Answer is B

Explanation

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