Important nursing interventions when caring for a patient with Cushing syndrome include:
Observing for signs of hypotension
Monitoring blood glucose levels
Protecting the patient from exposure to infection
Restricting protein intake
The Correct Answer is B
Choice A reason: Observing for signs of hypotension is not typically a primary concern for patients with Cushing syndrome. These patients are more likely to experience hypertension due to increased cortisol levels, which cause sodium and water retention, rather than hypotension. Therefore, while monitoring blood pressure is important, focusing specifically on hypotension is not relevant to the typical presentation of Cushing syndrome.
Choice B reason: Monitoring blood glucose levels is a crucial intervention for patients with Cushing syndrome. Increased cortisol levels lead to hyperglycemia and glucose intolerance. Patients may develop diabetes mellitus as a result of chronic hypercortisolism. Regular monitoring of blood glucose levels helps in managing and controlling hyperglycemia and adjusting medication as necessary to maintain stable glucose levels.
Choice C reason: Protecting the patient from exposure to infection is essential in caring for patients with Cushing syndrome. Elevated cortisol levels suppress the immune system, making patients more susceptible to infections. Implementing infection control measures, such as hand hygiene, using personal protective equipment, and monitoring for signs of infection, are vital to prevent complications and ensure patient safety.
Choice D reason: Restricting protein intake is not a recommended intervention for patients with Cushing syndrome. In fact, these patients often require a diet high in protein to counteract the muscle wasting and weakness caused by excessive cortisol levels. Adequate protein intake helps in maintaining muscle mass and overall health, making restriction counterproductive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Aggressive physical therapy is not a treatment for Addison's disease. While physical therapy can be beneficial for certain conditions, it does not address the hormonal deficiencies that are characteristic of Addison's disease.
Choice B reason: Lifelong hormone therapy with glucocorticoids and mineralocorticoids is the standard treatment for Addison's disease. This involves taking medications to replace the hormones that the adrenal glands are not producing enough of, specifically glucocorticoids (such as hydrocortisone, prednisone, or dexamethasone) and mineralocorticoids (such as fludrocortisone). These medications help to maintain normal hormone levels in the body, manage symptoms, and prevent adrenal crises.
Choice C reason: Diuretics are not typically used as a primary treatment for Addison's disease. They are used to manage fluid balance and blood pressure in other conditions, but they do not replace the deficient hormones in Addison's disease.
Choice D reason: Lifelong insulin treatment is used for managing diabetes mellitus, not Addison's disease. Addison's disease involves adrenal hormone deficiencies, which are treated with hormone replacement therapy, not insulin.
Correct Answer is ["B","C"]
Explanation
Choice A reason: "I need to shop for foods low in sodium and avoid adding salt to food." This statement is correct and indicates appropriate understanding. Patients with SIADH need to manage their sodium intake carefully to avoid exacerbating hyponatremia.
Choice B reason: "I need to limit my fluid intake." This statement indicates a misunderstanding. Patients with SIADH should actually increase their fluid intake to help dilute the excess antidiuretic hormone and reduce hyponatremia. Limiting fluid intake can worsen the condition.
Choice C reason: "I should eat foods high in potassium because diuretics cause potassium loss." This statement is incorrect in the context of SIADH. While potassium intake is important for patients on diuretics, it is not directly related to SIADH management. The focus should be on managing fluid and sodium levels.
Choice D reason: "I should weigh myself daily and report sudden weight loss or gain." This statement is correct and indicates appropriate understanding. Regular weight monitoring is important for patients with SIADH to detect fluid imbalances early.
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