The nurse is caring for a client diagnosed with Cushing's Syndrome. Which of the following actions should be the nurse's highest priority?

Implementing fall precautions

Address client's coping mechanisms due to physical changes

Teach client to avoid unnecessary exposure to others with infections

Encouraging client to use incentive spirometer for improved lung expansion

Answer and Explanation

The Correct Answer is A

A. Clients with Cushing’s Syndrome often experience muscle weakness, osteoporosis, and a risk of fractures due to excess cortisol. Implementing fall precautions is the highest priority to prevent injury.
B. Addressing coping mechanisms is important but not as immediate a safety concern as fall prevention.
C. Avoiding infections is crucial due to immunosuppression from elevated cortisol; however, preventing falls remains a more immediate concern.
D. Encouraging incentive spirometer use may support lung function, but it is not the highest priority compared to preventing falls.

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Correct Answer is B

Explanation

A. Weight gain is not a symptom of hyperthyroidism; in fact, patients often experience weight loss.
B. Beta blockers are commonly used to manage symptoms of tachycardia and palpitations associated with hyperthyroidism, as they help to decrease heart rate and reduce anxiety.
C. Weight loss is a typical symptom of hyperthyroidism, and beta blockers do not address this issue directly.
D. Depression is not a primary indication for beta blocker use in hyperthyroidism; instead, they are more focused on managing the cardiovascular symptoms associated with the condition.

A. Report dizziness at once. B. Get up slowly, turning the entire body. C. Drive in daylight hours only. D. Change your position using the logroll technique.

Correct Answer is B

Explanation

A. While reporting dizziness is important, it does not directly aid in managing vertigo episodes.
B. Instructing the client to get up slowly while turning their entire body helps to reduce vertigo symptoms by minimizing head movement, which can trigger or worsen dizziness in Meniere’s disease.
C. Driving is not recommended during symptomatic periods of vertigo, as it could be unsafe.
D. The logroll technique is typically used for clients with spinal issues rather than vertigo management in Meniere’s disease.

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The nurse is caring for a client diagnosed with Cushing's Syndrome. Which of the following actions should be the nurse's highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with hyperthyroidism. The nurse recognizes that beta blockers may be used for which of the following?

Correct Answer is B

Explanation

A nurse is providing teaching to a client with Meniere's disease. The nurse recognizes that which of the following instructions should be given to the client regarding vertigo?

Correct Answer is B

Explanation

A nurse is performing a tonometry test on a client with a suspected diagnosis of glaucoma. The nurse looks at the documented test results and notes an intraocular pressure (IOP) value of 23 mm Hg. What should the nurse's initial action be?

A nurse is caring for a client who is experiencing Cushing's Triad following a depressed skull fracture. In addition to administering appropriate medications, which of the following nursing interventions should the nurse prioritize for this client?

A nurse is screening clients for adrenal insufficiency. The nurse recognizes that which client is at greatest risk for adrenal insufficiency?

A nurse is caring for a client with a urine specific gravity of less than 1.005, polyuria, and nocturia. The nurse recognizes that which of the following physiologic findings is the likely cause?

A nurse is caring for a client that has been diagnosed with external otitis. Which of the following clinical symptoms should the nurse be monitoring?

A client who swims several times a week asks the nurse, "Why are ears prone to frequent infection?" What is the nurse's best response?

The nurse is performing an otoscopic examination on a client with mastoiditis. On examination of the tympanic membrane, which finding should the nurse expect to observe?