The nurse is caring for a client with a medical diagnosis of Cushing's syndrome.
What would the nurse include in the plan of care?
Cluster activities in the morning when well rested.
Teach the client to increase fluid intake.
Request a medical prescription for cortisol.
Assess daily weights.
The Correct Answer is D
Choice A rationale
While clients with Cushing's syndrome may experience fatigue due to elevated cortisol levels affecting sleep patterns and muscle catabolism, clustering activities only in the morning may not adequately address the fluctuating energy levels or provide sufficient rest periods throughout the day. A more balanced approach involving rest periods and activity modification throughout the day is generally more beneficial.
Choice B rationale
Clients with Cushing's syndrome often experience fluid retention and edema due to the mineralocorticoid effects of excess cortisol. Therefore, increasing fluid intake would exacerbate fluid overload rather than alleviate symptoms. Fluid restriction and diuretic therapy may be necessary to manage fluid balance and prevent complications like hypertension and heart failure.
Choice C rationale
Cushing's syndrome is characterized by endogenous overproduction of cortisol, meaning the body already produces too much. Requesting a medical prescription for cortisol would further elevate cortisol levels, worsening the client's symptoms and potentially leading to adrenal crisis if exogenous cortisol is administered in addition to already elevated endogenous levels. Management focuses on reducing cortisol.
Choice D rationale
Assessing daily weights is crucial for clients with Cushing's syndrome due to the propensity for fluid retention and weight gain caused by increased mineralocorticoid activity of cortisol. Daily weights provide an objective measure of fluid balance and can indicate exacerbation or improvement of edema, helping guide interventions and monitor treatment effectiveness. Normal weight fluctuation should be within 1-2 kg in 24 hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["56"]
Explanation
Step 1 is: Calculate the total minutes the IV needs to run. 2 hours × 60 minutes/hour = 120 minutes.
Step 2 is: Calculate the mL/minute rate. 450 mL ÷ 120 minutes = 3.75 mL/minute.
Step 3 is: Calculate the gtt/minute rate. 3.75 mL/minute × 15 gtt/mL = 56.25 gtt/minute. The current IV rate is 56 gtt/minute.
Correct Answer is B
Explanation
Choice A rationale
While fine motor skills may be indirectly affected, primary developmental concerns following cleft lip and palate repair center on oral motor function. The anatomical reconstruction primarily impacts feeding, speech articulation, and oral coordination, which are foundational to oral motor skill development. Fine motor development is less directly impacted by this specific surgical correction.
Choice B rationale
Cleft lip and palate repair directly impacts the oral structures essential for proper feeding and speech development, leading to potential delays in oral motor skills. Infants may experience difficulties with sucking, swallowing, and later, articulating sounds due to altered anatomy and muscle function. Early intervention and therapy are crucial to address these challenges.
Choice C rationale
Proprioceptive skills, which involve the sense of body position and movement, are not typically a primary developmental concern following cleft lip and palate repair. The surgery primarily affects the oral cavity and facial structures. While overall development can be complex, direct anatomical or neurological impact on proprioception is not a standard complication.
Choice D rationale
Olfactory motor skills, related to the sense of smell and associated motor responses, are not directly impacted by cleft lip and palate repair. The surgical intervention focuses on the oral and facial structures, not the olfactory system. Therefore, developmental delays in this specific area are not a primary concern following this type of corrective surgery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.