The nurse is caring for a female client with suspected Cushing's syndrome. Which question should the nurse ask to gather information consistent with this condition?

"Are your menstrual cycles longer than normal?"

"Do you find it difficult to finish meals?"

"Have you had frequent infections or illnesses?"

"Have you experienced any recent weight loss?"

Answer and Explanation

The Correct Answer is C

Rationale:
A. "Are your menstrual cycles longer than normal?": Cushing’s syndrome can cause menstrual irregularities, but the hallmark signs are systemic rather than specifically changes in cycle length. This question alone may not effectively capture early or characteristic manifestations.

B. "Do you find it difficult to finish meals?": Early satiety is not a typical symptom of Cushing’s syndrome. Gastrointestinal fullness is more commonly associated with other disorders and does not help identify hypercortisolism.

C. "Have you had frequent infections or illnesses?": Immunosuppression is a common effect of elevated cortisol levels in Cushing’s syndrome. Asking about recurrent infections or slow-healing wounds provides important information consistent with the disease’s impact on the immune system.

D. "Have you experienced any recent weight loss?": Cushing’s syndrome typically causes weight gain, particularly central obesity and accumulation of fat in the face and trunk. Recent weight loss would be inconsistent with classic clinical features.

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Correct Answer is C

Explanation

Rationale:
A. Advise the UAP to wear a standard face mask to obtain vital signs, and then get fitted for a filter mask before providing personal care: Droplet precautions require a standard surgical mask for close contact, not a particulate filter mask. Requiring additional fitting creates unnecessary delay and reflects confusion between droplet and airborne precautions.

B. Before changing assignments, determine which staff members have fitted particulate filter masks: Staff fitted with particulate filter masks are required for airborne precautions such as tuberculosis or measles. Influenza is transmitted via respiratory droplets and does not require N95-level protection. Reassigning based on mask fit is not clinically indicated.

C. Instruct the UAP that a standard face mask is sufficient to be able to provide care for the assigned client: Droplet precautions require the use of a standard surgical mask when within close proximity to the client. Influenza is spread through large respiratory droplets, which are effectively blocked by a standard mask.

D. Send the UAP to be fitted for a particulate filter mask immediately to be able to provide care to this client: Particulate filter masks are reserved for airborne pathogens and are not required for droplet-transmitted infections. Sending the UAP for fitting delays care and reflects incorrect application of isolation protocols.

A. Position the client's head facing away from the site. B. Aspirate for the presence of a blood return. C. Prepare a saline flush in a three mL syringe. D. Initiate an infusion of 0.9% normal saline solution.

Correct Answer is B

Explanation

Rationale:
A. Position the client's head facing away from the site: While proper positioning can reduce infection risk and ensure comfort, it does not verify catheter patency or safety for medication administration.

B. Aspirate for the presence of a blood return: Before administering medication through a central venous catheter, the nurse must confirm patency by aspirating for a blood return. This ensures the catheter is in the vessel lumen and reduces the risk of extravasation or complications such as thrombosis.

C. Prepare a saline flush in a three mL syringe: While a saline flush is required, it should be administered only after patency is confirmed. Using a small syringe may reduce the risk of excessive pressure, but confirming blood return is the first step.

D. Initiate an infusion of 0.9% normal saline solution: Starting a saline infusion may maintain catheter patency, but it does not confirm that the line is safe for immediate medication administration. Patency verification must precede fluid or drug administration.

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The nurse is caring for a female client with suspected Cushing's syndrome. Which question should the nurse ask to gather information consistent with this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An unlicensed assistive personnel (UAP) is assigned to a client with flu-like symptoms who has been placed on droplet precautions. The UAP requests a change in assignment because the UAP has not yet been fitted for a particulate filter mask. Which action should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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