The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.
What statement made by the patient will demonstrate their understanding of the discharge instructions?

"If I feel stressed, I will increase my dose of corticosteroids to cope with my mood swings.”

"I have to decide whether or not I want to have surgery to remove the tumor on my thyroid gland.”

"My teammates will be happy that I can begin playing football again.”

"I will stay away from people with infections and call my healthcare provider if I develop a fever.” .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Increasing the dose of corticosteroids without consulting a healthcare provider can be dangerous as it can cause serious side effects like immunosuppression, weight gain, and high blood pressure. Patients with Cushing's syndrome already have excess corticosteroids and should avoid additional doses.

Choice B rationale

This statement is incorrect as Cushing's syndrome is not related to a thyroid gland tumor. The treatment for Cushing's syndrome often involves removing a tumor from the adrenal gland or pituitary gland, not the thyroid.

Choice C rationale

Resuming physically intense activities like football should be discussed with a healthcare provider. Patients with Cushing's syndrome may have muscle weakness, osteoporosis, and other health issues that could be exacerbated by high-impact sports.

Choice D rationale

Patients with Cushing's syndrome have a weakened immune system due to high corticosteroid levels. Avoiding infections and promptly reporting any signs of illness, like fever, is crucial for their health.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Administering isotonic intravenous fluids and a loop diuretic is a treatment for conditions like hypercalcemia or fluid overload but is not appropriate for a patient with metastatic prostate cancer presenting with neurologic symptoms.

Choice B rationale

Administering anticoagulants and supplemental oxygen is a treatment for pulmonary embolism but does not address the neurologic symptoms and back pain related to metastatic prostate cancer.

Choice C rationale

Frequent neurologic assessments and administering intravenous corticosteroids are essential for managing spinal cord compression, a common complication in metastatic prostate cancer that can cause back pain, weakness, and paresthesia.

Choice D rationale

Interferon beta-1a is used in multiple sclerosis to reduce inflammation and immune response. Stretching exercises may help but are not the primary intervention for acute neurologic symptoms in metastatic prostate cancer. .

A. The nurse must wear a dosimeter badge when preparing and administering chemotherapy infusions. B. The patient should wear a lead apron during chemotherapy infusions. C. The nurse must wear personal protective equipment (PPE) including gloves and gown when handling chemotherapy. D. The nurse must dispose of all chemotherapy waste in the patient's sharps container.

Correct Answer is C

Explanation

Choice A rationale

Dosimeter badges are used for monitoring radiation exposure, not for handling chemotherapy. They are worn by healthcare workers working in areas with ionizing radiation to track their cumulative exposure and ensure it stays within safe limits.

Choice B rationale

Lead aprons are also used to protect against radiation exposure, not chemotherapy. They shield the body from ionizing radiation but do not provide protection from the cytotoxic effects of chemotherapy agents.

Choice C rationale

Personal protective equipment (PPE), including gloves and gowns, is essential for safely handling chemotherapy drugs to prevent skin contact and inhalation of hazardous chemicals. This reduces the risk of exposure to these toxic agents, protecting both the nurse and the patient.

Choice D rationale

Chemotherapy waste should be disposed of in designated chemotherapy waste containers, not in standard sharps containers. These specialized containers ensure that hazardous waste is handled according to safety regulations, reducing the risk of environmental contamination and exposure.

View Question and Answer

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

The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.What statement made by the patient will demonstrate their understanding of the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient with metastatic prostate cancer who was admitted with sudden onset of back pain, lower extremity weakness, difficulty walking, and paresthesia in their toes.What intervention will the nurse implement for this patient?

Correct Answer is C

Explanation

The nurse manager is orienting a new nurse to the oncology unit.What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?

Correct Answer is C

Explanation

The nurse is caring for a patient with recurrent prostate cancer who is scheduled to begin treatment with immunotherapy medication.During patient teaching, which statement by the patient will indicate a need for further teaching by the nurse?

The nurse is caring for a patient with stage IV metastatic breast cancer, who has metastasis to the bone.During assessment, the patient appears severely weak, fatigued, confused, and continually repeats "I'm so thirsty!” What will the nurse implement in the patient's plan of care?

The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.Which response by the patient indicates the need for additional teaching?

A public health nurse is providing an educational program at a health fair focusing on strategies to prevent cancer.What type of health promotion activity will the nurse describe as an example of secondary prevention?

The nurse is caring for a patient receiving external radiation for lung cancer.What nursing considerations will the nurse implement to reduce the risks related to this treatment?

The nurse is caring for a patient who was treated for Addisonian crisis.What clinical change indicates to the nurse that the prescribed therapy was effective?

The nurse is discussing dietary changes with a patient newly diagnosed with hypoparathyroidism.Which will the nurse encourage the patient to include in their diet?

The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.
What statement made by the patient will demonstrate their understanding of the discharge instructions?