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.

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Correct Answer is A

Explanation

Choice A rationale

For a client with severe malnutrition, immediate intervention is necessary to address nutritional deficiencies. Inserting a nasogastric tube and beginning enteral feeding is the first step to provide essential nutrients, stabilize the patient's condition, and prevent further complications from malnutrition.

Choice B rationale

Teaching the patient to increase protein intake and to eat more frequently is important but not the immediate priority in a case of severe malnutrition. This can be addressed after initial stabilization and nutritional support.

Choice C rationale

Total parenteral nutrition (TPN) is an option for patients who cannot tolerate enteral feeding, but initiating strict NPO status without first attempting enteral feeding is not the best initial approach. Enteral feeding is generally preferred if the gastrointestinal tract is functional.

Choice D rationale

Rinsing the mouth with alcohol-based mouthwash before meals is not a priority in managing severe malnutrition. It does not address the immediate need for nutritional support and could be harmful if ingested.

A. Schedule the patient for annual prophylactic radiation therapy to the affected breast. B. Educate the patient about the need for routine mammography screening. C. Coordinate with the hospice team to complete the patient's advanced directives. D. Teach the patient that they no longer need survivorship care after five years of remission.

Correct Answer is B

Explanation

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

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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?

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Naxlex Comprehensive Predictor Exams

A client with severe malnutrition is admitted to the hospital.Which intervention should the nurse implement first?

Correct Answer is A

Explanation

The nurse is caring for a patient who has been in remission from breast cancer for five years.What intervention will the nurse include as a component of survivorship care for this patient?

Correct Answer is B

Explanation

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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?