What is the priority of care for a patient with Cushing's syndrome?

Administering corticosteroid medications

Assessing for signs of infection

Providing emotional support

Monitoring blood glucose levels

Answer and Explanation

The Correct Answer is B

A. Administering corticosteroid medications is incorrect. In Cushing's syndrome, the body already has excess cortisol, either due to endogenous overproduction or prolonged corticosteroid use. The priority is to reduce cortisol levels, not increase them.
B. Assessing for signs of infection is correct. Excess cortisol suppresses the immune system, making patients with Cushing's syndrome highly susceptible to infections. These infections may not present with typical signs (e.g., fever) due to immune suppression, so vigilant assessment is a priority to prevent complications.
C. Providing emotional support is important, as patients may experience body image issues and mood changes, but it is not the immediate priority when life-threatening complications like infection are possible.
D. Monitoring blood glucose levels is also important, since hyperglycemia is common due to cortisol’s effects on glucose metabolism. However, infection risk poses a more immediate threat to patient safety, making infection assessment the top priority.

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Correct Answer is B

Explanation

A. Obesity is a risk factor for renal calculi, as it is associated with increased urinary calcium excretion and changes in the composition of urine that may promote stone formation. However, the more direct link in this question is dehydration.
B. Dehydration is a significant risk factor for renal calculi. When a person is dehydrated, the urine becomes more concentrated, increasing the likelihood of crystal formation. Adequate fluid intake helps to dilute urine and reduce the formation of stones.
C. Iron deficiency does not directly contribute to the formation of renal calculi. While iron deficiency can lead to other health issues, it is not considered a primary risk factor for kidney stone formation.
D. Protein in the urine (proteinuria) is not typically associated with increased risk for renal calculi. While proteinuria can indicate kidney damage or other conditions, it is not a direct cause of kidney stones.

A. Encourage frequent ambulation. B. Obtain weight weekly. C. Encourage increased fluid intake. D. Administer antibiotics.

Correct Answer is D

Explanation

A. Encourage frequent ambulation is not appropriate in acute glomerulonephritis (GN) when the client may be experiencing symptoms such as edema or hypertension, which can be worsened by excessive physical activity. The focus should be on managing fluid balance and preventing further complications.
B. Obtain weight weekly is not frequent enough. In acute glomerulonephritis, daily weight monitoring is essential to assess fluid retention and guide management of edema. Weight gain may indicate fluid retention, which is a key concern.
C. Encourage increased fluid intake is contraindicated in acute glomerulonephritis. The kidneys are already compromised, and excessive fluid intake can worsen edema and hypertension. Fluid restriction is typically recommended, depending on the client’s condition.
D. Administer antibiotics is correct. Acute glomerulonephritis can often follow a streptococcal infection, such as a strep throat or skin infection. If there is evidence of an ongoing infection, antibiotic therapy is necessary to treat the underlying cause and prevent further damage to the kidneys.

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What is the priority of care for a patient with Cushing's syndrome?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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