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. Hypocalcemia is not a risk factor for urolithiasis. In fact, hypercalcemia (high calcium levels) is a more common risk factor for the formation of calcium-based stones, which are the most common type of kidney stones.
B. Family history is correct. A family history of urolithiasis is a significant risk factor for developing kidney stones. Genetic factors can influence the likelihood of developing stones, especially those made of calcium oxalate or uric acid.
C. BMI less than 25 is incorrect. A BMI less than 25 (considered normal weight) is not typically associated with urolithiasis. In fact, obesity and a high BMI are known risk factors for kidney stone formation.
D. Diuretic use is incorrect, but it can increase the risk of urolithiasis in certain situations. Diuretics can cause dehydration or changes in urine composition, which might increase the risk of stone formation, but this is not as commonly recognized as a primary risk factor compared to others like family history.

A. Check the client's medication record to assess whether the client has been refusing her lithium. B. Administer the morning dose of lithium. C. Hold the medication and assess for early manifestations of toxicity. D. Prepare for gastric lavage due to an extremely elevated lithium level.

Correct Answer is B

Explanation

A. Check the client's medication record to assess whether the client has been refusing her lithium is not the immediate action needed in this scenario. While it's important to assess adherence to medication, the current lithium level of 1.0 mEq/L is within the therapeutic range (0.6 to 1.2 mEq/L), so there is no immediate concern about toxicity or missed doses at this time.
B. Administer the morning dose of lithium is the correct action. A lithium level of 1.0 mEq/L is within the therapeutic range, so the nurse can safely administer the scheduled dose of lithium. Routine monitoring is important, but this level is not cause for concern at this time.
C. Hold the medication and assess for early manifestations of toxicity is unnecessary. The lithium level of 1.0 mEq/L is within the therapeutic range. Early signs of toxicity usually begin when levels exceed 1.5 mEq/L, so there are no signs that would warrant withholding the medication at this time.
D. Prepare for gastric lavage due to an extremely elevated lithium level is incorrect. A lithium level of 1.0 mEq/L is not elevated to the point of requiring gastric lavage. Toxicity is typically a concern when levels exceed 1.5 mEq/L, so there is no need for such an intervention.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is B

Explanation

A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times?

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

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting. and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?