A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)

Assess for neck vein distention

Monitor for postural hypotension

Assess blood glucose level

Monitor for an irregular heart rate

Weigh the client daily

Answer and Explanation

Correct Answer : A,C,D,E

A. Assess for neck vein distention: Neck vein distention can occur in Cushing's syndrome due to fluid retention and hypertension. It is an important sign to monitor as it can indicate complications like heart failure.

B. Monitor for postural hypotension: Clients with Cushing's syndrome typically have hypertension rather than hypotension. Therefore, postural hypotension is not a common issue to monitor for in these patients.

C. Assess blood glucose level: Hyperglycemia is common in Cushing's syndrome due to increased cortisol levels, which promote glucose production and reduce glucose uptake by cells. Monitoring blood glucose is essential to manage this condition.

D. Monitor for an irregular heart rate: Cushing's syndrome can cause electrolyte imbalances (like hypokalemia), which may lead to cardiac arrhythmias, so monitoring for an irregular heart rate is important.

E. Weigh the client daily: Daily weight monitoring helps track fluid retention, which is common in Cushing's syndrome due to cortisol-induced fluid retention. This can help in managing the client’s fluid status and detecting worsening of symptoms.

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Correct Answer is A

Explanation

A. Genetics: Genetics is a non-modifiable risk factor for stroke, meaning it cannot be changed or controlled. A family history of stroke increases an individual's risk due to inherited traits or predispositions.

B. Obesity: Obesity is a modifiable risk factor. Individuals can reduce their risk through diet, exercise, and other lifestyle changes.

C. History of smoking: Smoking is a modifiable risk factor, as individuals can quit smoking to reduce their risk of stroke.

D. History of hypertension: Hypertension is also a modifiable risk factor, as it can be managed and controlled with medication and lifestyle changes.

A. Bronchospasm occurs when there is Inflammation, edema, and excess mucus. B. Inflammation is reduced due to airway diameter. C. Decreased mucus production contributes to airway constriction. D. Airway obstruction occurs due to thinning mucus

Correct Answer is A

Explanation

A. Bronchospasm occurs when there is inflammation, edema, and excess mucus: Bronchospasm is typically associated with inflammation, edema, and excess mucus production in the airways, which leads to narrowing of the airways and difficulty in breathing. This trio of factors contributes to the obstruction of airflow seen in asthma.

B. Inflammation is reduced due to airway diameter: Inflammation is not reduced in bronchospasm; in fact, inflammation is increased. It is the swelling and narrowing of the airways that contribute to the symptoms of asthma, not a reduction of inflammation.

C. Decreased mucus production contributes to airway constriction: In asthma, there is typically increased, not decreased, mucus production, which contributes to airway obstruction and exacerbates bronchospasm.

D. Airway obstruction occurs due to thinning mucus: Airway obstruction in asthma is due to thickened mucus, inflammation, and edema, not thinning mucus. The mucus becomes sticky and blocks the airways, making breathing difficult.

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A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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