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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hepatomegaly: Hepatomegaly, or enlargement of the liver, is a common finding in right-sided heart failure due to congestion of the liver from impaired venous return. It indicates systemic venous congestion.
B. Crackles in the lungs: Crackles in the lungs are more commonly associated with left-sided heart failure, which leads to pulmonary congestion. Right-sided heart failure primarily causes systemic venous congestion rather than pulmonary issues.
C. Dry, hacking cough: A dry, hacking cough is not typically associated with right-sided heart failure. It is more related to left-sided heart failure or other pulmonary conditions.
D. Dizziness: Dizziness can occur in various conditions, including heart failure, but it is not a specific finding for right-sided heart failure. It is often due to decreased cardiac output or orthostatic hypotension.
Correct Answer is B
Explanation
A. Dry skin: Dry skin is typically a symptom of hypothyroidism, where there is insufficient thyroid hormone. In thyrotoxicosis, skin changes would more likely include warm, moist skin due to increased metabolism.
B. Heat intolerance: Heat intolerance is a common symptom of thyrotoxicosis because the increased metabolic rate leads to higher body temperatures and intolerance to heat.
C. Drowsiness: Drowsiness is usually associated with hypothyroidism, where low thyroid levels slow down metabolism, leading to fatigue and lethargy. Thyrotoxicosis typically causes hyperactivity and insomnia rather than drowsiness.
D. Bradycardia: Bradycardia, or slow heart rate, is associated with hypothyroidism. In thyrotoxicosis, increased thyroid hormone levels lead to an elevated heart rate (tachycardia), not a decreased one.
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