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","B","C","D","E"]

Explanation

A. Chronic cough: Chronic cough is a hallmark symptom of COPD. It results from inflammation and increased mucus production in the airways, leading to a persistent cough that often produces sputum.

B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.

C. Dyspnea: Dyspnea, or shortness of breath, is a primary symptom of COPD. It occurs due to airflow limitation and reduced lung capacity, making it difficult for the patient to breathe, especially during physical activity.

D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.

B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.

D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.

E. Chest tightness: Chest tightness is also a common symptom of COPD, reflecting the discomfort and difficulty in breathing caused by the constriction and inflammation of the airways.

A. Dry skin B. Heat intolerance C. Drowsiness D. Bradycardia

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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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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Explanation

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Correct Answer is B

Explanation

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