A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?

Excess mineralocorticoids

Excess adrenal androgens

Excess thyroid hormone

Excess glucocorticoids

Answer and Explanation

The Correct Answer is B

A. Excess mineralocorticoids: Mineralocorticoids primarily affect electrolyte and fluid balance. While excess mineralocorticoids can cause hypertension and fluid retention, they are not directly responsible for hirsutism or acne.
B. Excess adrenal androgens: Cushing syndrome can lead to elevated levels of adrenal androgens, which are responsible for hirsutism (excessive hair growth) and acne due to their androgenic effects.
C. Excess thyroid hormone: Thyroid hormone imbalances can affect various body systems, but they are not directly related to the development of hirsutism or acne seen in Cushing syndrome.
D. Excess glucocorticoids: While excess glucocorticoids are characteristic of Cushing syndrome and can cause a range of symptoms, hirsutism and acne are specifically due to excess adrenal androgens rather than glucocorticoids.

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Correct Answer is C

Explanation

A. Acetaminophen: While acetaminophen can help manage fever, it is not a primary treatment for acute thyrotoxicosis. The management of acute thyrotoxicosis involves addressing the overproduction of thyroid hormones, not just symptom relief.
B. Furosemide: Furosemide is a diuretic used for fluid retention and hypertension, not for managing thyrotoxicosis. It does not address the underlying cause of acute thyrotoxicosis.
C. Ketoconazole: Ketoconazole is an anti-fungal medication that also has the effect of inhibiting cortisol synthesis and can be used to treat acute thyrotoxicosis by reducing the production of thyroid hormones. It is used as part of a broader treatment plan.
D. Levothyroxine: Levothyroxine is used to treat hypothyroidism by providing synthetic thyroid hormone. It is not used to treat thyrotoxicosis, which involves excessive thyroid hormone levels, not deficiency.

A. They are more prone to hyperthermia and may require cooling measures. B. Their levothyroxine should be held for 3 days prior to and after the surgery. C. They are at risk of developing tachycardia and should be given propranolol. D. They are more sensitive to the effects of opioids and may require lower doses.

Correct Answer is D

Explanation

A. They are more prone to hyperthermia and may require cooling measures: Hypothyroidism typically leads to hypothermia (lower body temperature) rather than hyperthermia. Clients with hypothyroidism are more likely to experience difficulty maintaining normal body temperature.
B. Their levothyroxine should be held for 3 days prior to and after the surgery: Levothyroxine should not be held before or after surgery without specific guidance from the healthcare provider. Maintaining consistent thyroid hormone levels is crucial for clients with hypothyroidism.
C. They are at risk of developing tachycardia and should be given propranolol: Hypothyroidism is more commonly associated with bradycardia (slow heart rate) rather than tachycardia (fast heart rate). Propranolol is used to manage symptoms of hyperthyroidism, not hypothyroidism.
D. They are more sensitive to the effects of opioids and may require lower doses: Clients with hypothyroidism often have a reduced metabolic rate, which can increase their sensitivity to medications, including opioids. Therefore, they may require lower doses of opioids to avoid adverse effects.

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A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?

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Naxlex Comprehensive Predictor Exams

Which pharmacologic therapy does the nurse anticipate administering to a client who is experiencing acute thyrotoxicosis?

Correct Answer is C

Explanation

A client who has hypothyroidism will be undergoing surgery for a total knee replacement. When planning care for this client, the nurse understands which of the following to be true for people who have hypothyroidism?

Correct Answer is D

Explanation

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?

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A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful for diagnosing heart failure?

A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected. Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?

A nurse is caring for a client Exhibits Select the 3 interventions that the nurse should anticipate for this client.

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