A nurse is providing dietary teaching for a client who has Cushing disease. Which of the following recommendations should the nurse include in the teaching?

Increase fluid intake.

Decrease protein intake.

Decrease carbohydrate intake.

Limit intake of potassium-rich foods.

Answer and Explanation

The Correct Answer is C

A. Increasing fluid intake is not recommended, as clients with Cushing disease often have fluid retention.
B. Decreasing protein intake is not recommended because muscle wasting is a concern in Cushing disease, and adequate protein is necessary to maintain muscle mass.
C. Decreasing carbohydrate intake is recommended because Cushing disease can cause hyperglycemia, and reducing carbohydrates can help manage blood glucose levels.
D. Limiting potassium-rich foods is not advisable as Cushing disease can lead to hypokalemia, and clients may need to increase their potassium intake.

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Correct Answer is B

Explanation

A. Malnutrition and acute pancreatitis are not primary causes of chronic pancreatitis. While acute pancreatitis can lead to chronic conditions, malnutrition is not a common direct cause.
B. Heavy alcohol consumption and smoking are well-established risk factors for chronic pancreatitis. These lifestyle factors can cause inflammation and damage to the pancreas over time.
C. Caffeine consumption does not have a direct correlation with chronic pancreatitis. Cigarette smoking is a risk factor, but caffeine is not.
D. Acute hepatitis is not a common cause of chronic pancreatitis. While alcohol consumption is a risk factor, the presence of acute hepatitis is not typically a direct cause.

A. Check the intravenous (IV) site for bleeding every 8 hours. B. Administer stool softeners. C. Check the client for proteinuria. D. Obtain body temperature readings every 4 hours.

Correct Answer is B

Explanation

A. Checking the IV site for bleeding is important but should be done more frequently in a client with thrombocytopenia (low platelet count), as bleeding can occur unexpectedly.
B. Administering stool softeners is a key intervention for clients with thrombocytopenia, as it helps to prevent straining during bowel movements, which could cause rectal bleeding due to fragile blood vessels.
C. Checking for proteinuria is not directly related to thrombocytopenia or the risk of bleeding. It is more commonly associated with kidney function monitoring.
D. Obtaining body temperature readings is important for infection monitoring, but it does not directly address the risk associated with a low platelet count, which primarily concerns bleeding.

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A nurse is providing dietary teaching for a client who has Cushing disease. Which of the following recommendations should the nurse include in the teaching?

Nursing Test Bank

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