A nurse is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?
Increase carbohydrate intake.
Limit intake of potassium-rich foods.
Restrict sodium intake.
Decrease protein intake.
The Correct Answer is C
A. Increase carbohydrate intake.: This is incorrect. Cushing’s disease is characterized by excessive cortisol, which can lead to increased blood glucose levels, making carbohydrate intake less desirable. Clients with Cushing's disease often need to manage their blood sugar levels, so they should not increase carbohydrates indiscriminately.
B. Limit intake of potassium-rich foods.: This is incorrect. In Cushing’s disease, elevated cortisol levels can lead to potassium depletion, so clients should actually increase their intake of potassium-rich foods to help counteract the effects of low potassium, not limit them.
C. Restrict sodium intake.: This is correct. Cushing’s disease often results in fluid retention and hypertension due to increased cortisol and aldosterone levels. Restricting sodium helps manage these symptoms and reduces the risk of complications such as edema and high blood pressure.
D. Decrease protein intake.: This is incorrect. While protein breakdown is a feature of Cushing's disease, protein intake should not necessarily be decreased. Adequate protein intake is important to prevent muscle wasting, a common issue in clients with Cushing’s disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tachypnea, or rapid breathing, is a common finding in pneumonia due to hypoxia and the body's attempt to compensate for impaired gas exchange in the lungs. It is one of the hallmark signs of pneumonia.
B. Bradycardia is uncommon in pneumonia. Tachycardia (increased heart rate) is more frequently observed as the body compensates for the infection and reduced oxygenation.
C. Hypothermia is not typically associated with pneumonia; more commonly, fever (hyperthermia) is present as a sign of infection.
D. A pulse deficit is a sign of a heart condition, such as atrial fibrillation, not typically related to pneumonia.
Correct Answer is D
Explanation
A. Fatigue: While fatigue can occur in lung cancer patients, it is not the most common symptom. Fatigue is more of a generalized symptom that can be seen in many diseases, not specific to lung cancer.
B. Hoarseness: Hoarseness can be a symptom of lung cancer, particularly if a tumor is affecting the laryngeal nerves. However, it is less common than a persistent cough and is not usually the initial symptom.
C. Anorexia: Anorexia (loss of appetite) can occur in patients with advanced cancer, including lung cancer, but it is not the most common presenting symptom. Weight loss due to anorexia is more common in later stages.
D. Persistent cough: This is the correct answer. A persistent cough is the most common symptom of lung cancer, especially in the early stages. The cough may be dry or productive and is often overlooked or mistaken for a chronic respiratory condition. It is frequently one of the first signs that leads to further investigation and diagnosis.
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