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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The letter "M" in cancer staging refers to metastasis, or whether cancer has spread to other parts of the body.
B. "D" is not part of the TNM staging system for cancer.
C. "T" in the TNM staging system refers to the size of the primary tumor and its extent in the tissue.
D. "N" refers to the extent of regional lymph node involvement but not metastasis to distant organs.
Correct Answer is ["B","C","E"]
Explanation
A. Polyuria is typically a symptom of hyperglycemia (high blood sugar) rather than hypoglycemia. When blood glucose is elevated, the kidneys attempt to excrete the excess glucose, leading to increased urination.
B. Tachycardia (increased heart rate) is a common sign of hypoglycemia due to the body's stress response to low blood sugar. The release of adrenaline (epinephrine) can cause a rapid heart rate.
C. Blurred vision can occur with hypoglycemia because low glucose levels can affect the function of the retina and cause vision changes. This can resolve once the blood glucose level is normalized.
D. Polydipsia (excessive thirst) is more commonly seen in hyperglycemia, as high blood glucose leads to dehydration due to increased urination.
E. Moist, clammy skin is a classic sign of hypoglycemia. When blood sugar drops too low, the body activates the sympathetic nervous system, which can cause sweating and clammy skin.
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