A nurse is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

Decrease sodium intake.

Increase calorie intake.

Limit potassium-rich foods in the diet.

Consume more calories from carbohydrates than protein.

Answer and Explanation

The Correct Answer is A

A. Decreasing sodium intake is crucial in Cushing's disease due to the risk of fluid retention and hypertension associated with excess cortisol levels.
B. Increasing calorie intake is not typically recommended; managing weight and controlling calorie intake is often necessary.
C. Limiting potassium-rich foods is not appropriate, as patients with Cushing's disease often require adequate potassium to balance the effects of increased sodium and cortisol.
D. A balanced diet with adequate protein is important; focusing solely on carbohydrates at the expense of protein is not advisable for nutritional health.

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Correct Answer is D

Explanation

A. Dorsal recumbent is not an ideal position after a thyroidectomy due to the risk of airway obstruction.
B. Supine position does not provide optimal airway protection post-surgery.
C. Sims' position is not recommended for clients recovering from a thyroidectomy as it could affect breathing and circulation.
D. Fowler’s position (head of the bed elevated 45 to 90 degrees) is the best position post-thyroidectomy to reduce tension on the suture line and to facilitate breathing by decreasing swelling around the surgical site.

A. Sweating B. Polydipsia C. Tachycardia D. Blurry vision E. Polyuria

Correct Answer is ["A","C","D"]

Explanation

A. Sweating is a classic sign of hypoglycemia due to the activation of the sympathetic nervous system in response to low blood glucose levels.
B. Polydipsia (excessive thirst) is a symptom of hyperglycemia, not hypoglycemia.
C. Tachycardia is a common symptom of hypoglycemia as the body responds to low glucose with increased adrenaline release.
D. Blurry vision can occur during hypoglycemia due to the effects of low glucose on the brain and eye function.
E. Polyuria (excessive urination) is associated with hyperglycemia, not hypoglycemia.

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A nurse is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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