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?

Limit potassium-rich foods in the diet.

Decrease sodium intake.

Increase calorie intake.

Consume more calories from carbohydrates than protein.

Answer and Explanation

The Correct Answer is B

Choice A reason: Cushing's disease often causes hypokalemia, or low potassium levels, due to increased aldosterone production. Therefore, limiting potassium-rich foods is not advisable; rather, patients may need to increase their potassium intake to maintain electrolyte balance.

Choice B reason: The correct answer is b because Cushing's disease leads to sodium retention and fluid retention, causing hypertension and edema. Decreasing sodium intake helps manage these symptoms by reducing fluid retention and controlling blood pressure.

Choice C reason: Increasing calorie intake is not recommended for clients with Cushing's disease. The condition often leads to weight gain and increased adipose tissue, so a balanced diet with controlled calorie intake is more appropriate.

Choice D reason: Consuming more calories from carbohydrates than protein is not a specific recommendation for Cushing's disease. A balanced diet with adequate protein is important for maintaining muscle mass and supporting overall health, especially since Cushing's disease can cause muscle weakness and loss of muscle mass.

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Correct Answer is B

Explanation

Choice A reason: Rubbing the client's feet briskly can increase circulation temporarily, but it may also cause discomfort or irritation, especially if the client has compromised vascular health.

Choice B reason: The correct answer is b because obtaining a pair of slipper socks for the client can help keep the feet warm and improve comfort. Warm socks are a non-invasive and safe way to address the client's complaint of cold feet.

Choice C reason: Increasing the client's oral fluid intake is important for overall health, but it is not a direct solution for addressing cold feet due to vascular occlusion.

Choice D reason: Placing a moist heating pad under the client's feet can be risky, especially for clients with vascular issues, as it can lead to burns or skin damage. Dry heat, if used, should be carefully monitored to avoid injury.

A. "I will rest for at least 30 minutes before eating." B. "I will drink plenty of beverages with my meals." C. "I will eat five or six small meals each day." D. "I will increase my intake of protein."

Correct Answer is B

Explanation

Choice A reason: Resting before meals helps reduce fatigue and ensures that the client has the energy to eat, which is important for maintaining nutrition in COPD patients.

Choice B reason: The correct answer is b because drinking plenty of beverages with meals can cause the client to feel full too quickly, reducing their intake of nutrient-dense foods. It is better to drink fluids between meals to ensure adequate nutrition.

Choice C reason: Eating five or six small meals each day helps prevent overeating and reduces the work of breathing, making it easier for COPD clients to maintain adequate nutrition without feeling overly full or short of breath.

Choice D reason: Increasing protein intake is important for COPD clients to maintain muscle mass and strength, which are crucial for respiratory function and overall health.

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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

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