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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Brudzinski's sign is an indicator of meningitis, where flexion of the neck causes involuntary flexion of the hips and knees. This sign is not related to hypocalcemia and is more specific to central nervous system infections.
Choice B reason: Chvostek's sign is a clinical sign of hypocalcemia. It is elicited by tapping on the facial nerve in front of the ear, which causes twitching of the facial muscles. This sign indicates neuromuscular irritability due to low calcium levels and is a key indicator for diagnosing hypocalcemia.
Choice C reason: Cullen's sign is a superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. It is associated with acute pancreatitis and intra-abdominal bleeding, not hypocalcemia. Therefore, it is not an appropriate sign to monitor for in clients with hypocalcemia.
Choice D reason: Kernig's sign is another indicator of meningitis. It involves pain and resistance to knee extension when the hip is flexed. Like Brudzinski's sign, it is specific to meningitis and is not related to hypocalcemia. Monitoring for this sign would not be relevant for a client with low calcium levels.
Correct Answer is D
Explanation
Choice A reason: Emptying the collection chamber every 4 hours is unnecessary and can increase the risk of introducing infection. The chamber should be emptied as needed based on the volume of drainage.
Choice B reason: Stripping the chest tube, which involves squeezing and releasing sections of the tube to move clots, is not recommended as it can create high negative pressure and cause damage to the lung tissue.
Choice C reason: Pinning the chest tube to the client’s gown can lead to accidental dislodgement. The chest tube should be secured appropriately without tension.
Choice D reason: The correct answer is d because taping the connections on the client’s chest tube ensures that the system remains airtight and prevents air leaks, which is essential for effective functioning of the chest tube and prevention of pneumothorax recurrence.
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