A nursing 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
A. Limit potassium-rich foods in the diet.
Limiting potassium is not a typical dietary modification for Cushing's disease. Potassium levels are usually affected in conditions such as Addison's disease, where there is a deficiency of cortisol. In Cushing's disease, the focus is more on sodium balance.
B. Decrease sodium intake.
This is the correct choice. Decreasing sodium intake is a dietary modification relevant to individuals with Cushing's disease. Excessive cortisol production can lead to sodium and water retention, and reducing sodium intake helps manage fluid balance.
C. Increase calorie intake.
While weight gain is a common symptom in individuals with Cushing's disease, simply increasing calorie intake may not be the most specific or appropriate dietary modification. Attention to overall dietary balance and specific components like sodium is more relevant.
D. Consume more calories from carbohydrates than protein.
The macronutrient composition of the diet (carbohydrates vs. protein) is not a specific consideration for individuals with Cushing's disease. The focus is more on overall dietary balance and addressing sodium intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The ropes are in the center of the wheel grooves.
Having the ropes in the center of the wheel grooves is appropriate and ensures proper alignment within the pulley system. This is not a problem that needs correction.
B. The weights rest against the foot of the bed.
This is the correct choice for correction. Allowing the weights to rest against the foot of the bed can alter the amount of force applied to the skeletal structures and compromise the effectiveness of the traction. The weights should hang freely and move within the pulley system.
C. The weights are equal on each side.
Having equal weights on each side is generally appropriate and helps maintain proper balance in the traction system. This is not a problem that needs correction.
D. The ropes attach securely to the pin.
Secure attachment of the ropes to the pin is essential for maintaining proper traction. This is not a problem that needs correction if the attachment is secure.
Correct Answer is A
Explanation
A. “I will call for pain medication before the previous dose wears off.”
The statement "I will call for pain medication before the previous dose wears off" indicates an understanding of proactive pain management. In postoperative pain control, it is generally more effective to stay ahead of the pain by taking pain medication on a scheduled basis rather than waiting until the pain becomes severe. This approach helps to maintain a more consistent level of pain relief.
B. “I will call for pain medication as my pain becomes intolerable.”
Waiting until the pain becomes intolerable may result in suboptimal pain control. It's more effective to take pain medication before reaching a point of intolerable pain.
C. “I will wait for you to evaluate my pain before asking for more.”
Waiting for the nurse to evaluate pain before requesting more medication may result in delays in pain relief. Pain management often involves collaboration between healthcare providers and patients, and timely communication about pain levels is essential.
D. “I will ask for less medication to avoid addiction.”
This statement reflects a concern about addiction but may lead to inadequate pain relief. Pain management should prioritize effective pain control while balancing the risks and benefits of medications. The goal is to provide sufficient pain relief without compromising the client's well-being.
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