A patient is diagnosed with Cushing's disease. Which statement about hyperaldosteronism is correct?
Steroid injections will be administered daily
Weight gain and edema are present.
Painful leg cramps are common from hyperkalemia.
Decreased amount of body hair is frequently seen.
The Correct Answer is B
A. Steroid injections will be administered daily: This is incorrect; steroid therapy may exacerbate Cushing's disease. The condition is often due to excessive production of cortisol, not a deficiency.
B. Weight gain and edema are present: Hyperaldosteronism, often associated with Cushing's syndrome, leads to sodium and water retention, resulting in weight gain and edema.
C. Painful leg cramps are common from hyperkalemia: Hyperaldosteronism typically causes hypokalemia, not hyperkalemia, leading to muscle cramps, not leg pain from hyperkalemia.
D. Decreased amount of body hair is frequently seen: Cushing's disease often leads to hirsutism (increased body hair), not a decrease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Adherence to a low-fat diet: The patient likely experienced a transient ischemic attack (TIA), which is a warning sign for future strokes. A low-fat diet is recommended to help manage cholesterol and reduce the risk of atherosclerosis and stroke.
B. The administration of clot-busting drugs: Clot-busting drugs (thrombolytics) are used in the acute management of a stroke, but this patient’s symptoms resolved spontaneously, and the focus is on prevention.
C. Reporting any signs of heat or cold intolerance: This is unrelated to the prevention of stroke or management after a TIA.
D. Avoiding red wine and chocolate: While moderation in alcohol and certain foods is generally advised for overall health, this specific recommendation does not address the primary concern of preventing future cerebrovascular events.
Correct Answer is D
Explanation
A. Occurs when you are physically and psychologically exhausted: An aura is a specific set of symptoms that precedes the headache, not related to exhaustion.
B. Occurs in the postdrome and causes you to feel sleepy and weak: The postdrome phase is after the headache, and an aura occurs before the headache.
C. Is a trigger such as a stressful event, that is the cause of the headache: An aura is not a trigger but rather a symptom experienced before the headache begins.
D. An aura is a warning, such as an unpleasant smell, before the headache begins: An aura is a neurological phenomenon that can include visual disturbances, unusual smells, or other sensory changes occurring before the onset of a migraine.
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