A patient with long-term asthma develops Cushing syndrome. What is the cause of this condition?

Abruptly withdrawing cortisone therapy

Poorly functioning adrenal glands

Lacking ACTH, related to the pituitary gland

Taking corticosteroids for many years

Answer and Explanation

The Correct Answer is D

A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.

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Correct Answer is D

Explanation

A. Levothyroxine (Synthroid) is used to treat hypothyroidism, not hyperthyroidism.
B. Liotrix (Thyrolar) is a combination of T4 and T3 used for hypothyroidism, not hyperthyroidism.
C. Liothyronine (Cytomel) is another thyroid hormone replacement used for hypothyroidism.
D. Propylthiouracil (Propacil) is an antithyroid medication used to treat hyperthyroidism by inhibiting thyroid hormone synthesis.

A. "I will carry a complex carbohydrate snack with me when I exercise." B. "I should exercise first thing in the morning before eating breakfast." C. "I should avoid injecting insulin into my thigh if I am going to go running." D. "I will increase the intensity of my exercise routine if my urine is positive for ketones."

Correct Answer is C

Explanation

A. Carrying a simple carbohydrate snack (not a complex one) is recommended during exercise to prevent hypoglycemia, but this is not the correct statement.
B. Exercising first thing in the morning before eating can cause hypoglycemia due to low glucose levels after fasting.
C. Injecting insulin into the thigh before running can increase absorption rates, leading to hypoglycemia. Rotating injection sites and avoiding muscle groups that will be heavily exercised is recommended.
D. Exercise should be avoided if ketones are present in the urine, as it can indicate inadequate insulin and the risk of diabetic ketoacidosis.

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A patient with long-term asthma develops Cushing syndrome. What is the cause of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which medication is used to treat hyperthyroidism?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

A home health care nurse is assessing a patient with type 1 diabetes who has been controlled for 6 months. The nurse is surprised and concerned about a blood glucose reading of 52 mg/dL. What action by this patient most likely caused this episode of hypoglycemia?

A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus. The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?

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?

A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?