Important nursing intervention(s) when caring for a patient with Cushing syndrome include:
observing for signs of hypotension.
monitoring blood glucose levels.
protecting patients from exposure to infection.
restricting protein intake.
Correct Answer : A,B,C
b. Monitoring blood glucose levels: This is an essential nursing intervention as patients with Cushing syndrome are at risk for developing diabetes mellitus because of cortisol on glucose metabolism. The nurse should monitor the patient's blood glucose levels regularly and report any abnormal readings to the healthcare provider.
c. Protecting patients from exposure to infection: Patients with Cushing syndrome are also at risk for developing infections due to the immunosuppressive effects of cortisol. The nurse should take appropriate infection control measures, such as frequent handwashing, wearing gloves, and isolation precautions if necessary.
a. Observing for signs of hypotension: Although hypotension is not typically seen in patients with Cushing syndrome, it can occur in some cases due to the depletion of cortisol. The nurse should monitor the patient's blood pressure regularly and report any abnormal readings to the healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should suggest the patient lie on the side, flexing the right leg². This position may help relieve pain and reduce tension in the abdominal muscles¹. Palpating the abdomen for rebound tenderness (a) may cause pain and should be avoided¹. Assisting the patient to cough and deep breathe (c) may be helpful for respiratory issues but not for abdominal pain¹. Encouraging the patient to sip clear, non-carbonated liquids (d) may be helpful for hydration but does not address the abdominal pain¹.
Correct Answer is ["A","B","C","D"]
Explanation
Use of a portable blood glucose monitor: The patient should be taught how to use a portable blood glucose monitor to check their blood glucose levels at home. This will help the patient monitor their blood glucose levels and adjust their insulin dose as necessary.
Hypoglycemia prevention, symptoms, and treatment: The patient should be taught about the signs and symptoms of hypoglycemia (low blood glucose levels) and how to treat it. This includes teaching the patient to consume 15-20 grams of fast-acting carbohydrates such as glucose tablets or juice when experiencing hypoglycemia.
Insulin administration: The patient should be taught how to administer insulin, including the timing of injections and rotating injection sites. The patient should also be educated about the importance of taking insulin regularly and the potential consequences of missed doses.
Diet: The patient should be educated about healthy eating habits that include monitoring carbohydrate intake, eating regular meals, and spacing carbohydrates throughout the day. The patient does not need to eliminate sugar entirely from their diet, but rather to consume it in moderation and balance it with other food groups.
Physical activity: The patient should be encouraged to engage in regular physical activity but may need to adjust their insulin dose or carbohydrate intake to accommodate for the changes in blood glucose levels that may result from physical activity. Reducing physical activity is not necessary, but rather adjusting to it properly with proper monitoring of glucose levels.
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