The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.
What statement made by the patient will demonstrate their understanding of the discharge instructions?

"If I feel stressed, I will increase my dose of corticosteroids to cope with my mood swings.”

"I have to decide whether or not I want to have surgery to remove the tumor on my thyroid gland.”

"My teammates will be happy that I can begin playing football again.”

"I will stay away from people with infections and call my healthcare provider if I develop a fever.” .

Answer and Explanation

The Correct Answer is D

Choice A rationale

Increasing the dose of corticosteroids without consulting a healthcare provider can be dangerous as it can cause serious side effects like immunosuppression, weight gain, and high blood pressure. Patients with Cushing's syndrome already have excess corticosteroids and should avoid additional doses.

Choice B rationale

This statement is incorrect as Cushing's syndrome is not related to a thyroid gland tumor. The treatment for Cushing's syndrome often involves removing a tumor from the adrenal gland or pituitary gland, not the thyroid.

Choice C rationale

Resuming physically intense activities like football should be discussed with a healthcare provider. Patients with Cushing's syndrome may have muscle weakness, osteoporosis, and other health issues that could be exacerbated by high-impact sports.

Choice D rationale

Patients with Cushing's syndrome have a weakened immune system due to high corticosteroid levels. Avoiding infections and promptly reporting any signs of illness, like fever, is crucial for their health.

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Correct Answer is B

Explanation

Choice A rationale

Chemotherapy and radiation can significantly affect fertility. It would be incorrect to reassure the patient that these treatments will not impact her ability to become pregnant, as these treatments often reduce fertility or cause temporary or permanent infertility.

Choice B rationale

Discussing fertility counseling and contraception options allows the patient to make informed decisions about her reproductive health. Fertility preservation methods, such as egg or embryo freezing, can be considered before starting treatment. This approach respects the patient's desire to become pregnant while acknowledging the impact of cancer treatment.

Choice C rationale

Referring the patient to a social worker for pregnancy surrogacy is premature and not directly addressing the patient's immediate concerns about fertility and treatment. Fertility counseling is a more appropriate initial step.

Choice D rationale

Delaying treatment for cancer to allow for pregnancy can have severe negative impacts on the patient's prognosis and is not advised. Immediate treatment is crucial to control the disease and improve survival chances.

A. Schedule the patient for annual prophylactic radiation therapy to the affected breast. B. Educate the patient about the need for routine mammography screening. C. Coordinate with the hospice team to complete the patient's advanced directives. D. Teach the patient that they no longer need survivorship care after five years of remission.

Correct Answer is B

Explanation

Choice A rationale

Routine prophylactic radiation therapy is not recommended for breast cancer survivors as it can lead to additional health issues such as secondary cancers and tissue damage. It is not a standard survivorship care practice.

Choice B rationale

Regular mammography screenings are crucial for early detection of breast cancer recurrence or new primary breast cancers. It is a standard component of survivorship care.

Choice C rationale

Coordinating with hospice care is more relevant for end-of-life care rather than survivorship care. Survivorship care focuses on maintaining health and monitoring for recurrence, not on palliative care planning.

Choice D rationale

Survivorship care is important throughout a patient's life, not just the first five years after remission. Continuous monitoring and health promotion are essential to detect any late effects of cancer treatment and maintain overall health.

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The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.What statement made by the patient will demonstrate their understanding of the discharge instructions?

Nursing Test Bank

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The nurse is providing discharge teaching to a patient diagnosed with Cushing's syndrome.
What statement made by the patient will demonstrate their understanding of the discharge instructions?