What is the priority of care for a patient with Cushing's syndrome?

Administering corticosteroid medications

Assessing for signs of infection

Providing emotional support

Monitoring blood glucose levels

Answer and Explanation

The Correct Answer is B

A. Administering corticosteroid medications is incorrect. In Cushing's syndrome, the body already has excess cortisol, either due to endogenous overproduction or prolonged corticosteroid use. The priority is to reduce cortisol levels, not increase them.
B. Assessing for signs of infection is correct. Excess cortisol suppresses the immune system, making patients with Cushing's syndrome highly susceptible to infections. These infections may not present with typical signs (e.g., fever) due to immune suppression, so vigilant assessment is a priority to prevent complications.
C. Providing emotional support is important, as patients may experience body image issues and mood changes, but it is not the immediate priority when life-threatening complications like infection are possible.
D. Monitoring blood glucose levels is also important, since hyperglycemia is common due to cortisol’s effects on glucose metabolism. However, infection risk poses a more immediate threat to patient safety, making infection assessment the top priority.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Airway patency is the priority to monitor following a thyroidectomy. The surgical site is close to the neck and airway, and there is a risk of postoperative complications such as swelling, bleeding, or the formation of a hematoma that could compromise the airway. Immediate attention to airway management is crucial to ensure that the client can breathe freely and maintain adequate oxygenation.
B. Urination is important to monitor postoperatively, but it is not the immediate priority following a thyroidectomy. Urination can be affected by fluid balance or medications, but ensuring airway patency takes precedence over urinary output.
C. Temperature is important to monitor as it can indicate infection or other complications, but airway concerns are more urgent immediately following thyroid surgery. Fever can be managed once the airway is secure.
D. Pain control is necessary for comfort and recovery, but pain is not the most urgent concern in the immediate postoperative period compared to airway patency. Pain management can be addressed after ensuring the client’s airway is clear and safe.

A. Peritonitis B. Air embolism C. Dialysis disequilibrium D. Septicemia

Correct Answer is C

Explanation

A. Peritonitis is an infection of the peritoneum, typically associated with peritoneal dialysis, not hemodialysis. Symptoms would usually include fever, abdominal pain, and cloudy dialysate rather than headache, nausea, and restlessness.
B. Air embolism is a rare but serious complication of hemodialysis caused by air entering the bloodstream. Symptoms would include chest pain, hypotension, and shortness of breath, not headache, nausea, and restlessness.
C. Dialysis disequilibrium is the correct answer. This complication occurs when there is a rapid change in blood chemistry during hemodialysis, particularly in those with acute kidney injury or chronic kidney disease. The symptoms—headache, nausea, restlessness, confusion, and even seizures—are a result of the rapid reduction in blood urea levels and the shift of fluid and electrolytes in the body.
D. Septicemia refers to a blood infection and is associated with symptoms like fever, chills, hypotension, and tachycardia. While it is a potential complication of dialysis, the described symptoms of headache, nausea, and restlessness are more consistent with dialysis disequilibrium.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What is the priority of care for a patient with Cushing's syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?

Correct Answer is A

Explanation

A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complications?

Correct Answer is C

Explanation

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

A nurse is providing teaching to a client about measures to prevent urinary tract infections (UTIs). Which of the following client statements indicates a need for further teaching?

A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?

A nurse on a long-term care unit is creating a plan of care for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?

A nurse is caring for a client who has schizophrenia and tells the nurse, "They lie about me all the time and they are trying to poison my food." Which of the following statements should the nurse make?

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?