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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “I will need to wipe my perineal area from back to front after urination” indicates a need for further teaching. Wiping from back to front increases the risk of introducing bacteria from the anal area into the urethra, which can lead to a urinary tract infection. The correct method is to wipe from front to back.
B. “I will need to drink apple cider vinegar each day” is a common home remedy belief. While scientific evidence is limited, apple cider vinegar is thought by some to help maintain urinary tract health due to its potential antibacterial properties. This statement does not necessarily indicate a misunderstanding.
C. “I need to drink 8 cups of liquid each day” is correct. Adequate fluid intake helps flush bacteria from the urinary tract and reduces the risk of infection.
D. “I will need to empty my bladder regularly and completely” is correct. Incomplete bladder emptying or infrequent urination can promote bacterial growth, so regular and full voiding helps prevent UTIs.
Correct Answer is D
Explanation
A. Creatinine decreasing is incorrect. In chronic kidney disease (CKD), serum creatinine levels increase as kidney function declines and the kidneys are less able to excrete waste products.
B. Glomerular filtration rate (GFR) increasing is incorrect. As CKD progresses, GFR decreases, reflecting reduced kidney filtering capacity. An increasing GFR would indicate improving kidney function, which is not typical in progressive CKD.
C. Proteinuria decreasing is incorrect. In CKD, proteinuria (protein in the urine) usually increases due to damage to the glomeruli, allowing proteins like albumin to pass through the filtration barrier into the urine.
D. Urine albumin increasing is correct. As kidney function worsens, the glomeruli become more permeable, leading to increased albumin in the urine, known as albuminuria or proteinuria. This is a key marker of kidney damage and progression of CKD.
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