Which safety measure is most important for the nurse to institute for a patient who has Cushing Syndrome?
Using a lift sheet to change the patient's position
Assisting the patient to change positions slowly
Padding the siderails of the patient's bed
Keeping suctioning equipment at the patient's bedside
The Correct Answer is B
A. Using a lift sheet is helpful for preventing injury and ensuring safe handling of the patient, but it is not the most critical safety measure for a patient with Cushing’s syndrome.
B. Assisting the patient to change positions slowly is the most important safety measure for a patient with Cushing’s syndrome. Patients with Cushing’s syndrome often have osteoporosis and a risk of fractures due to prolonged exposure to high cortisol levels, which can lead to weakened bones. Orthostatic hypotension may also occur, so changing positions slowly can prevent falls.
C. Padding the siderails of the bed is typically done for patients at risk of seizures or those with neurological issues, not as a primary concern for patients with Cushing’s syndrome.
D. While keeping suction equipment at the bedside is important for patients at risk of aspiration or respiratory issues, it is not the most critical measure for a patient with Cushing’s syndrome. The most significant concern is the risk of falls and fractures due to bone weakening and potential hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A BMI of 28 kg/m² is considered overweight, but it does not meet the threshold for bariatric surgery, which typically requires a BMI of 40 or more.
B. While a BMI of 32 kg/m² may be relevant when combined with significant co-morbidities (like type 2 diabetes or hypertension), the standard guideline for bariatric surgery generally requires a BMI of 40 or higher, or 35 with comorbid conditions.
C. A BMI of 30 kg/m² is classified as obese, but bariatric surgery is generally considered for those with a BMI of 40 or higher, or 35 with severe comorbidities.
D. A BMI of 40 kg/m² or more is the standard criteria for bariatric surgery, particularly when other treatments (such as diet, exercise, and medication) have failed, or when obesity-related health issues are present.
Correct Answer is B
Explanation
A. Have the client refrain from talking for 24 hr: The client only needs to refrain from talking until the anesthesia wears off, usually within an hour. There is no need to refrain from talking for 24 hours.
B. Withhold food and liquids until the client's gag reflex returns: This is the correct action. Following a bronchoscopy, the local anesthetic used can suppress the gag reflex. It is crucial to wait until the gag reflex returns to prevent aspiration when the client eats or drinks. C. Irrigate the client's throat every 4 hr: There is no indication to irrigate the throat routinely. The priority is to ensure that the gag reflex has returned before allowing oral intake.
D. Suction the client's oropharynx frequently: Suctioning is only necessary if the client is unable to clear their secretions or has difficulty breathing. It is not a standard post-procedure intervention.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.