The manager observes a staff nurse instruct a patient with Cushing syndrome about the risk for infection. For which statement should the manager correct the nurse?
1. Epidermal hypertrophy restricts macrophage activity.
2. Cortisol affects protein synthesis.
3. Cortisol inhibits collagen synthesis.
4. The resulting edema impairs blood flow to tissues.
Question 2The nurse is planning a teaching session for a patient with a new diagnosis of adrenoleukodystrophy. What topic should the nurse include?
1. why genetic counseling is included in the plan of care
2. the role of autoimmunity in the development of the disorder
3. the role of anticoagulants in the development of the disorder
4. the surgical site for transsphenoidal entry, using a diagram
Question 3The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse expect to assess in this patient?
Select all that apply.
1. weight gain
2. auscultatory lung crackles
3. jugular vein distention
4. peripheral edema
5. hypotension
Question 4A patient is prescribed prednisone (Dexasone) for a chronic health problem. The nurse instructs the patient to be alert for which signs that Cushing syndrome is developing?
Select all that apply.
1. fat deposits in the abdominal and clavicle regions
2. muscle weakness and wasting in the extremities
3. delayed wound healing
4. development of varicose leg veins
5. hypotension
Question 5The nurse is assessing a patient with Cushing syndrome. Which findings should the nurse report for immediate follow-up?
1. serum potassium 2.5 mEq/L and blood pressure 150/90
2. serum sodium 145 mEq/L and reports of muscle weakness
3. serum calcium 11 mg/dL and reports of feelings of depression
4. serum phosphorus 3 mg/dL and hirsutism
Question 6A patient with suspected Cushing syndrome is prescribed a 24-hour urine collection. What should the nurse explain to the patient about the reason for this urine collection?
1. It measures the amount of cortisol in the urine over 24 hours.
2. At least 2,000 mL of urine is required to perform the test.
3. It identifies urine specific gravity changes over a 24-hour period.
4. The 24-hour timeline reduces unwanted effects of medications excreted in the urine.
Question 7A patient with a non-ACTH-producing adrenal cortex tumor is scheduled for a surgical procedure to remove the tumor. Which statement by the patient indicates that teaching about the procedure has been effective?
1. The adrenal gland with the tumor will be removed.
2. I will need to take adrenal hormones for the rest of my life.
3. The tumor will be removed by the transsphenoidal route.
4. I will receive IV cortisol in preparation for the surgery.
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