The client has developed iatrogenic Cushing's disease. Which statement is the scientific rationale for the development of this diagnosis?
The client has an autoimmune problem causing the destruction of the adrenal cortex.
The client has been taking steroid medications for an extended period for another disease process.
The client has a a pituitary gland tumor causing the adrenal glands to produce too much cortisol.
The client has developed an adrenal gland problem for which the HCP does not have an explanation.
The nurse is admitting a client diagnosed with SIADH. Which clinical manifestations should be reported to the HCP?
Serum sodium of 112 mEq/L and a headache
Serum potassium of 5.0 mEq/L and a heightened awareness
Serium calcium of 10 mg/dL and tented tissue turgor
Serum magnesium of 1.2 mg/dL and large urinary output
The nurse is planning the care of a client diagnosed with SIADH. Which interventions should be implemented? Select all that apply.
Restrict fluid per HCP order
Assess LOC Q2H
Provide an atmosphere of stimulation
Monitor urine and serum osmolality
Weigh the client every three days
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
"I will keep a list of my medications in my wallet and wear a Medic Alert bracelet."
"I should take my medication in the morning and leave it refrigerated at home."
"I should weigh myself every morning and record any weight gain."
"If I develop a tightness in my chest, I will call my HCP."
The client diagnosed with Cushing's has undergone unilateral adrenalectomy. Which discharge instructions should the nurse discuss with the client?
Instruct client to take glucocorticoid and mineralocorticoid medications as prescribed
Teach the client regarding sexual functioning and androgen replacement therapy.
Explain the s/s of infection and when to call the HCP
Demonstrate turn, cough, and deep-breathing exercises the client should perform Q2H
Which client history is most significant in the development of iatrogenic Cushing's?
Long-term use of anabolic steroids
Extended use of inhaled steroids for asthma
History of long-term glucocorticoid use
Family history of increased cortisol production
