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Question 1
Question
The client has developed iatrogenic Cushing's disease. Which statement is the scientific rationale for the development of this diagnosis?
Answer
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The client has an autoimmune problem causing the destruction of the adrenal cortex.
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The client has been taking steroid medications for an extended period for another disease process.
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The client has a a pituitary gland tumor causing the adrenal glands to produce too much cortisol.
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The client has developed an adrenal gland problem for which the HCP does not have an explanation.
Question 2
Question
The nurse is admitting a client diagnosed with SIADH. Which clinical manifestations should be reported to the HCP?
Answer
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Serum sodium of 112 mEq/L and a headache
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Serum potassium of 5.0 mEq/L and a heightened awareness
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Serium calcium of 10 mg/dL and tented tissue turgor
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Serum magnesium of 1.2 mg/dL and large urinary output
Question 3
Question
The nurse is planning the care of a client diagnosed with SIADH. Which interventions should be implemented? Select all that apply.
Answer
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Restrict fluid per HCP order
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Assess LOC Q2H
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Provide an atmosphere of stimulation
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Monitor urine and serum osmolality
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Weigh the client every three days
Question 4
Question
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
Answer
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"I will keep a list of my medications in my wallet and wear a Medic Alert bracelet."
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"I should take my medication in the morning and leave it refrigerated at home."
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"I should weigh myself every morning and record any weight gain."
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"If I develop a tightness in my chest, I will call my HCP."
Question 5
Question
The client diagnosed with Cushing's has undergone unilateral adrenalectomy. Which discharge instructions should the nurse discuss with the client?
Answer
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Instruct client to take glucocorticoid and mineralocorticoid medications as prescribed
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Teach the client regarding sexual functioning and androgen replacement therapy.
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Explain the s/s of infection and when to call the HCP
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Demonstrate turn, cough, and deep-breathing exercises the client should perform Q2H
Question 6
Question
Which client history is most significant in the development of iatrogenic Cushing's?
Answer
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Long-term use of anabolic steroids
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Extended use of inhaled steroids for asthma
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History of long-term glucocorticoid use
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Family history of increased cortisol production
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