To prevent complications in the patient with cushing syndrome, the nurse monitors the patient for:

Q: Which clinical indicator would the nurse expect when assessing a client with Cushing syndrome?

A patient with Cushings syndrome include an increase in serum sodium and a decrease in potassium levels. Blood studies. Indicators of Cushings syndrome include an increase in the blood glucose levels, a reduction in the number of eosinophils, and disappearance of lymphoid tissue.

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When caring for a client with a diagnosis of Cushing's syndrome the nurse understands the most common cause of Cushing's syndrome is?
Which clinical indicator would the nurse expect when assessing a client with Cushing syndrome?
Which nursing intervention would be included in the plan of care for a patient with a diagnosis of hypothyroidism?
When reviewing the laboratory results for patient with Cushing's disease the nurse should expect an excess of which substance?

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c. elevated temperature and signs of heart failure
(rationale- a hyperthyroid crisis results in marked manifestations of hyperthyroidism, with fever tachycardia, heart failure, shock, hyperthermia, agitation, N/V/D, delirium, and coma. Although exophthalmos may be present in the patient with Gravs' dz, it is not a significant factor in hyperthyroid crisis. Hoarsness and laryngeal stridor are characteristic of the tetany of hypoparathyroidism, and lethargy progressing to coma is characteristic of myxedema coma, a complication of hypothyroidism.

c. avoid eating foods such as soybeans, turnips, and rutabagas
(Rationale- when a patient has had a subtotal thyroidectomy, thyroid replacement therapy is not given, because exogenous hormone inhibits pituitary production of TSH and delays or prevents the restoration of thyroid tissue regeneration. However, the patient should avoid goitrogens, foods that inhibit thyroid, such as soybeans, turnips, rutabagas, and peanut skins. REgular exercise stimulates the thyroid gland and is encourage. Salt water gargles are used for dryness and irritation of the mouth and throat following radioactive iodine therapy.)

a. HTN, peripheral edema, and petechiae
(rationale- The effects of glucocorticoid excess include weight gain from accumulation and redistribution of adipose tissue, sodium and water retention, glucose intolerance, protein wasting, loss of bone structure, loss of collagen, and capillary fragility. Clinical manifestations of corticosteroid deficiency include hypotension, dehydration, weight loss, and hyperpigmentation of the skin.)

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When caring for a client with a diagnosis of Cushing's syndrome the nurse understands the most common cause of Cushing's syndrome is?

Benign Pituitary Tumor (Adenoma) This is the most common cause of CS. Almost 75 out of 100 to 85 out of 100 all Cushing's syndrome cases are this type. Corticotropin (CRH) is normally made by the pituitary gland.

Which clinical indicator would the nurse expect when assessing a client with Cushing syndrome?

A patient with Cushing's syndrome include an increase in serum sodium and a decrease in potassium levels. Blood studies. Indicators of Cushing's syndrome include an increase in the blood glucose levels, a reduction in the number of eosinophils, and disappearance of lymphoid tissue.

Which nursing intervention would be included in the plan of care for a patient with a diagnosis of hypothyroidism?

Nursing interventions for a patient with hypothyroidism include the following: Promote rest. Space activities to promote rest and exercise as tolerated. Protect against coldness.

When reviewing the laboratory results for patient with Cushing's disease the nurse should expect an excess of which substance?

The late-night salivary cortisol test is a relatively new test that checks for elevated levels of cortisol in the saliva between 11 p.m. and midnight. Cortisol secretion is usually very low late at night, but in patients with Cushing's syndrome, the level will always be elevated during this time.