The manager observes a staff nurse instruct a patient with ...

[jwb375]

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 2

The nurse is planning a teaching session for a patient with a new diagnosis of adrenoleukodystroph y. 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

[dantucker]

Answer to Question 1

Correct Answer: 1
Glucocorticoid excess inhibits fibroblasts, resulting in loss of collagen and connective tissue. Thinning of skin, poor wound healing, and frequent skin infections result. Macrophage activity is not a related action. Increased cortisol affects protein synthesis, causing delayed wound healing, and inhibits collagen formation, which results in epidermal atrophy, further inhibiting resistance to infection. Impaired blood flow to edematous tissue results in altered cellular nutrition, which increases the potential for infection.

Answer to Question 2

Correct Answer: 1
Adrenoleukodystroph y is an X-linked disorder characterized by an accumulation of very long chain fatty acids in the adrenal cortex, testes, brain, and spinal cord. It is not an autoimmune disorder, is not caused by anticoagulant therapy, and is not treated with surgery.

[jwb375]

Thank you

[dantucker]

No problemo