A nurse teaches a client with Cushing's disease. Which dietary ...

[fox]

A nurse teaches a client with Cushing's disease. Which dietary requirements should the nurse include in this client's teaching? (Select all that apply.)
 
  a. Low calcium
  b. Low carbohydrate
  c. Low protein
  d. Low calories
  e. Low sodium

Question 2

A nurse assesses a client who potentially has hyperaldosteronism. Which serum laboratory values should the nurse associate with this disorder? (Select all that apply.)
 
  a. Sodium: 150 mEq/L
  b. Sodium: 130 mEq/L
  c. Potassium: 2.5 mEq/L
  d. Potassium: 5.0 mEq/L
  e. pH: 7.28
  f.
  pH: 7.50

[janieazgirl]

Answer to Question 1

ANS: B, D, E
The client with Cushing's disease has weight gain, muscle loss, hyperglycemia, and sodium retention. Dietary modifications need to include reduction of carbohydrates and total calories to prevent or reduce the degree of hyperglycemia. Sodium retention causes water retention and hypertension. Clients are encouraged to restrict their sodium intake moderately. Clients often have bone density loss and need more calcium. Increased protein intake will help decrease muscle loss.

Answer to Question 2

ANS: A, C, E
Aldosterone increases reabsorption of sodium and excretion of potassium. Hyperaldosteronism causes hypernatremia, hypokalemia, and metabolic alkalosis. Hyponatremia, hyperkalemia, and acidosis are manifestations of adrenal insufficiency.

[fox]

Excellent

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