Author Question: The client has been diagnosed with Cushing's syndrome. The nurse would monitor this client for which ... (Read 50 times)

savannahhooper · **on:** Jul 22, 2018

The client has been diagnosed with Cushing's syndrome. The nurse would monitor this client for which of the following expected signs of this disorder? Select all that apply.

1. Anorexia
2. Weight loss
3. Hypertension
4. Dizziness
5. Moon facies
6. Truncal obesity

Question 2

The clinic nurse is instructing a pregnant client in her first trimester about nutrition. The nurse would correct which of the following misunderstandings on the part of the client about nutrition during pregnancy?

1. Iron supplements should be taken throughout pregnancy.
2. Pregnancy greatly increases the risk of malnourishment for the mother.
3. Calcium intake should be increased for the duration of the pregnancy.
4. The maternal diet significantly influences fetal growth and development.

spencer.martell · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3, 5, 6

Rationale: The client with Cushing's syndrome may exhibit a number of different manifestations. These could include moon facies, truncal obesity, and a buffalo hump fat pad. Other signs include hypokalemia, peripheral edema, hypertension, increased appetite, and weight gain. Dizziness is not part of the clinical picture for this disorder.

Answer to Question 2

2

Rationale: Although pregnancy poses some nutritional risk for the mother, the client is not at risk of becoming malnourished. Calcium is critical during the third trimester but must be increased from the onset of pregnancy. Intake of dietary iron is usually insufficient for most pregnant women, and iron supplements are routinely encouraged. Good nutrition during pregnancy significantly and positively influences fetal growth and development.