« previous next »

Author Question: The nurse is assessing a patient with Cushing syndrome. Which findings should the nurse report for ... (Read 82 times)

MGLQZ

  • Hero Member
  • *****
  • Posts: 579
on: Jun 25, 2018
The nurse is assessing a patient with Cushing syndrome. Which findings should the nurse report for immediate follow-up?
 
  1. serum potassium 2.5 mEq/L and blood pressure 150/90
  2. serum sodium 145 mEq/L and reports of muscle weakness
  3. serum calcium 11 mg/dL and reports of feelings of depression
  4. serum phosphorus 3 mg/dL and hirsutism

Question 2

A patient with suspected Cushing syndrome is prescribed a 24-hour urine collection. What should the nurse explain to the patient about the reason for this urine collection?
 
  1. It measures the amount of cortisol in the urine over 24 hours.
  2. At least 2,000 mL of urine is required to perform the test.
  3. It identifies urine specific gravity changes over a 24-hour period.
  4. The 24-hour timeline reduces unwanted effects of medications excreted in the urine.


b614102004

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 1
Hypokalemia and hypertension occur with Cushing syndrome as potassium is lost and sodium is retained. The other laboratory values and patient manifestations do not need to be reported for immediate follow-up.

Answer to Question 2

Correct Answer: 1
If the dexamethasone test is positive, a test for urinary free cortisol is made. This measures the amount of cortisol in the urine over 24 hours. The 24-hour urine collection is not performed because 2 L of urine is needed, to measure urine specific gravity, or to ensure medication excretion in the urine.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Did you know?

Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi The nurse needs to inform the patient with impaired vision when a touch is to occur and ask permissi
Nurse examining and measuring hematuria sample from client with a UTI Nurse examining and measuring hematuria sample from client with a UTI
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
THE DIMENSIONS OF PATIENT-CENTERED CARE THE DIMENSIONS OF PATIENT-CENTERED CARE
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest. A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
National Patient Safety Goals for Acute-Care Hospitals National Patient Safety Goals for Acute-Care Hospitals
Video: Stimulus (introduction)

For a complete list of videos, visit our video library