Author Question: A patient with an adrenal gland alteration does not understand why his skin is tanning when he does ... (Read 29 times)

Brittanyd9008 · **on:** Jun 25, 2018

A patient with an adrenal gland alteration does not understand why his skin is tanning when he does not spend any time outdoors in the sun. What should the nurse do to address the patient's concern?

1. ask if the patient is still taking steroids prescribed for another illness
2. ask the patient what time of day he is outdoors
3. auscultate the patient's lung sounds
4. palpate the patient's thyroid gland

Question 2

A patient with Cushing syndrome is concerned about having a head cold every few weeks. What should the nurse do to address this patient's concern?

1. assess for protein and vitamin intake
2. plan for frequent rest periods
3. encourage daily weights
4. review coping strategies

aham8f · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Addison disease could develop if a patient abruptly stops taking steroids for a chronic health condition. The patient has already reported that no time is spent outdoors in the sun. Auscultation of lung sounds and palpation of the thyroid gland would not help in determining the cause of this skin change.

Answer to Question 2

Correct Answer: 1
The patient with Cushing syndrome is at risk for infection due to the overproduction of glucocorticoids. The nurse should teach the importance of increasing intake of protein and vitamins C and A, which are all needed to support and repair body tissues. Rest periods and daily weights are recommended in the care of a patient with Cushing, but neither directly addresses the problem of frequent infections. There is no indication of a need to review or change coping strategies.