A client with Cushing's syndrome was taught by the nurse about ...

[mikaylakyoung]

A client with Cushing's syndrome was taught by the nurse about safety precautions to use at home. Which comment indicates that the client understands the instructions?
 
  1. I should learn some relaxation exercise so that I do not become suicidal.
  2. I should avoid direct sunlight to prevent my skin from developing dark patches.
  3. I should get up slowly from bed or my chair because I might faint.
  4. I will be careful not to hurt myself, since I could break a bone easily.

Question 2

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone secretion. What treatment should the nurse expect to be prescribed for this client? (Select all that apply.)
 
  1. Fluid restriction
  2. Furosemide (Lasix)
  3. Desmopressin (DDAVP)
  4. Demeclocycline (Declomycin)
  5. Intravenous hypertonic solution

[Ddddd]

Answer to Question 1

Answer: 4

1. Mood swings are experienced, but the client rarely is suicidal.
2. Dark skin patches are not associated with Cushing's disease.
3. Hypertension, not hypotension, is usually a problem.
4. Cushing's disease can lead to osteoporosis, making the client vulnerable to fractures.

Answer to Question 2

Answer: 1, 2, 4, 5

1. SIADH is treated by correcting the underlying cause and limiting fluid intake through a fluid restriction.
2. SIADH is treated by giving diuretics such as furosemide (Lasix).
3. Desmopressin (DDAVP) is used to treat diabetes insipidus.
4. Demeclocycline (Declomycin), a tetracycline antibiotic, is used to promote urine production in patients with SIADH.
5. Patients with severe hyponatremia may receive intravenous hypertonic saline.

[mikaylakyoung]

Excellent

[parshano]

Gracias!