A school-age girl is diagnosed as having Cushing syndrome from ...

[washai]

A school-age girl is diagnosed as having Cushing syndrome from long-term therapy with oral prednisone. What assessment finding is consistent with this patient's diagnosis and treatment?
 
  A) Child appears pale and fatigued.
  B) There are purple striae on the abdomen.
  C) The child is excessively tall for chronologic age.
  D) The child is demonstrating signs of hypoglycemia.

Question 2

A new mother is concerned about the need to provide medication to a newborn every day for an indefinite period of time. What should the nurse encourage the mother to do to ensure medication compliance? (Select all that apply.)
 
  A) Check the expiration dates on all medications.
  B) Plan times for medications that fit in with the lifestyle.
  C) Build medication administration into the general home routine.
  D) Make medication administration pleasant such as including it during mealtimes.
  E) Schedule prescription refills at least 1 day before the current amount is used up.

[joechoochoy]

Answer to Question 1

B
Feedback:
Cushing syndrome is caused by overproduction of the adrenal hormone cortisol. The overproduction of cortisol results in hyperpigmentation, which occurs from the melanin-stimulating properties of ACTH. Purple striae resulting from collagen deficit appear on the child's abdomen. The child will not be pale or fatigued. The child will not be excessively tall. The child will not be demonstrating signs of hypoglycemia.

Answer to Question 2

A, B, C
Feedback:
To be successful in giving a medicine over a long time period, the mother should be urged to build administration into the family's general routine. Expiration dates for the medication should be checked. Plan the times for medication administration so that it allows for a normal lifestyle. Having to take medication during mealtimes is not pleasant and does not support a normal lifestyle. Be certain to anticipate the need to obtain prescriptions so medicine is always available.

[washai]

Excellent

[kthug]

TYSM