The nurse is providing instructions to a client receiving ...

[ETearle]

The nurse is providing instructions to a client receiving treatment for Cushing's syndrome. Which of the following instructions would not be appropriate for this client?
 
  1. Monitor glucose levels.
  2. Implement safety precautions.
  3. Wear medical identification.
  4. Volunteer at the hospital to prevent depression.

Question 2

A client, complaining of weight gain, has thin extremities, a buffalo hump, and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process?
 
  1. Addison's disease
  2. Cretinism
  3. Cushing's syndrome
  4. Obesity

[blfontai]

Answer to Question 1

4
A client diagnosed with Cushing's syndrome is predisposed to falls, injury, and increased glucose levels. The client should wear an identification bracelet indicating her disease process. The client should avoid crowds and persons with infections.

Answer to Question 2

3
Even though the client has gained weight (obesity), the distribution of that weight is characteristic for the disease process of Cushing's syndrome. Cretinism and Addison's disease do not exhibit those symptoms.