The nurse is planning care for the client with Cushing's syndrome ...

[saliriagwu]

The nurse is planning care for the client with Cushing's syndrome who has been admitted for complications related to the disease process.
 
  Which intervention should the nurse plan for this client to improve the impaired gas exchange?
  A) Monitor serum electrolytes.
  B) Schedule nursing activities to allow for periods of rest.
  C) Assess input and output accurately.
  D) Administer IV fluids per practitioner order.

Question 2

An Asian-American adolescent is hospitalized following several days of vomiting due to food poisoning. The nurse is planning to include which points when teaching the client's family at discharge?
 
  Select all that apply.
  A) Immunizations for the adolescent
  B) Nutritional patterns of the adolescent
  C) Signs and symptoms of metabolic alkalosis
  D) Proper food-handling techniques
  E) Normal laboratory values of the adolescent

[jaykayy05]

Answer to Question 1

Answer: B
The client with Cushing's syndrome is at risk for developing severe metabolic alkalosis that causes hypoxemia and limits energy reserves. Spacing nursing activities throughout the day allows the client ample rest time. The other interventions are aimed at the deficient fluid volume that may occur with metabolic alkalosis.

Answer to Question 2

Answer: C, D
The family of anyone experiencing prolonged vomiting should be taught the signs and symptoms of metabolic alkalosis. In this case, the nurse would include teaching about proper methods of food handling to prevent further episodes of food poisoning. Food patterns of the adolescent are not the precipitating factor of the food poisoning, and immunizations would not prevent this disease. Unless the family asks, it is not necessary to teach normal laboratory findings.

[saliriagwu]

Excellent

[chereeb]

TYSM