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Author Question: A nurse assesses a client with Cushing's disease. Which assessment findings should the nurse ... (Read 111 times)

fnuegbu

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on: Jun 25, 2018
A nurse assesses a client with Cushing's disease. Which assessment findings should the nurse correlate with this disorder? (Select all that apply.)
 
  a. Moon face
  b. Weight loss
  c. Hypotension
  d. Petechiae
  e. Muscle atrophy

Question 2

An emergency nurse cares for a client who is experiencing an acute adrenal crisis. Which action should the nurse take first?
 
  a. Obtain intravenous access.
  b. Administer hydrocortisone succinate (Solu-Cortef).
  c. Assess blood glucose.
  d. Administer insulin and dextrose.


chreslie

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A, D, E
Clinical manifestations of Cushing's disease include moon face, weight gain, hypertension, petechiae, and muscle atrophy.

Answer to Question 2

ANS: A
All actions are appropriate for the client with adrenal crisis. However, therapy is given intravenously, so the priority is to establish IV access. Solu-Cortef is the drug of choice. Blood glucose is monitored hourly and treatment is provided as needed. Insulin and dextrose are used to treat any hyperkalemia.


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fnuegbu

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Reply #2 on: Jun 25, 2018
Correct answers!


chreslie

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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