A nurse teaches a client with a cortisol deficiency who is ...

[amal]

A nurse teaches a client with a cortisol deficiency who is prescribed prednisone (Deltasone). Which statement should the nurse include in this client's instructions?
 
  a. You will need to learn how to rotate the injection sites.
  b. If you work outside in the heat, you may need another drug.
  c. You need to follow a diet with strict sodium restrictions.
  d. Take one tablet in the morning and two tablets at night.

Question 2

A nurse plans care for a client with Cushing's disease. Which action should the nurse include in this client's plan of care to prevent injury?
 
  a. Pad the siderails of the client's bed.
  b. Assist the client to change positions slowly.
  c. Use a lift sheet to change the client's position.
  d. Keep suctioning equipment at the client's bedside.

[epscape]

Answer to Question 1

ANS: B
Steroid dosage adjustment may be needed if the client works outdoors and might be difficult, especially in hot weather, when the client is sweating a great deal more than normal. Clients take prednisone orally, have no need for a salt restriction, and usually start the regimen with two tablets in the morning and one at night.

Answer to Question 2

ANS: C
Cushing's syndrome or disease greatly increases the serum levels of cortisol, which contributes to excessive bone demineralization and increases the risk for pathologic bone fracture. Padding the siderails and assisting the client to change position may be effective, but these measures will not protect him or her as much as using a lift sheet. The client should not require suctioning.

[amal]

TYSM

[gcook]

Thanks for the timely response, appreciate it