Answer to Question 1
ANS: B
Cushing's syndrome is characterized by chronic excess glucocorticoid (cortisol) secretion from the adrenal cortex. This is caused by the hypothalamus, or the anterior pituitary gland, or the adrenal cortex. Cushing's syndrome can also be caused by taking corticosteroids in the form of medication (such as prednisone) over time referred to as exogenous Cushing syndrome. Regardless of the cause, excess secretion of cortisol has a systemic affect affecting immunity, metabolism, and fat distribution (truncal obesity), reduced muscle mass, loss of bone density, hypertension, fragility to microvasculature, as well as thinning of the skin. Washing hands is important because the patient's immune system is suppressed due to the excess glucocorticoid level. Daily weights are not indicated. Exfoliating soaps may damage thin skin. The patient should receive vaccinations due to being immunocompromised.
Answer to Question 2
ANS: D
Because the parathyroids are located on the thyroid gland, similar concerns for postoperative monitoring apply. Additionally, calcium levels are monitored to avoid hypocalcemic crisis.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Documenting the health history is a crucial step in providing patient care
Photograph of an occupational therapist assisting a patient with learning independence in activities
Patient teaching: rectal and anal assessment
For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu
Plan of Complex of the Temple of Aphaia, Aegina