Author Question: Which medication will the nurse administer to a client who is being tested for Cushing syndrome? ... (Read 29 times)

jenna1 · **on:** Jul 23, 2018

Which medication will the nurse administer to a client who is being tested for Cushing syndrome?

1. Metyrapone (Metopirone)
2. Mitotane (Lysodren)
3. Acetylcysteine (Mucamyst)
4. Ketoconazole (Nizoral)

Question 2

Which client statement indicates that teaching about hydrocortisone replacement therapy has been ineffective?

1. I should take aspirin if I develop a fever.
2. I should report any wounds that are slow to heal to the health care provider.
3. I might gain a small amount of weight.
4. I should avoid alcohol and caffeine.

Jordin Calloway · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Metyrapone is an antiadrenal drug used to diagnose Cushing syndrome.
Rationale 2: Mitotane (Lysodren) is not used to diagnose Cushing syndrome.
Rationale 3: Acetylcysteine is not used to diagnose Cushing disease.
Rationale 4: Ketoconazole is not used to diagnose Cushing syndrome.
Global Rationale: Metyrapone is an antiadrenal drug used to diagnose Cushing syndrome. The other medications are not useful in diagnosis.

Answer to Question 2

Correct Answer: 1
Rationale 1: Aspirin can contribute to ulcer development during long-term hydrocortisone therapy and should be avoided.
Rationale 2: Slow wound healing could occur and should be reported immediately.
Rationale 3: Slight weight gain could occur.
Rationale 4: Alcohol and caffeine should be eliminated to reduce the development of peptic ulcer disease.
Global Rationale: Aspirin can contribute to ulcer development during long-term hydrocortisone therapy and should be avoided. Alcohol and caffeine should be eliminated to reduce the development of peptic ulcer disease. Slow wound healing could occur and should be reported immediately. Slight weight gain could occur.