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Question 16Type: MCSAThe nurse is caring for a patient with Cushing syndrome who is scheduled for a surgical procedure to remove an adrenal cortex tumor. The nurse knows patient teaching regarding the procedure has been effective when the patient makes which statement?1. “The adrenal gland with the tumor will be removed.”2. “I will need to take adrenal hormones for the rest of my life.”3. “The tumor will be removed by the transsphenoidal route.”4. “I will receive IV cortisol in preparation for the surgery.”Correct Answer: Rationale 1: When Cushing syndrome is caused by an adrenal cortex tumor, an adrenalectomy may be performed to remove the tumor.Rationale 2: Only one adrenal gland is usually involved. As another adrenal gland remains, patients do not need lifetime adrenal hormone replacement.Rationale 3: Pituitary, not adrenal, tumors are removed transsphenoidally.Rationale 4: The patient with Cushing syndrome is already experiencing elevated cortisol levels; IV cortisol is not indicated prior to adrenalectomy.1Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: EvaluationLearning Outcome: 46-2Question 17
Type: MCMAThe nurse working in the emergency department is caring for a patient with Addison’s disease who has an oral temperature of 102°F and blood pressure of 70/35. The patient is reporting weakness and abdominal pain. The nurse recognizes that which patient statements are likely related to the current manifestations?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 46-2Question 18Type: MCSA