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Pts1difapply ref cushings disease hypercortisolism

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PTS:1DIF:ApplyREF: Cushings Disease (Hypercortisolism): Planning and Implementation8.The nurse is assessing a client diagnosed with hyperaldosteronism. Which of the followingwould take theleastpriority during this period?1.Assessment of breath sounds2.Cardiac monitoring3.Assistance with activities of daily living (ADLs)4.Review of electrolyte levelsANS: 3The first priority for the nurse is to monitor cardiac and respiratory status. Cardiac status can beimpaired because of changes in potassium levels, and fluid balance can be impaired because ofsodium, affecting the respiratory status. After the client is stabilized, the nurse can assist theclient with activities of daily living.PTS:1DIF:AnalyzeREF: Hypersecretion of the Adrenal Gland (Hyperaldosteronism): Assessment with ClinicalManifestations
9.A client is diagnosed with primary adrenal insufficiency. The nurse realizes that this disorderaffects which of the following glands?1.Adrenal cortex2.Adrenal medulla3.Thyroid4.PituitaryANS: 1Mineralocorticoids, glucocorticoids, and androgens are produced in the adrenal cortex. Theprincipal mineralocorticoid is aldosterone. The adrenal medulla secretes the catecholamines. Thethyroid and pituitary do not secrete aldosterone.PTS:1DIF:AnalyzeREF: Hyposecretion of the Adrenal Gland: Pathophysiology10.A client tells the nurse that he is so thirsty that he has already consumed four pitchers ofwater. The clients urine output is 3500 mL in an 8-hour period. The client is recovering fromsurgery on the pituitary gland. What endocrine disorder is the client most likely experiencing?1.Diabetes insipidus2.Diabetes mellitus3.Myxedema4.Syndrome of inappropriate antidiuretic hormone secretionANS: 1Diabetes insipidus and diabetes mellitus both cause increased urine output, but diabetes insipidusis related to a problem with antidiuretic hormone; diabetes mellitus is a problem with glucose.Myxedema is caused by a thyroid hormone imbalance. Syndrome of inappropriate antidiuretichormone secretion causes fluid retention.PTS:1DIF:AnalyzeREFiabetes Insipidus: Assessment with Clinical Manifestations
11.The nurse is planning care for a client diagnosed with Graves disease. Which of the followingnursing interventions would be appropriate for this clients care?1.Administer a stool softener.2.Provide extra blankets.3.Provide frequent meals.4.Restrict the caloric intake.ANS: 3Nursing interventions for Graves disease (hyperthyroidism) include offering frequent, high-calorie meals; medicating for diarrhea; providing a fan or decreasing the temperature on the airconditioner; and taking daily weight measurements. The client does not need a stool softener.The client does not need extra blankets. The clients metabolic rate is increased, and she shouldnot have a restriction on caloric intake.

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Term
Fall
Professor
Audrey Huff
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