NSG 456 Exam 3 Questions With Correct Answers

NSG 456 Exam 3 Questions With Correct Answers Which of the following patients are at risk for developing Cushing's Syndrome? A. A patient with a tumor on the pituitary gland, which is causing too much ACTH to be secreted. B. A patient taking glucocorticoids for several weeks. C. A patient with a tuberculosis infection. D. A patient who is post-opt from an adrenalectomy. - answerB. A patient taking glucocorticoids for several weeks. The answer is option B. A patient taking glucocorticoids for several weeks. Remember that CUSHING'S DISEASE is caused by the pituitary gland producing too much ACTH which in turn increases cortisol. Cushing's SYNDROME is caused by medication therapy of glucocorticoids. An adrenalectomy is a treatment for Cushing's Disease (so this is not the answer in this case) and TB is a risk factor for developing ADDISON'S Disease. Addison's Disease is: A. Increased secretion of cortisol B. Increased secretion of aldosterone and cortisol C. Decreased secretion of cortisol D. Decreased secretion of aldosterone and cortisol - answerD. Decreased secretion of aldosterone and cortisol A patient with Addison's Disease is being discharged home on Prednisone. Which of the following statements by the patient warrants you to re-educate the patient? A. "I will notify the doctor if I become sick or experience extra stress." B. "I will take this medication as needed when symptoms present." C. "I will take this medication at the same time every day." EXAM STUDY MATERIALS July 29, 2024 12:59 PM D. "My daughter has bought me a Medic-Alert bracelet." - answerB. "I will take this medication as needed when symptoms present." Steroids should be taken continuously, not on a as needed basis. IF not taken correctly, can result in an Addisonian Crisis which can be life threatening. A patient is admitted to the ER. The patient is unconscious on arrival. However, the patient's family is with the patient and reports that before the patient became unconscious she was complaining of severe pain in the abdomen, legs, and back, and has been experiencing worsening confusion. In addition, they also report the patient has not been taking any medications. The patient was recently discharged from the hospital for treatment of low cortisol and aldosterone levels. On assessment, you note the patient's blood pressure is 70/45. What disorder is this patient most likely experiencing? A. Addisonian Crisis B. Cushing Syndrome C. Thyroid crisis D. Hashimoto thyroiditis - answerA. Addisonian Crisis The answer is A. Note the patient is experiencing the signs and symptoms of Addisonian Crisis. The red flag in this scenario are the patient's symptoms, recent hospitalization diagnosis, and that she is not taking any medications. Remember that patients who have Addision's disease are at risk for Addisonian Crisis, especially if they are not taking their prescribed hormone therapy replacement. For a client who is in an Addisonian Crisis, what medication do you expect the patient to be started on? A. IV Solu-Cortef (Hydrocortisone) B. PO Prednisone C. PO Declomycin D. IV Insulin - answerA. IV Solu-Cortef (Hydrocortisone) The answer is A. The patient needs cortisol immediately because they are experiencing Addisonian Crisis. IV Solu-Cortef (Hydrocortisone) is the best option because it is intravenous and a glucocorticoid. The patient is unconscious and can not take oral medications, therefore Prednisone is not the best option and all the other options are incorrect. A patient with Addison's Disease should consume which of the following diets? A. High fat and fiber EXAM STUDY MATERIALS July 29, 2024 12:59 PM B. Low potassium and high protein C. High protein, carbs, and adequate sodium D. Low carbs, high protein, and increased sodium - answerC. High protein, carbs, and adequate sodium In Cushing's Disease and Syndrome there are: A. Increased cortisol production B. Low potassium and glucose levels C. Increased production of aldosterone and cortisol D. Decreased production of cortisol and aldosterone - answerA. Increased cortisol production A patient with Cushing's syndrome will be undergoing an adrenalectomy. Which of the following will be included in the patient's discharge teaching after the procedure? A. Glucocorticoid replacement therapy B. Avoiding avocadoes and pears C. Declomycin therapy D. Signs and symptoms of Grave's Disease - answerA. Glucocorticoid replacement therapy Which of the following is not a typical sign and symptom of Cushing's Syndrome? A. Hyperpigmentation of the skin B. Hirsutism C. Purplish striae D. Moon Face - answerA. Hyperpigmentation of the skin In Cushing's disease, the _______ is secreting too much ACTH (Adrenocorticotropic hormone) which is causing an increase in cortisol production. A. Adrenal cortex B. Pituitary gland C. Thyroid gland D. Hypothalamus - answerB. Pituitary gland This complication is found mainly in Type 2 di