NOTES: II
1. The nurse is caring for someone with adrenal hyperfunction screams at her spouse, and burst into
tears, and screams at the wall. The client tells the nurse I feel like I'm going crazy. Which of the
following is the appropriate response for the nurse to make?
a. You feel like this because of your hormone levels
b. I will close the door to your room and restrict visitors
c. I will bring you information about support groups
d. I will ask your doctor about ordering a psychiatric consult
2. the nurse is caring for a client who's taking high doses of corticosteroids therapy and ask the
nurse, “why do I need to keep taking the steroids when I no longer feel bad?”. Which of the
following is an appropriate response for the nurse to make?
a. You must decrease the steroids so that way your hormones work again
b. once you start steroids you have to get weaned off of them
c. it is possible for the inflammation to reoccur if you stopped the drug
d. the drug suppresses your immune system that needs to be built back up
3. the nurse is caring for a client who has Cushing’s syndrome. Which of the following interventions
could the nurse incorporate in the plan of care?
a. Assess abdominal girth at the same time each day
b. assess Bony prominence every shift or as needed
c. initiate a fluid restriction with a low protein diet
d. place in the private room and initiate contact precautions
4. the nurse preceptor is observing a newly hired nurse provide discharge instructions to the client
who has Cushing’s syndrome. Which of the following instructions requires intervention by the
nurse?
a. Avoid any unnecessary exposure to others who may be sick or have an infection
b. he should maintain moderate activity like walking with frequent rest periods
c. maintain a high carb diet and drink plenty of water throughout the day
d. be sure to wear a medical bracelet and a medical card with you every time
5. the nurse has taught the client with Cushing syndrome about changes in dietary habit. Which of
the following meal choices indicates a correct understanding?
a. ham and bean soup, diet carbonated drink
b. fried fish and tartar sauce
c. a BLT with wheat toast and apple juice
d. baked chicken breasts, bean, broccoli and a glass of low fat milk
Roastedchicken
potatoes milk
, 6. the nurse is assessing clients for the risk of developing Cushing’s syndrome. The nurse should
identify the greatest risk client is:
a. 38 year old female using a steroid inhaler for COPD
b. 33 year old female with goiter PKU
c. 55 year old male pancreatitis has capillary blood glucose of 120
d. 15 year old male with hypophysectomy and receiving somatotropin
7. the nurse is caring for a client diagnosed with Cushing’s syndrome. Which of the following
interventions is the highest priority for the nurse?
a. Assess the client for abdomen and record abdominal girth every shift
b. keep the client in protective isolation and restrict behaviors
c. enforce aseptic technique and hygiene with all care
d. assess the client’s daily chest X-ray results and report findings
8. the nurse is talking with a client who is taking hydrocortisone following a bilateral
adrenalectomy. The client requests to be seen for stomach flu and is having nausea and vomiting.
which of the following is the best response by the nurse?
addisonian crisis
a. I will call in a prescription for antiemetic medication for you
b. you need to be urgently seen today by your provider
c. double the dose for today and tomorrow
d. try to drink extra fluids until you try to come into your next appointment
9. the nurse is caring for a client diagnosed with Cushing’s syndrome due to pituitary tumor. The
client has a transsphenoidal hypophysectomy two hours ago. which of the following should the
nurse report immediately to the surgeon?
a. Patient reports feeling nausea after attempting to chew on ice chips
b. Client has visible dry mucus membranes
c. client reports excessive thirst while having large amounts of urine
d. client reports feeling tired and groggy
pinktinge
10. the nurse is caring for a client who has Addison's disease and is being treated with corticosteroids
at home. Which of the following instructions by the nurse is appropriate?
a. Be sure to stay on your salt restriction while you're on this medication even though it's
difficult
b. take one tablet in the morning and two tablets as needed to start
c. you will need to learn how to rotate the injection sites to this medication
d. if you work outside in the sun when it is hot you may need to consult your doctor
1. The nurse is caring for someone with adrenal hyperfunction screams at her spouse, and burst into
tears, and screams at the wall. The client tells the nurse I feel like I'm going crazy. Which of the
following is the appropriate response for the nurse to make?
a. You feel like this because of your hormone levels
b. I will close the door to your room and restrict visitors
c. I will bring you information about support groups
d. I will ask your doctor about ordering a psychiatric consult
2. the nurse is caring for a client who's taking high doses of corticosteroids therapy and ask the
nurse, “why do I need to keep taking the steroids when I no longer feel bad?”. Which of the
following is an appropriate response for the nurse to make?
a. You must decrease the steroids so that way your hormones work again
b. once you start steroids you have to get weaned off of them
c. it is possible for the inflammation to reoccur if you stopped the drug
d. the drug suppresses your immune system that needs to be built back up
3. the nurse is caring for a client who has Cushing’s syndrome. Which of the following interventions
could the nurse incorporate in the plan of care?
a. Assess abdominal girth at the same time each day
b. assess Bony prominence every shift or as needed
c. initiate a fluid restriction with a low protein diet
d. place in the private room and initiate contact precautions
4. the nurse preceptor is observing a newly hired nurse provide discharge instructions to the client
who has Cushing’s syndrome. Which of the following instructions requires intervention by the
nurse?
a. Avoid any unnecessary exposure to others who may be sick or have an infection
b. he should maintain moderate activity like walking with frequent rest periods
c. maintain a high carb diet and drink plenty of water throughout the day
d. be sure to wear a medical bracelet and a medical card with you every time
5. the nurse has taught the client with Cushing syndrome about changes in dietary habit. Which of
the following meal choices indicates a correct understanding?
a. ham and bean soup, diet carbonated drink
b. fried fish and tartar sauce
c. a BLT with wheat toast and apple juice
d. baked chicken breasts, bean, broccoli and a glass of low fat milk
Roastedchicken
potatoes milk
, 6. the nurse is assessing clients for the risk of developing Cushing’s syndrome. The nurse should
identify the greatest risk client is:
a. 38 year old female using a steroid inhaler for COPD
b. 33 year old female with goiter PKU
c. 55 year old male pancreatitis has capillary blood glucose of 120
d. 15 year old male with hypophysectomy and receiving somatotropin
7. the nurse is caring for a client diagnosed with Cushing’s syndrome. Which of the following
interventions is the highest priority for the nurse?
a. Assess the client for abdomen and record abdominal girth every shift
b. keep the client in protective isolation and restrict behaviors
c. enforce aseptic technique and hygiene with all care
d. assess the client’s daily chest X-ray results and report findings
8. the nurse is talking with a client who is taking hydrocortisone following a bilateral
adrenalectomy. The client requests to be seen for stomach flu and is having nausea and vomiting.
which of the following is the best response by the nurse?
addisonian crisis
a. I will call in a prescription for antiemetic medication for you
b. you need to be urgently seen today by your provider
c. double the dose for today and tomorrow
d. try to drink extra fluids until you try to come into your next appointment
9. the nurse is caring for a client diagnosed with Cushing’s syndrome due to pituitary tumor. The
client has a transsphenoidal hypophysectomy two hours ago. which of the following should the
nurse report immediately to the surgeon?
a. Patient reports feeling nausea after attempting to chew on ice chips
b. Client has visible dry mucus membranes
c. client reports excessive thirst while having large amounts of urine
d. client reports feeling tired and groggy
pinktinge
10. the nurse is caring for a client who has Addison's disease and is being treated with corticosteroids
at home. Which of the following instructions by the nurse is appropriate?
a. Be sure to stay on your salt restriction while you're on this medication even though it's
difficult
b. take one tablet in the morning and two tablets as needed to start
c. you will need to learn how to rotate the injection sites to this medication
d. if you work outside in the sun when it is hot you may need to consult your doctor
