2015-Test Bank-LeMoneBurkeBauldoffGubrud-Medical-Surgical Nursing 6th Edition PII

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A patient is prescribed prednisone (Dexasone) for a chronic health problem. The nurse instructs the patient to be alert for which signs that Cushing syndrome is developing?The nurse is assessing a pa... tient with Cushing syndrome. Which findings should the nurse report for immediate follow-up? 1. serum potassium 2.5 mEq/L and blood pressure 150/90 2. serum sodium 145 mEq/L and reports of muscle weakness 3. serum calcium 11 mg/dL and reports of feelings of depression 4. serum phosphorus 3 mg/dL and A patient with suspected Cushing syndrome is prescribed a 24-hour urine collection. What should the nurse explain to the patient about the reason for this urine collection? 1. It measures the amount of cortisol in the urine over 24 hours. 2. At least 2,000 mL of urine is required to perform the test. 3. It identifies urine specific gravity changes over a 24-hour period. 4. The 24-hour timeline reduces unwanted effects of medications excreted in the urine.A patient with a non-ACTH-producing adrenal cortex tumor is scheduled for a surgical procedure to remove the tumor. Which statement by the patient indicates that teaching about the procedure has been effective? 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.”The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse expect to assess in this patient? Standard Text: Select all that apply. 1. weight gain 2. auscultatory lung crackles 3. jugular vein distention 4. peripheral edema 5. The manager observes a staff nurse instruct a patient with Cushing syndrome about the risk for infection. For which statement should the manager correct the nurse? 1. “Epidermal hypertrophy restricts macrophage activity.” 2. “Cortisol affects protein synthesis.” 3. “Cortisol inhibits collagen synthesis.” 4. “The resulting edema impairs blood flow to tissues. [Show More]

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