A client has Cushing's syndrome secondary to needing large doses of glucocorticoids to control asthma. Today the client calls the clinic complaining of "not feeling very well," but has no other complaints
The nurse should advise this client to a. come in for an examination and lab work.
b. cut the steroid dose in half for the next week.
c. make an appointment for next week.
d. rest and drink plenty of fluids.
A
Clients with Cushing's syndrome have altered immunity that leads them to be vulnerable to in-fection with few manifestations. This client needs to be seen this day. All the other options would make the client's condition worse: cutting steroids could lead to addisonian crisis; waiting until next week to be seen or self-treating with fluids and rest could cause the client to become acutely ill.
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