An adolescent has Cushing's syndrome due to long-term use of steroid therapy for another illness. When writing this child's care plan, which nursing diagnosis takes priority?

A.
Activity intolerance
B.
Altered body image
C.
Fluid volume deficit
D.
Impaired skin integrity


ANS: B
The child with Cushing's syndrome has a typical appearance consisting of a pendulous abdomen, round "moon" face, facial flushing, a buffalo hump, thin fragile skin, and striae. This would lead the teen to have an altered body image, as he or she would want to look like his or her peers. The other nursing diagnoses may or may not apply to individual children.

Nursing

You might also like to view...

Circumcision of young girls from early childhood through adolescence is widespread in which of the following counties? Select all that apply

a. Brazil d. England b. China e. Pakistan c. Somalia f. Philippines

Nursing

A patient is scheduled for a thyroid scan. The nurse should specifically ask the patient about possible allergy to which substance?

1. Penicillin 2. Iodine 3. Citrus fruit 4. Sulfa drugs

Nursing

A patient with thrombocytopenia is demonstrating tissue hypoxia and stasis of blood flow. The nursing diagnosis that would be appropriate for both of these patient problems would be

1. fatigue. 2. altered tissue perfusion. 3. activity intolerance. 4. risk for injury.

Nursing

A PHN in the 1960s is measuring quality assurance. Which of the following resources would the nurse most likely have used?

a. American Nurses Association (ANA) Standards of Practice b. JCAHO Nursing Audit Criteria c. Community Health Nursing Practice Standards d. Phaneuf nursing audit method

Nursing