A client using corticosteroids for over 15 years is being seen in the emergency department for weight gain, fluid retention, and moon face. Which diagnosis does the nurse anticipate the client to have?
1. Addison disease
2. Cushing disease
3. Hyperparathyroidism
4. Hypothyroidism
2
Rationale 1: Addison disease is the hyposecretion of corticosteroids.
Rationale 2: Cushing disease is the hypersecretion of corticosteroids.
Rationale 3:Hyperparathyroidism is the hypersecretion of the parathyroid hormone.
Rationale 4:Hypothyroidism is the insufficient secretion of either TSH or thyroid hormone.
Global Rationale: Hypersecretion of corticosteroids is related to Cushing disease. Although hypersecretion of these hormones can be due to excess of ACTH or adrenal tumors, the most common cause of Cushing syndrome is long-term therapy with high doses of systemic corticosteroids.
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Answer the following statement true (T) or false (F)