The client has been diagnosed with Cushing's syndrome. What will the nurse's assessment likely reveal?
1. Low blood pressure and hypoglycemia
2. Well-healed scars on the upper body
3. Upper body obesity
4. Thin, gaunt appearance of the face
3
Rationale 1: Hypertension and hyperglycemia are commonly seen.
Rationale 2: Delayed wound healing is a sign of Cushing's disease.
Rationale 3: Primary symptoms of Cushing's syndrome include upper body obesity.
Rationale 4: A redistribution of fat around the face results in a "moon face" appearance.
Global Rationale: Primary symptoms of Cushing's syndrome include upper body obesity. Hypertension and hyperglycemia are commonly seen. Delayed wound healing is a sign of Cushing's disease. A redistribution of fat around the face results in a "moon face" appearance.
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A client with type 1 diabetes asks whether an occasional glass of wine is allowed in the diet. Which is the nurse's best response?
a. "Drinking any wine or alcohol will in-crease your insulin requirements." b. "Because of poor kidney function, people diagnosed with diabetes should avoid al-cohol at all times." c. "You shouldn't drink alcohol because it will make you hungry and overeat." d. "One glass of wine is okay with a meal and is counted as two fat exchanges."
A nurse is interviewing a client who has a co-occurring diagnosis. The client is trying to explain why it is so easy to start drinking again even though hospitalization and prescribed medications can eventually "control" his mental problems
Which statement by the client would the nurse interpret as reflecting the client's beliefs? A) "It just seems easier and cheaper to go out and get a bottle or a fix than it does to keep paying for medications with money I don't have." B) "If I come out of the hospital and keep taking my prescribed medications, I know I will function better, but I won't be able to escape my feelings or feel high like I do when I drink." C) "I just don't like the side effects my prescribed medications cause, and, besides that, I can never remember to take them at specific times or with food." D) "I don't like to take them because then my spouse expects me to be more responsible and to help around the house more often. I don't have to be bothered with that when I drink or use."
The nurse is assessing a female client who is prescribed chlorpromazine for schizophrenia. Based on this information, what will the nurse include in the client assessment?
Standard Text: Select all that apply. 1. Perform an eye exam and ask if there have been changes in vision. 2. Draw blood to check a lipid profile. 3. Ask the client questions regarding amount of alcohol intake. 4. Determine the date of her last menstrual period. 5. Draw blood to check thyroid function.
An older adult client diagnosed as being in the early stage of Alzheimer's disease shares with the nurse that her sleep is interrupted by "the noises I hear all through the night." The nurse explains that the most likely reason for this problem is:
1. The client's age 2. A lack of presleep relaxation 3. The amount of noise entering into the client's environment 4. A manifestation of the disease process causing the brain disorder