A 44-year-old female patient with Cushing syndrome is admitted for adrenalectomy. Which intervention by the nurse will be most helpful for a nursing diagnosis of disturbed body image related to changes in appearance?
a. Reassure the patient that the physical changes are very common in patients with Cushing syndrome.
b. Discuss the use of diet and exercise in controlling the weight gain associated with Cushing syndrome.
c. Teach the patient that the metabolic impact of Cushing syndrome is of more importance than appearance.
d. Remind the patient that most of the physical changes caused by Cushing syndrome will resolve after surgery.
ANS: D
The most reassuring communication to the patient is that the physical and emotional changes caused by the Cushing syndrome will resolve after hormone levels return to normal postoperatively. Reassurance that the physical changes are expected or that there are more serious physiologic problems associated with Cushing syndrome are not therapeutic responses. The patient's physiological changes are caused by the high hormone levels, not by the patient's diet or exercise choices.
You might also like to view...
A(n) _________________________________ consists of a group of five fetal assessments: fetal heart rate and reactivity (the NST), fetal breathing movements, fetal body movements, fetal tone (closure of the hand), and volume of amniotic fluid
ANS:
Practices designed to keep health problems from developing such as getting childhood immunizations, refraining from smoking, and eating a balanced diet represent an example of:
a. physical prevention c. secondary prevention b. primary prevention d. tertiary prevention
The student nurse is preparing to insert the otoscope into the adult client's ear. Which of the following statements indicates that the student nurse requires further education?
1. "I'm going to use the largest speculum that will fit easily into the ear canal.". 2. "I'm going to prepare to insert the otoscope by pulling the pinna down and back.". 3. "The tympanic membrane should look gray and translucent.". 4. "I will ask the client to perform the valsalva maneuver so that I can see how well the tympanic membrane moves.".
The nurse should teach a client taking an antacid to take it one hour after meals because:
a. the antacid will coat the stomach more effectively. b. the antacid has a much longer duration of action. c. the meal is digested better without the presence of an antacid. d. the antacid needs to be taken on an empty stomach.