Which dietary alterations does the nurse make for a client with Cushing's disease?
a. High carbohydrate, low potassium
b. Low carbohydrate, low sodium
c. Low protein, low calcium
d. High carbohydrate, low potassium
B
The client with Cushing's disease has weight gain, muscle loss, hyperglycemia, and sodium re-tention. Dietary modifications need to include reduction of total calories and carbohydrates to prevent or reduce the degree of hyperglycemia. Sodium retention causes water retention and hypertension. Clients are encouraged to restrict their sodium intake moderately. Clients often have bone density loss and need more calcium.
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The patient, diagnosed with chronic myelocytic leukemia (CML), has not been responding to chemotherapy and the provider changes the patient to imatinib
The patient asks the nurse, "What adverse effects am I going to have to deal with from this drug?" What is the nurse's best response? A) "Adverse effects from this drug are more serious but this drug is stronger and more effective." B) "Adverse effects are similar to other drugs including bone marrow suppression, nausea, and hair loss." C) "Adverse effects are much less likely or severe including GI upset, headache, and muscle pain." D) "Adverse effects vary from patient to patient and depend on your overall health as to what will occur."
A 74-year-old patient is admitted diagnosed with anhedonia, weight loss of 20 lb in 6 weeks, and pervasive guilt over issues that occurred in early adulthood
The patient is diagnosed with melancholic depression. Which intervention has the highest priority for inclusion in the care plan? a. Assess history of seasonal variations of mood. b. Observe for increased sensitivity to rejection. c. Monitor and document sleep patterns. d. Assess for echolalia and posturing.
After surgical removal of the gallbladder (cholecystectomy), long-term dietary recommendations are
a. a low-fat, low-cholesterol diet. b. high protein and fluid intakes. c. a well-balanced diet with no other restric-tions. d. small, frequent meals to ensure adequate intake.
There are various ethnical professional associations in nursing. They were each founded to provide a voice for their nurses. Each group has stated visions and specific goals. One group is dedicated to supporting more than just nurses
Which group supports other health care professionals? A) NANAINA B) NBNA C) AAPINA D) NAHN