A client has been diagnosed with Cushing's syndrome. What assessment does the nurse perform to detect vascular complications associated with this illness?
a. Auscultation of heart and lung sounds
b. Assessment of blood pressure
c. Daily weight using the same scale
d. Monitoring of urine output every 24 hours
B
Dysfunction of the adrenal medulla or the adrenal cortex can cause secondary hypertension. In Cushing's syndrome, excessive glucocorticoids are excreted from the adrenal cortex. These excessive glucocorticoids cause increased sodium and water retention, which may lead to an increase in blood pressure. No changes in lung sounds are associated.
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The client was injured in a work accident. He now has a fused spine and moves with difficulty. He wonders if he will ever be able to be intimate with his wife. What is the nurse's most accurate response?
a. "You will not be able to engage in sexual activity." b. "You can enjoy a satisfying sex life with some adaptation." c. "You eventually will return to the preinjury level of functioning." d. "You will become more sexually active after you recover from the injuries."
A nurse is assessing a 56-year-old tuberculosis (TB) patient who has a fever, heart rate (HR) of 110, and urine output of 25 cc/hr
Hypoxemia is noted on the ABG analysis. Which potential complication is this patient exhibiting related to his infectious disease? A) Bacteremia B) Dehydration C) Endocarditis D) Septic shock
The nurse is assessing a male infant and notes only one testis. The mother asks what effect this will have on the child. Which of the following would be a correct response by the nurse?
1. "There will be a need for your child to have hormone replacement therapy.". 2. "He will be unable to father children.". 3. "He will do fine and have no problems.". 4. "There will be a normal level of sperm production.".
Which statement about clients who have primary or metastatic brain tumors is TRUE?
a. Clinical manifestations differ according to the area of the lesion and rate of growth. b. Classic manifestations include projectile vomiting and headaches. c. Most tumors are treated by surgical intervention. d. Most tumors respond to radiation or chemotherapy.