A 45-year-old female client with a history of chronic corticosteroid use presents to the clinic with complaints of weight gain, moon-shaped face, and purple striae on the abdomen. The nurse suspects Cushing’s syndrome. Which assessment finding would further support this suspicion?
a) Hypotension.
b) Hyperkalemia.
c) Hypoglycemia.
d) Hirsutism.
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A 38-year-old male client is admitted to the hospital with suspected Cushing’s disease. Which laboratory finding would be consistent with this diagnosis?
a) Increased adrenocorticotropic hormone (ACTH) levels.
b) Decreased urine-free cortisol levels
c) Elevated serum potassium levels.
d) Decreased serum glucose levels.
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A 50-year-old female client with Cushing’s syndrome is scheduled for an adrenalectomy. The nurse is providing preoperative teaching. Which information should the nurse prioritize in the teaching plan?
a) Importance of maintaining a low-sodium diet postoperatively.
b) Administration schedule for oral corticosteroids.
c) Techniques for preventing surgical site infection.
d) Potential complications related to adrenal insufficiency.
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A 32-year-old male client with Addison disease is admitted to the emergency department with severe fatigue, hypotension, and electrolyte imbalances. The nurse suspects an Addisonian crisis. Which laboratory finding would support this diagnosis?
a) Increased serum sodium levels.
b) Elevated serum glucose levels.
c) Decreased serum potassium levels.
d) Low serum cortisol levels.
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A 45-year-old female client with Addison disease is prescribed fludrocortisone acetate. Which statement by the client indicates an understanding of the medication’s therapeutic effect?
a) “This medication will help control my blood pressure.”
b) “I will take this medication to reduce my blood sugar levels.”
c) “The medication will decrease my risk of infection.”
d) “This will help me manage my weight and appetite.”
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A 28-year-old male client with Addison disease is receiving education on self-management. Which precaution is essential for the client to follow to prevent an Addisonian crisis?
a) Avoiding high-sodium foods.
b) Increasing physical activity gradually.
c) Limiting fluid intake.
d) Taking medications with meals.
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A 6-year-old child with asthma is prescribed inhaled corticosteroids to manage their symptoms. The nurse educates the parents about the potential side effects of long-term corticosteroid use. Which manifestation should the nurse explain as a possible sign of adrenal suppression in the child?
a) Weight gain.
b) Hyperactivity.
c) Hypertension.
d) Fatigue.
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A 32-year-old client with rheumatoid arthritis has been on long-term oral corticosteroid therapy. The healthcare provider orders a serum cortisol level test. Which time of the day is most appropriate for obtaining this laboratory test?
a) Early morning.
b) Afternoon.
c) Evening.
d) Midnight.
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A 50-year-old client is prescribed a tapering dose of prednisone after a recent organ transplant. The nurse provides education about the importance of adhering to the prescribed tapering schedule. What is the primary reason for a gradual tapering of corticosteroids in this situation?
a) To prevent adrenal suppression.
b) To minimize gastrointestinal side effects.
c) To reduce the risk of infection.
d) To avoid rebound symptoms.
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A 30-year-old female client with a history of Addison disease presents to the emergency department with complaints of severe weakness, dizziness, and nausea. On assessment, the nurse finds the client hypotensive with a blood pressure of 80/50 mmHg and tachycardic. The client also exhibits hyperpigmentation of the skin. The nurse suspects acute adrenal crisis. Which intervention should the nurse prioritize for this client?
a) Administering intravenous fluids.
b) Starting vasopressor therapy.
c) Administering intravenous hydrocortisone.
d) Initiating electrolyte replacement therapy
Listen to the answer and explanation: