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Multiple Choice
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions is most appropriate?
A
Restrict fluid intake to prevent edema
B
Administer corticosteroids as prescribed
C
Encourage a high-sodium diet
D
Monitor blood glucose levels regularly
Verified step by step guidance
1
Understand the condition: Cushing's syndrome is caused by prolonged exposure to high levels of cortisol. It can result in symptoms such as hyperglycemia, hypertension, edema, and increased susceptibility to infections.
Identify the key intervention: Monitoring blood glucose levels regularly is crucial because Cushing's syndrome often leads to hyperglycemia due to the effects of cortisol on glucose metabolism.
Explain why other options are inappropriate: Restricting fluid intake is not typically recommended as edema in Cushing's syndrome is managed differently. Administering corticosteroids would exacerbate the condition, and a high-sodium diet could worsen fluid retention and hypertension.
Relate the intervention to physiology: Cortisol increases gluconeogenesis and decreases glucose uptake by cells, leading to elevated blood glucose levels. Regular monitoring helps prevent complications such as diabetes or diabetic ketoacidosis.
Provide additional context: Blood glucose monitoring should be paired with other interventions, such as managing dietary intake, monitoring blood pressure, and addressing the underlying cause of Cushing's syndrome, which may involve tapering corticosteroid use or surgical intervention if caused by a tumor.