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Cushings Syndrome Nursing Discussion Cushings Syndrome Nursing Discussion Cushings Syndrome Nursing Discussion Description For this weeks discussion, take any 5 questions from the Elimination and Cell Metabolism Practice Questions and explain the rationale for the correct answer and why the incorrect responses are wrong or what would make it a correct response. The Elimination and Cell Metabolism Practice Questions document can be found here or in Modules under the Participate tab. NUR 212 Exam 3 Elimination and Cell Meatbolism Practice Questions.docx Post the document with your rationales to the Discussion so all can view. Respond to 2 other posts with what you have to add to the student’s rationales. NUR 212 Elimination and Cell Metabolism Practice Questions 1. The nurse is caring for a patient diagnosed with diabetes insipidus. The nurse would anticipate the patient to exhibit which of following clinical manifestations? Select all that apply. A. Decreased specific gravity B. Decreased UO C. Dark yellow urine D. Decreased thirst 2. The nurse is reviewing the lab values of a patient with newly diagnosed hypothyroidism. The nurse would anticipate which of the following lab values? A. Elevated thyroid stimulating hormone (TSH). B. Elevated adrenocorticotropic hormone (ACTH). C. Elevated growth hormone (GH). D. Elevated oxytocin. 3. The nurse is completing the nursing admission history with a patient. The patient states, “I have a bad thyroid gland. I think it may be slow.” If the patient does have hypothyroidism, which of the following clinical manifestations would the nurse anticipate the patient will have? Select all that apply. A. Constipation B. Weight loss C. Bradycardia D. Thin extremities E. Dry, think, inelastic skin F. Puffy face 4. The nurse is caring for a patient diagnosed with Cushing’s Syndrome. The nurse anticipates the patient’s appearance will include which of the following? Select all that apply. A. Moon face. B. Petechiae. C. Buffalo hump. D. Striae. E. Truncal obesity. 5. The nurse is caring for a patient with newly diagnosed diabetes type I. The patient is repeatedly asking for water to drink. The nurse knows the excessive thirst is due to which of the following rationale? A. osmotic diuresis B. catabolism creating a negative energy balance C. triggered by intracellular dehydration and stimulation of thirst in hypothalamus D. glucose spilling into the urine causing cellular dehydration 6. The nurse is caring for a patient suspected as having diabetes mellitus type I. Which of the following lab values would confirm this diagnosis? A. pH 7.42 B. blood sugar 489 C. hematocrit 42% D. glycoslated hemoglobin (HbA1C) 5.4% 7. A patient askes what is the difference between type I diabetes and type II diabetes. Which of the following is nurse’s best response? A. “In diabetes type I the pancreas produces immature insulin that the cells can use and in diabetes type II the cells are resistant to the insulin.” B. “In diabetes type I the beta cells in the islet of Langerhans do not produce insulin whereas in diabetes type II the cells are resistant to insulin.” C. “Type I diabetes is when the beta cells in the islet of Langerhans produce excessive much insulin and the in type II diabetes the Cushings Syndrome Nursing Discussion pancreas does not produce enough insulin.” D. “Type II diabetes is when the cells have an increased sensitivity to insulin and so the insulin is used up by the body rapidly. In type I diabetes the cells are resistant to insulin.” 8. The nurse is caring for a patient with chronic kidney disease who has the following lab values. What is the rationale for each of the values? A. B. C. D. E. F. G. H. I. Potassium 5.9 mEq/L Low Calcium Elevated Phosphorus 6.5 Hgb 9 gm/dL pH 7.31; CO2 41; HCO3 19 GFR 10 L/min Creatinine 2.8 mg/dL BUN 42 mg/dL Proteinuria 9. The nurse would anticipate that a patient diagnosed with Addison’s disease would exhibit which of the following clinical manifestations? Select all that apply. a. weight loss b. hyperpigmentation c. fatigue d. hypertension e. nausea 10. The nurse is caring for a patient with Addison’s disease who has hyponatremia. What is the cause of hyponatremia? a. the adrenal gland secreting aldosterone thus causing sodium excretion b. the adrenal glands are not secreting aldosterone thus causing sodium excretion c. the adrenal gland is not secreting cortisol thus causing sodium to be lost from catabolism d. the adrenal gland secreting androgens thus causing excessive thirst causing dilution of sodium 11. The nurse is caring for a patient diagnosed with hypoparathyroidism. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Cushings Syndrome Nursing Discussion The nurse would anticipate the patient to have which of the following imbalances? a. hypomagnesemia and hypocalcemia b. hypernatremia and hypokalemia c. hypocalcemia and hyperphosphatemia d. hypophosphatemia and hypocalcemia 12. The nurse is caring for a patient with hyperthyroidism (Graves’ disease). The nurse would anticipate the patient would exhibit which of the following clinical manifestations? Select all that apply. a. constipation b. myxedema c. weight loss d. tachycardia e. cold extremities f. increased appetite 13. The nurse in the OB unit is caring for a woman in labor. The patient has hypopituitarism. When caring for the patient the nurse would anticipate which of the following? a. the baby will be small b. labor will be prolonged c. uterine contractions will be stronger d. breast milk will be produced in large amounts 14. The nurse is caring for a patient diagnosed with a kidney stone. The nurse is aware the stone is most likely composed of: a. cystine b. uric acid c. calcium d. struvite 15. A patient has a kidney stone. Clinical manifestations may include: Select all that apply. a. severe flank pain b. nausea c. hematuria d. urgency with urination e. burning with urination 16. A patient with benign prostate hyperplasia is complaining of difficulty in urinating and decreased force of urinary stream. The nurse is aware the cause of the clinical manifestations are caused by: a. a bacterial infection b. the prostate not being able to constrict c. urine backing up in the kidney causing hydronephrosis d. enlargement of the prostate constricting the urethra Answers 1. A 2. A 3. A C E F 4. A C D E 5. C A is polyuria B is polyphagia D is a made-up answer 6. B 7. B 8. K – unable to excrete Low Ca – PO4 retained PO4 – unable to excrete Hgb – lack of erythropoiesis Met acidosis – H+ no excreted GFR – kidneys not filtering Creatinine – retention of muscle breakdown BUN – retention of nitrogenous waste Proteinuria – impaired basement membrane allowing protein to leak out 9. Order Now