Practical and Vocational
Nursing, 10th Edition
Carroll | Complete Questions
with Verified Correct
Answers for Students
,The nurse is caring for a patient with a diagnosis of
Addison's disease. What sign or symptom is most
closely associated with this health problem?
A) Truncal obesity
B) Hypertension
C) Muscle weakness
D) Moon face - ✔✔✔✔✔✔-Ans: C
Feedback:
Patients with Addison's disease demonstrate muscular
weakness, anorexia, gastrointestinal symptoms, fatigue,
emaciation, dark pigmentation of the skin, and
hypotension. Patients with Cushing syndrome demonstrate
truncal obesity, moon face, acne, abdominal striae, and
hypertension.
The nurse is caring for a patient with Addison's disease
who is scheduled for discharge. When teaching the patient
about hormone replacement therapy, the nurse should
address what topic?
, A) The possibility of precipitous weight gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to
immediate symptoms
D) The importance of monitoring liver function - ✔✔✔✔✔✔-
Ans: B
Feedback:
Because of the need for lifelong replacement of adrenal
cortex hormones to prevent addisonian crises, the patient
and family members receive explicit education about the
rationale for replacement therapy and proper dosage.
Doses are not adjusted on a short-term basis. Weight gain
and hepatotoxicity are not common adverse effects.
A patient is prescribed corticosteroid therapy. What would
be priority information for the nurse to give the patient
who is prescribed long-term corticosteroid therapy?
A) The patient's diet should be low protein with ample fat.