PRACTICAL AND VOCATIONAL
NURSING, 10TH EDITION CARROLL
Q&A 2026/2027 LATEST UPDATE
The nurse caring for a patient with Cushing syndrome is describing the
dexamethasone suppression test scheduled for tomorrow. What does the nurse
explain that this test will involve?
A) Administration of dexamethasone orally, followed by a plasma cortisol
level every hour for 3 hours
B) Administration of dexamethasone IV, followed by an x-ray of the
adrenal glands
,C) Administration of dexamethasone orally at 11 PM, and a plasma
cortisol level at 8 AM the next morning
D) Administration of dexamethasone intravenously, followed by a plasma
cortisol level 3 hours after the drug is administered - ✔✔✔✔✔✔-Ans: C
Feedback:
Dexamethasone (1 mg) is administered orally at 11 PM, and a plasma cortisol
level is obtained at 8 AM the next morning. This test can be performed on an
outpatient basis and is the most widely used and sensitive screening test for
diagnosis of pituitary and adrenal causes of Cushing syndrome.
You are developing a care plan for a patient with Cushing syndrome. What
nursing diagnosis would have the highest priority in this care plan?
A) Risk for injury related to weakness
B) Ineffective breathing pattern related to muscle weakness
, C) Risk for loneliness related to disturbed body image Autonomic dysreflexia
related to neurologic changes -
✔✔✔✔✔✔-Ans: A Feedback:
The nursing priority is to decrease the risk of injury by establishing a
protective environment. The patient who is weak may require assistance from
the nurse in ambulating to prevent falls or bumping corners or furniture. The
patient's breathing will not be affected and autonomic dysreflexia is not a
plausible risk. Loneliness may or may not be an issue for the patient, but
safety is a priority.
The nurse is performing a shift assessment of a patient with aldosteronism.
What assessments should the nurse include?
Select all that apply.
A) Urine output
B) Signs or symptoms of venous thromboembolism
C) Peripheral pulses