A patient with Cushing syndrome is receiving corticosteroid therapy for an inflammatory disorder. Which nursing assessment is the priority?
Correct answer: A. Observe for signs of infection
- A. Observe for signs of infection
- B. Encourage a high-sodium diet
- C. Measure for increased skin pigmentation
- D. Assess for excessive thyroid hormone activity
Explanation
Excess corticosteroid activity suppresses immune responses, so infection may develop with few obvious inflammatory signs. Sodium restriction, rather than a high-sodium diet, may be needed, and the other findings are not the main concern in Cushing syndrome.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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