Cushings Syndrome Nursing Discussion

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. 

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

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.

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.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• The is a great resource