A patient with long-term asthma develops Cushing syndrome. What is the cause of this condition?
Abruptly withdrawing cortisone therapy
Poorly functioning adrenal glands
Lacking ACTH, related to the pituitary gland
Taking corticosteroids for many years
The Correct Answer is D
Rationale:
A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.
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View Related questions
Correct Answer is A
Explanation
Rationale:
A. Rotating injection sites is essential to prevent lipodystrophy and ensure consistent insulin absorption.
B. Massaging the injection site is not recommended, as it can alter the absorption rate and lead to unpredictable blood glucose levels.
C. Insulin is absorbed most rapidly when injected into the abdomen, not the thigh.
D. Using cold insulin is not advised as it can cause more pain during the injection; room temperature insulin is typically more comfortable for injections.
Correct Answer is D
Explanation
Rationale:
A. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.