Question

The nurse is developing a plan of care for a client with Cushing's syndrome. The nurse documents a client problem of excess fluid volume. Which nursing actions should be included in the care plan for this client?

1) Monitor intake and output
2) Administer diuretics as prescribed
3) Encourage increased fluid intake
4) Restrict sodium intake
5) Elevate the head of the bed

Answer 1

For a client with Cushing's syndrome and excess fluid volume, the care plan should include monitoring intake and output, administering prescribed diuretics, restricting sodium intake, and elevating the head of the bed.

Step-by-step explanation:

When developing a care plan for a client with Cushing's syndrome who has an excess fluid volume problem, several nursing actions should be included:

1. Monitor intake and output to assess the balance of fluid in the body and the effectiveness of interventions to manage fluid volume.
2. Administer diuretics as prescribed to promote the excretion of excess water and sodium, helping to reduce the fluid volume.
3. Restrict sodium intake because a high-sodium diet can contribute to water retention and worsen fluid volume excess.
4. Elevate the head of the bed, which can help to relieve discomfort from fluid accumulation in the lungs and improve breathing.

These actions help to manage the symptoms of fluid overload, such as hypertension, and prevent complications of Cushing's syndrome, which is characterized by high blood glucose levels, obesity, slow growth, weak muscles, and fatigue among other symptoms.