Which statement reflects a need for further client education when reinforcing home care instructions for a client with Cushing's syndrome?

Which statement reflects a need for further client education when reinforcing home care instructions for a client with Cushing's syndrome?

• A. Taking my medications exactly as prescribed is essential
• B. I need to read the labels on any over-the-counter medications I purchase
• C. My family needs to be familiar with the signs and symptoms of hypoadrenalism
• D. I could experience the signs and symptoms of hyperadrenalism because of Cushing's

Answer: (B)

The key idea is safe home management, especially how nonprescription products can interact with treatments for Cushing’s syndrome. People with Cushing’s are often on glucocorticoids or have cortisol-related effects, so even OTC medications can influence blood pressure, glucose levels, fluid balance, or interact with steroids. Reading the labels on any OTC product helps the client spot ingredients or interactions that could worsen hypercortisolism–related conditions or trigger adverse effects, and it prompts discussion with the clinician if something unusual is needed. The other statements are important aspects of self-care—adhering to prescribed meds, recognizing signs of adrenal insufficiency, and understanding that symptoms of excess cortisol can occur—but they don’t directly address the potential risk from OTC products.

The key idea is safe home management, especially how nonprescription products can interact with treatments for Cushing’s syndrome. People with Cushing’s are often on glucocorticoids or have cortisol-related effects, so even OTC medications can influence blood pressure, glucose levels, fluid balance, or interact with steroids. Reading the labels on any OTC product helps the client spot ingredients or interactions that could worsen hypercortisolism–related conditions or trigger adverse effects, and it prompts discussion with the clinician if something unusual is needed.

The other statements are important aspects of self-care—adhering to prescribed meds, recognizing signs of adrenal insufficiency, and understanding that symptoms of excess cortisol can occur—but they don’t directly address the potential risk from OTC products.