Which of the following statements made by a client with Cushing's disease requires follow-up by the nurse?

The statement regarding the need for more steroids during periods of stress indicates a crucial understanding of the management of Cushing's disease. In clients with Cushing's disease, the body is already producing high levels of cortisol due to excessive activity of the adrenal glands. This condition leads to symptoms like weight gain, easy bruising, and immune suppression.

Typically, clients are educated on managing their steroid intake, especially during times of stress, as this can further affect their already altered cortisol levels. While the body may normally require additional steroid doses during stressful situations in individuals without Cushing's due to adrenal insufficiency, in those with Cushing's, the already elevated levels of corticosteroids could be sufficient or even excessive.

Monitoring and follow-up on this statement is necessary because it suggests that the client may not fully grasp the implications of their condition and how it alters their physiological responses. Inappropriate or excessive steroid administration can lead to further complications and exacerbate the symptoms of their condition. Thus, a deeper assessment and education regarding their medication management and how stress impacts their health could be warranted.