A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Hyperpigmentation

Weight loss

Hypotension

Diaphoresis

Answer and Explanation

The Correct Answer is A

A. Hyperpigmentation: This can occur due to increased production of melanin-stimulating hormones in some cases of Cushing's syndrome.

B. Weight loss: Weight loss is not a common feature of Cushing's syndrome. Instead, it usually presents with weight gain, particularly in the trunk and face (leading to "moon face" and "buffalo hump").

C. Hypotension: Hypotension is more common in Addison's disease due to the lack of cortisol and aldosterone. Cushing's syndrome is associated with hypertension due to excess cortisol increasing blood pressure.

D. Diaphoresis: Excessive sweating is not a common symptom of Cushing's syndrome.

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Correct Answer is D

Explanation

A. Chloride 99 mEq/L: A chloride level of 99 mEq/L is within the normal range (96-106 mEq/L) and is not typically a cause for concern. It does not indicate any significant imbalance that would require immediate attention.

B. Calcium 10 mg/dL: A calcium level of 10 mg/dL is within the normal range (8.5-10.5 mg/dL). Hydrochlorothiazide can cause hypercalcemia, but a level of 10 mg/dL is still within acceptable limits and not alarming.

C. Sodium 136 mEq/L: A sodium level of 136 mEq/L is within the normal range (135-145 mEq/L). While hydrochlorothiazide can cause electrolyte imbalances, this sodium level does not indicate hyponatremia or hypernatremia and is not a critical finding.

D. Potassium 2.3 mEq/L: A potassium level of 2.3 mEq/L is significantly below the normal range (3.5-5.0 mEq/L) and indicates severe hypokalemia. This is a critical finding that needs to be reported because low potassium levels can lead to dangerous cardiac arrhythmias and other complications.

A. Carvedilol B. Isosorbide dinitrate C. Fluticasone D. Captopril

Correct Answer is A

Explanation

A. Carvedilol: Carvedilol is a beta-blocker that can worsen asthma symptoms because it can cause bronchoconstriction. Non-selective beta-blockers like carvedilol can exacerbate respiratory conditions and should be used with caution in asthmatic patients.

B. Isosorbide dinitrate: Isosorbide dinitrate is a vasodilator used to reduce the workload on the heart by dilating blood vessels. It does not affect respiratory function and is safe for use in clients with asthma.

C. Fluticasone: Fluticasone is a corticosteroid used to manage asthma by reducing inflammation in the airways. It is beneficial for clients with asthma and does not require clarification.

D. Captopril: Captopril is an ACE inhibitor used to treat heart failure. It does not directly affect asthma and is generally safe for use in clients with respiratory conditions.

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A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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