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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is C
Explanation
A. Pitting edema: Pitting edema is more indicative of fluid retention, often associated with heart failure itself, rather than a direct sign of hypokalemia.
B. Dyspnea: Dyspnea is typically a symptom of fluid overload or respiratory conditions and is not a specific indicator of hypokalemia.
C. Fatigue: Fatigue is a common symptom of hypokalemia because low potassium levels affect muscle function and overall energy levels. It is a key indicator of electrolyte imbalance.
D. Oliguria: Oliguria, or decreased urine output, is more associated with kidney function issues or severe dehydration, not directly with hypokalemia.
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