A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

Tremors

Moon face

Purple striations

Buffalo hump

Hypertension

Answer and Explanation

Correct Answer : B,C,D,E

A.   Tremors are not a typical manifestation of Cushing's syndrome.
B.   Moon face is a characteristic appearance seen in Cushing's syndrome.
C.   Purple striations (striae) occur due to skin changes from cortisol excess.
D.   A buffalo hump is a common finding due to fat redistribution.
E.   Hypertension is frequently observed due to fluid retention and hormonal changes.

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Correct Answer is A

Explanation

A. Assessing respiratory function is critical as respiratory muscle involvement can lead to respiratory failure.
B. Monitoring blood glucose levels is important but not the priority in this context.
C. Checking for skin breakdown is important but secondary to respiratory assessment.
D. Monitoring for signs of infection is necessary but less urgent than assessing respiratory status.

A. Increase carbohydrate intake. B. Decrease protein intake. C. Restrict sodium intake. D. Limit intake of potassium-rich foods.

Correct Answer is C

Explanation

A. Increasing carbohydrate intake is not advisable; clients with Cushing's disease often need to manage blood sugar levels.
B. Decreasing protein intake is inappropriate; adequate protein is necessary for tissue repair and maintenance.
C. Restricting sodium intake is crucial to manage fluid retention and hypertension associated with Cushing's disease.
D. Limiting intake of potassium-rich foods is incorrect; potassium is often depleted, and clients may need more potassium.

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A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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