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)
Moon face.
Buffalo hump.
Purple striations.
Hypertension.
Tremors.
Correct Answer : A,B,C,D
Choice A rationale
Moon face is a characteristic feature of Cushing’s syndrome, caused by fat deposition around the face due to increased cortisol levels.
Choice B rationale
Buffalo hump, or the accumulation of fat on the upper back, is another hallmark of Cushing’s syndrome, resulting from prolonged exposure to high cortisol levels.
Choice C rationale
Purple striations, or stretch marks, commonly appear on the abdomen, thighs, and breasts in Cushing’s syndrome, due to skin thinning and weakening from excess cortisol.
Choice D rationale
Hypertension is a common manifestation of Cushing’s syndrome because cortisol increases blood pressure through various mechanisms, including increased sensitivity to catecholamines. .
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
High-protein and high-carbohydrate foods are beneficial, but they do not directly address the immediate respiratory issues in ARDS.
Choice B rationale
Encouraging oral intake of fluids may not be appropriate as it can contribute to fluid overload and worsen pulmonary edema in ARDS patients.
Choice C rationale
Administering low-flow oxygen might be necessary but isn't the most crucial intervention for ARDS. High-flow oxygen or mechanical ventilation is typically required.
Choice D rationale
Placing the client in a prone position has been shown to improve oxygenation in ARDS by enhancing lung expansion and ventilation-perfusion matching.
Correct Answer is D
Explanation
Choice A rationale
An HbA1c level of 5.7% or below indicates normal glucose tolerance, not impaired glucose tolerance.
Choice B rationale
In type 1 diabetes mellitus, the beta cells are destroyed, and dietary changes alone cannot restore insulin production.
Choice C rationale
Type 1 diabetes mellitus is a chronic condition and is not considered reversible.
Choice D rationale
Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, leading to an absolute lack of insulin production.
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