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.

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A rationale

Metabolic acidosis is characterized by a low pH and decreased HCO₃ levels, not increased PaCO₂.

Choice B rationale

Metabolic alkalosis presents with an elevated pH and increased HCO₃ levels, which do not match the given values.

Choice C rationale

Respiratory alkalosis is indicated by a high pH and decreased PaCO₂, opposite of the provided values.

Choice D rationale

Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.

A. Bubbling of the water in the water seal chamber with exhalation. B. Eyelets are not visible. C. Movement of the trachea toward the unaffected side. D. Crepitus in the area above and surrounding the insertion site.

Correct Answer is C

Explanation

Choice A rationale

Bubbling in the water seal chamber with exhalation indicates that air is still being removed from the pleural space, which is expected with a pneumothorax and is not a cause for immediate concern.

Choice B rationale

Eyelets not being visible indicate that the chest tube is properly placed within the pleural space, not an urgent issue.

Choice C rationale

Movement of the trachea towards the unaffected side is a sign of tension pneumothorax, which requires immediate intervention as it can compromise respiratory function.

Choice D rationale

Crepitus in the area above and surrounding the insertion site indicates subcutaneous emphysema, which can occur but does not necessitate immediate provider notification unless severe.

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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)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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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)