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A nurse is caring for a client with Cushing's syndrome. Which assessment findings would the nurse expect? (Select all that apply.)

Purple striae

Moon face

Bronze pigmentation

Buffalo hump

Poor wound healing

Answer and Explanation

Correct Answer : A,B,D,E

Rationale:

A. Purple striae (stretch marks) are common in Cushing's syndrome due to skin thinning and the redistribution of fat.

B. A "moon face" is a classic sign of Cushing's syndrome, caused by fat deposition in the face.

C. Bronze pigmentation is associated with Addison's disease, not Cushing's syndrome.

D. A "buffalo hump," or fat accumulation on the upper back, is another characteristic feature of Cushing's syndrome.

E. Poor wound healing is expected in Cushing's syndrome due to the effects of prolonged exposure to high cortisol levels, which impair immune function and tissue repair.

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Correct Answer is C

Explanation

A. Assisting the client to the bathroom might be helpful, but it is not the first action the nurse should take since the client hasn't voided for an extended period.

B. Increasing fluids may be beneficial but does not address the immediate concern of whether there is a problem with urinary retention.

C. Performing a bladder scan is the first action to determine if there is urine retention in the bladder. This information is crucial before deciding on further interventions, such as catheterization.

D. Inserting a straight catheter may be necessary if significant urinary retention is confirmed, but it should not be the first action without knowing the bladder's status.

A. Popping sounds B. Loud, gating sounds C. Snoring sounds D. Squeaky, musical sounds

Correct Answer is B

Explanation

A. Popping sounds, also known as crackles, are typically associated with fluid in the alveoli, often seen in conditions like pneumonia or heart failure, not pleurisy.

B. Loud, grating sounds, known as pleural friction rub, are characteristic of pleurisy. This sound is produced by the inflamed pleural surfaces rubbing together during respiration.

C. Snoring sounds, or rhonchi, are usually heard in conditions involving airway obstruction by mucus, such as bronchitis, rather than pleurisy.

D. Squeaky, musical sounds, or wheezing, are associated with airway narrowing, such as in asthma or chronic obstructive pulmonary disease (COPD), and are not typically heard in pleurisy.

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A nurse is caring for a client with Cushing's syndrome. Which assessment findings would the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

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