A nurse is collecting data from a client who has Cushing's syndrome.Which of the following findings should the nurse expect?
Jaundice.
Muscle rigidity.
Weight loss.
Easily bruised.
The Correct Answer is D
Choice D rationale
Easily bruised is a common sign of Cushing's syndrome due to increased cortisol levels, which weaken blood vessel walls, leading to capillary fragility and easy bruising.
Choice A rationale
Jaundice is not a typical finding in Cushing's syndrome. It is usually associated with liver conditions where bilirubin levels increase.
Choice B rationale
Muscle rigidity is not a common symptom of Cushing's syndrome. It is more associated with neurological or muscular disorders.
Choice C rationale
Weight loss is contrary to what is seen in Cushing's syndrome, where weight gain, particularly in the abdomen and face (moon face), is more typical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A changed mental status is a common sign of a urinary tract infection, especially in older adults, due to the effects of the infection on the central nervous system.
Choice B rationale
WBC count 9,000/mm³ is within the normal range of 5,000 to 10,000/mm³ and does not indicate an infection on its own.
Choice C rationale
Diminished reflexes are not typically associated with bladder infections and are not a reliable indicator.
Choice D rationale
A temperature of 37.3°C (99.1°F) is within the normal range and does not necessarily indicate a bladder infection.
Correct Answer is C
Explanation
Choice A rationale
The supine position with the head of the bed flat does not facilitate the safe and effective draining of fluid from the pleural cavity. This position can compromise the respiratory status of the patient and is therefore not suitable for a thoracentesis.
Choice B rationale
The Trendelenburg position, where the head is lower than the feet, can increase intracranial pressure and is not suitable for thoracentesis. This position does not allow for the optimal access to the pleural space needed for the procedure.
Choice C rationale
Sitting upright while leaning forward over pillows is the ideal position for a thoracentesis. This position allows the fluid to accumulate at the base of the pleural cavity and provides easy access for the procedure. It also facilitates better breathing and reduces the risk of injury to the diaphragm and other internal structures.
Choice D rationale
Lying prone with arms extended away from the body does not provide adequate access to the pleural space for thoracentesis. This position also makes it difficult to manage and monitor the patient's respiratory status during the procedure. .
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