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
Using an electric razor for shaving is recommended for clients taking enoxaparin to prevent bleeding. Electric razors are safer and reduce the risk of cuts that could lead to excessive bleeding due to the anticoagulant effect of enoxaparin.
Choice B rationale
Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when taken with enoxaparin. Clients should avoid using ibuprofen and instead use acetaminophen for headaches.
Choice C rationale
Stool softeners are recommended for clients taking enoxaparin to prevent straining during bowel movements, which can cause bleeding. Avoiding the use of stool softeners is not advised.
Choice D rationale
Massaging the injection site after administering enoxaparin can cause bruising and bleeding. Clients should avoid massaging the site and apply gentle pressure if needed.
Correct Answer is A
Explanation
Choice A rationale
Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.
Choice B rationale
While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.
Choice C rationale
Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.
Choice D rationale
Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.
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