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 D
Explanation
Choice A rationale
Aprepitant is an antiemetic used to prevent nausea and vomiting, particularly in chemotherapy patients. Absence of dizziness is not a primary therapeutic effect of this medication.
Choice B rationale
Decreased incisional pain is not related to the function of aprepitant. Pain management involves different classes of medications, such as analgesics or opioids.
Choice C rationale
Decreased dysrhythmias are not associated with aprepitant's mechanism of action. Cardiac rhythm management requires specific medications targeting heart rhythm disorders.
Choice D rationale
Absence of nausea is a primary therapeutic effect of aprepitant, which works by blocking neurokinin-1 receptors involved in inducing nausea and vomiting. It is effective in managing nausea in patients undergoing chemotherapy. .
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"C"}
Explanation
The nurse should clarify the prescription for Digoxin due to the client's Irregular heart rhythm.
Rationale for correct prescription: Digoxin requires clarification because it can cause or exacerbate irregular heart rhythms. The client's irregular heart rhythm could indicate digoxin toxicity or an inappropriate dose. Monitoring and adjusting the digoxin prescription can prevent complications. Digoxin is used to control atrial fibrillation but needs careful management. Clarification ensures safe and effective use.
Rationale for other options: Warfarin does not need immediate clarification as there is no indication of excessive bleeding risk. Metoprolol is unlikely to be the cause of irregular rhythm in this scenario. Atorvastatin, used for hyperlipidemia, does not affect heart rhythm. Reported dizziness can be due to various causes and is not specific to digoxin. Palpitations are common in atrial fibrillation and need broader management beyond digoxin adjustment. Irregular heart rhythm strongly points to potential issues with digoxin. Bleeding risk pertains to warfarin management, not relevant here.
Clarification of digoxin is the priority due to direct impact on heart rhythm and patient safety.
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