A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Hypersomnia
Hypotension
Rapid weight loss
Rounded facial features
The Correct Answer is D
Choice A reason:
Hypersomnia (excessive sleepiness) is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience insomnia or disrupted sleep patterns.
Choice B reason:
Hypotension (low blood pressure) is not a characteristic finding in Cushing's syndrome. Elevated blood pressure is more commonly associated with this condition.
Choice C reason:
Rapid weight loss is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience weight gain, particularly in the face (moon face), abdomen, and upper back.
Choice D reason:
Correct. Rounded facial features, often referred to as "moon face," are a characteristic finding in children with Cushing's syndrome. This is due to the redistribution of fat in the body, particularly in the face and trunk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
A subdural hematoma may not directly affect the fontanels. Depressed fontanels can be a sign of dehydration or other underlying conditions, but they are not specifically associated with a subdural hematoma.
Choice B reason:
A subdural hematoma would not typically cause a decrease in body temperature. This finding may be related to other factors, but it is not a characteristic sign of a subdural hematoma.
Choice C reason:
Correct. A subdural hematoma is a collection of blood between the dura mater and the brain. This can lead to increased intracranial pressure and result in the infant being difficult to arouse.
Choice D reason:
While a weak cry can be an indication of distress or illness in an infant, it is not a specific sign of a subdural hematoma. Other assessments, including neurological signs, are crucial in evaluating the infant's condition.
Correct Answer is D
Explanation
Choice A reason:
Discontinuing antibiotics when the fever has resolved is not an appropriate instruction for a child with infective endocarditis. The full course of antibiotics should be completed.
Choice B reason:
While antibiotics can have side effects, splinter hemorrhages under the child's nails are not a common side effect of antibiotic use for infective endocarditis.
Choice C reason:
Obtaining prophylactic antibiotics for family members is not a standard practice for infective endocarditis.
Choice D reason:
This statement is correct. Antibiotics are needed prior to certain dental procedures for children with infective endocarditis to prevent bacterial endocarditis.
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