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 D
Explanation
Choice A reason:
Avoiding discussing the child's diagnosis with the sibling may create unnecessary secrecy and could hinder the sibling's understanding and coping.
Choice B reason:
Designating one parent to stay at home with the sibling may not be necessary, as both parents can still provide support and care for both children.
Choice C reason:
Avoiding having the sibling visit the child in the facility may isolate them and prevent opportunities for bonding and support.
Choice D reason:
This statement is correct. Encouraging phone calls between the siblings allows them to maintain communication, express their feelings, and support each other during the separation caused by hospitalization.
Correct Answer is B
Explanation
Choice A reason:
Pneumonia is typically transmitted through respiratory droplets, and standard precautions are sufficient for preventing its spread.
Choice B reason:
Correct. Tuberculosis (TB) is an infectious disease that requires contact precautions. This helps prevent the spread of Mycobacterium tuberculosis, the bacteria that cause TB.
Choice C reason:
Haemophilus influenzae type B disease is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient.
Choice D reason:
Respiratory syncytial virus (RSV) is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient. However, in some cases, droplet precautions may be recommended for infants and young children with severe RSV infections.
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