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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

Children with attention deficit hyperactivity disorder (ADHD) benefit from frequent breaks in activities. Short, focused periods of activity followed by breaks can help them maintain attention and focus.

Choice B reason:

While providing long-term goals is important for building self-esteem, it may not directly address the child's learning style associated with ADHD.

Choice C reason:

Administering medication at bedtime may not be the most effective timing for managing ADHD symptoms. The timing and dosing of ADHD medications should be discussed with the child's healthcare provider.

Choice D reason:

Children with ADHD benefit from consistent routines rather than constantly changing ones. A predictable routine can help them feel more organized and focused.

A. Uses four words in a sentence B. Ties shoelaces C. Skips on alternate feet D. Names the days of the week

Correct Answer is A

Explanation

Choice A reason:

Using four words in a sentence is an appropriate developmental milestone for a 3-year-old child. By this age, children typically have a vocabulary that allows them to form short sentences and express themselves.

Choice B reason:

Tying shoelaces is a fine motor skill that is typically developed later, around 5-6 years of age.

Choice C reason:

Skipping on alternate feet is a gross motor skill that is typically developed around 4-5 years of age.

Choice D reason:

Naming the days of the week is a cognitive skill that is typically developed later, around 5-6 years of age. It involves not only memory but also an understanding of the concept of days and their order.

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A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

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