A nurse is collecting data from a school-age child who has Cushing's syndrome.
Which of the following findings should the nurse expect?
Hypotension.
Rapid weight loss.
Rounded facial features.
Hypersomnia.
The Correct Answer is C
Choice A rationale
Hypotension is not a typical symptom of Cushing's syndrome. Instead, patients often experience hypertension due to increased cortisol levels.
Choice B rationale
Rapid weight loss is not associated with Cushing's syndrome. Patients with Cushing's syndrome often experience weight gain, particularly around the abdomen and face.
Choice C rationale
Rounded facial features, also known as "moon face," are a characteristic symptom of Cushing's syndrome, caused by the redistribution of fat due to elevated cortisol levels.
Choice D rationale
Hypersomnia, or excessive sleepiness, is not a common symptom of Cushing's syndrome. Instead, patients may experience fatigue and weakness but not necessarily increased sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Providing cherry fruit juice is not recommended for a child immediately postoperative following a tonsillectomy. Red-colored fluids can be mistaken for blood if the child vomits, making it difficult to assess for postoperative bleeding. Clear or light-colored fluids are preferred.
Choice B rationale
Reminding the child to cough and deep breathe is not appropriate immediately postoperative following a tonsillectomy. Coughing can dislodge clots and increase the risk of bleeding at the surgical site. Encouraging gentle breathing exercises may be more suitable.
Choice C rationale
Encouraging the child to use a straw is not advised following a tonsillectomy. The use of a straw can create negative pressure in the mouth and throat, which may disrupt the surgical site and increase the risk of bleeding. Sipping from a cup is preferred.
Choice D rationale
Applying an ice collar can help reduce pain and swelling in the throat area following a tonsillectomy. Cold therapy is effective in providing comfort and minimizing inflammation, making it a beneficial intervention for postoperative care. .
Correct Answer is A
Explanation
Choice A rationale
Ibuprofen should be clarified before administration to a 5-month-old infant. Ibuprofen is not recommended for infants younger than 6 months due to the risk of adverse effects on the kidneys and gastrointestinal tract. Infants have immature renal function, and administering ibuprofen can increase the risk of nephrotoxicity. Additionally, ibuprofen can cause gastric irritation and increase the risk of gastrointestinal bleeding. The nurse should verify the safety and appropriateness of this medication with the prescribing healthcare provider before administration.
Choice B rationale
Acetaminophen is generally considered safe for use in infants to reduce fever and alleviate pain. It is often the preferred antipyretic for infants younger than 6 months due to its favorable safety profile. Acetaminophen does not have the same risks of nephrotoxicity and gastrointestinal irritation as ibuprofen, making it a suitable choice for managing fever in this age group.
Choice C rationale
The heart rate of 84/min is within the normal range for a 5-month-old infant. Heart rate itself is not a medication and does not require clarification. Instead, it is a vital sign that should be monitored to assess the infant's overall condition and response to treatment.
Choice D rationale
Temperature itself is not a medication and does not require clarification. It is a vital sign that indicates the body's response to infection or inflammation. The nurse should monitor the infant's temperature and provide appropriate interventions, such as antipyretics like acetaminophen, to manage fever. .
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