A nursing assessment of a patient with Cushing syndrome reveals that the patient has truncal obesity and thin and legs. An additional manifestation of Cushing syndrome that the nurse would expect to find is:

decreased axillary and pubic hair.

chronically low blood pressure,

bronzed appearance of the skin.

purplish red streaks on the abdomen.

Answer and Explanation

The Correct Answer is D

Cushing syndrome is a hormonal disorder caused by prolonged exposure to high levels of cortisol hormone in the body. It can cause a variety of physical manifestations, including truncal obesity, thin arms, and legs, decreased axillary and pubic hair, hypertension, glucose intolerance, osteoporosis, and purple striae (stretch marks) on the abdomen.

Out of the options given, the nurse would expect to find purplish-red streaks on the abdomen as an additional manifestation of Cushing syndrome.

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Correct Answer is A

Explanation

The first step in the education plan should be to assess their understanding and perception of the disease. This will help the nurse to identify any misconceptions or knowledge gaps that the patient may have and tailor the education plan accordingly. Understanding the patient's perceptions will also help the nurse to establish a trusting relationship with the patient and increase their engagement in diabetes self-management.
Options b, c, and d are important components of the diabetes education plan, but they should be implemented after the initial assessment of the patient's perception and understanding of their diagnosis.

A. You really should not worry about how you look in the hospital, we see many worse things. B. Most of the physical and mental changes caused by the disease will gradually improve after surgery. C. "Let me show you how to dress so that the changes are not so noticeable." D. "I do not think you look bad; your appearance is just altered by your disease.

Correct Answer is B

Explanation

This response acknowledges the patient's concerns and provides reassurance that the changes are temporary and will improve after surgery. Response is dismissive of the patient's concerns and may make the patient feel unheard. Response c may be helpful, but it does not address the patient's emotional concerns. Response d is not accurate because the patient has expressed feeling awful about their appearance.

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A nursing assessment of a patient with Cushing syndrome reveals that the patient has truncal obesity and thin and legs. An additional manifestation of Cushing syndrome that the nurse would expect to find is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mary, a 63-year-old patient is newly diagnosed with type 2 diabetes. When determining an education plan, the nurse’s first action should be to?

Correct Answer is A

Explanation

A patient with crushing syndrome is admited to the hospital to have laparoscopic adrenalectomy. During the admission assessment, the patient tells the nurse "The worst thing about this disease is how terrible I look; I feel awful about it.' The best response by the nurse is:

Correct Answer is B

Explanation

A nurse is planning care for a client who has acute gastritis. Which of the following nursing interventions should NOT be included in the plan of care?

Which information will the nurse include when teaching a patient with newly diagnosed GERD?

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