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A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply)
(Select All that Apply.)

Buffalo hump also known as fat pads on upper back

Obese extremities

Purple or Dark Striations on skin

Tremors

Truncal obesity

Round moon-shaped face

Answer and Explanation

Correct Answer : A,C,E,F

A. Buffalo hump (fat pads on the upper back): Fat redistribution is a classic sign of Cushing's syndrome.

B. Obese extremities: Cushing's syndrome typically presents with truncal obesity, not obesity of the extremities.

C. Purple or dark striations on the skin: These are caused by skin thinning and stretching due to increased cortisol levels.

D. Tremors: Tremors are not commonly associated with Cushing's syndrome.

E. Truncal obesity: Central obesity is a hallmark of Cushing's syndrome.

F. Round moon-shaped face: This is another characteristic sign of fat redistribution in Cushing's syndrome.

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Correct Answer is C

Explanation

A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.

B. "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month.": Unused insulin vials should be stored properly (refrigerated for unopened vials) and do not need to be returned unless there is an error or expired stock.

C. "I can keep the current vial of insulin in use stored at room temperature.": Once opened, insulin vials can be stored at room temperature (below 86°F or 30°C) for up to 28 days to prevent degradation.

D. "I will store unopened vials of insulin in the freezer.": Freezing insulin damages its effectiveness; unopened insulin should be refrigerated but never frozen.

A. "Levothyroxine will decrease your metabolic rate and body temperature." B. "Take levothyroxine at dinner time daily." C. "Tremors, nervousness, and insomnia can indicate that your dose is too high." D. "Take this medication until manifestations of hypothyroidism are gone and then discontinue."

Correct Answer is C

Explanation

A. "Levothyroxine will decrease your metabolic rate and body temperature.": Levothyroxine increases the metabolic rate and body temperature by correcting hypothyroidism. This statement is incorrect.

B. "Take levothyroxine at dinner time daily.": Levothyroxine is best taken on an empty stomach in the morning to optimize absorption.

C. "Tremors, nervousness, and insomnia can indicate that your dose is too high.": These symptoms are consistent with hyperthyroidism, which can result from excessive levothyroxine dosage.

D. "Take this medication until manifestations of hypothyroidism are gone and then discontinue.": Levothyroxine is usually a lifelong therapy and should not be stopped without provider guidance.

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A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply) (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

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A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply)
(Select All that Apply.)