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
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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Related Questions
Correct Answer is D
Explanation
A. Blood glucose level below 40 mg/dL: Diabetic ketoacidosis (DKA) is associated with hyperglycemia (blood glucose typically above 250 mg/dL), not hypoglycemia.
B. Malignant hypertension: DKA does not cause malignant hypertension; fluid and electrolyte imbalances are more common.
C. Cheyne-Stokes breathing: Cheyne-Stokes breathing is associated with neurologic or cardiac conditions, not DKA.
D. Acetone odor to breath: This is a hallmark symptom of ketoacidosis, resulting from ketone body production due to fat metabolism.
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A. "I will discard the current vial of insulin after six doses have been withdrawn.": Insulin vials can be used for up to 28 days when stored at room temperature, not discarded based on the number of doses withdrawn.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.
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