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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 B

Explanation

A. Hypernatremia: Addison’s disease causes low aldosterone levels, leading to hyponatremia rather than hypernatremia.

B. Hypotension: Addison's disease causes insufficient cortisol and aldosterone, resulting in fluid loss and low blood pressure, especially in stress or postoperative states.

C. Bradycardia: Addison’s disease does not typically affect heart rate directly, though hypotension may cause a compensatory increase in heart rate (tachycardia).

D. Hypokalemia: Addison's disease leads to hyperkalemia due to low aldosterone levels, which reduce potassium excretion by the kidneys.

A. "Drinking plenty of water with your wine will lessen its effects, especially hypoglycemia." B. "You may drink an occasional glass of wine with a meal." C. "Wine is loaded with carbohydrates, so you should never drink wine" D. "You may have no more than three glasses of wine a day."

Correct Answer is B

Explanation

A. "Drinking plenty of water with your wine will lessen its effects, especially hypoglycemia.": Drinking water does not mitigate the risk of hypoglycemia caused by alcohol's effects on gluconeogenesis.

B. "You may drink an occasional glass of wine with a meal.": Consuming alcohol with food reduces the risk of alcohol-induced hypoglycemia.

C. "Wine is loaded with carbohydrates, so you should never drink wine.": Wine typically has minimal carbohydrates; the issue is alcohol's effect on blood sugar levels, not its carbohydrate content.

D. "You may have no more than three glasses of wine a day.": This amount exceeds the recommendations for safe alcohol consumption and can worsen diabetes control.

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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.)

Nursing Test Bank

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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.)