Which findings are expected when assessing a patient with Cushing syndrome?

Excess adipose tissue in the trunk, slender extremities, and moon face

High levels of potassium and low levels of sodium, weakness, and wasting

Wasting of the abdomen with thick, calloused skin

Edema of the trunk, extremities, and face

Answer and Explanation

The Correct Answer is A

A. Cushing syndrome is characterized by central obesity (excess adipose tissue in the trunk), slender extremities, a moon-shaped face, and other features like a buffalo hump. This is due to prolonged exposure to elevated cortisol levels.
B. High levels of potassium and low levels of sodium are not associated with Cushing syndrome, which typically presents with hypokalemia and hypernatremia.
C. Wasting of the abdomen is not a feature of Cushing syndrome. The skin may become fragile, but it is not typically calloused.
D. Edema is not a primary feature; rather, fat redistribution to the trunk and face is more common.

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Correct Answer is D

Explanation

A. Hyperglycemia typically presents with polyuria, thirst, and blurred vision, rather than sweating and shakiness.
B. Diabetic ketoacidosis presents with symptoms like deep breathing (Kussmaul respirations), fruity breath, and confusion, not sweating and tachycardia.
C. Nephropathy does not cause these acute symptoms; it is a long-term complication involving kidney damage.
D. Hypoglycemia presents with symptoms such as sweating, tachycardia, shakiness, and lightheadedness, which match the client's presentation.

A. A 42-year-old man with hypertension B. A 37-year-old man with a blood glucose level of 140 C. A 50-year-old woman with shingles D. An 80-year-old woman with an allergy to sulfa

Correct Answer is D

Explanation

A. Hypertension does not contraindicate the use of sulfonylureas.
B. A blood glucose level of 140 mg/dL is a common finding in type 2 diabetes, and sulfonylureas are used to control such levels.
C. Shingles (herpes zoster) does not directly contraindicate the use of sulfonylureas.
D. Sulfonylureas should not be given to patients with a sulfa allergy because these medications contain sulfa compounds, which could cause an allergic reaction.

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Which findings are expected when assessing a patient with Cushing syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

Correct Answer is D

Explanation

The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?

Correct Answer is D

Explanation

A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

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