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. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.

A. Sweating B. Polydipsia C. Tachycardia D. Blurry vision E. Polyuria

Correct Answer is ["A","C","D"]

Explanation

A. Sweating is a classic sign of hypoglycemia due to the activation of the sympathetic nervous system in response to low blood glucose levels.
B. Polydipsia (excessive thirst) is a symptom of hyperglycemia, not hypoglycemia.
C. Tachycardia is a common symptom of hypoglycemia as the body responds to low glucose with increased adrenaline release.
D. Blurry vision can occur during hypoglycemia due to the effects of low glucose on the brain and eye function.
E. Polyuria (excessive urination) is associated with hyperglycemia, not hypoglycemia.

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

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Naxlex Comprehensive Predictor Exams

A patient with long-term asthma develops Cushing syndrome. What is the cause of this condition?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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