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 ["0.5"]

Explanation

To calculate the volume of Solu-Medrol to administer, we'll use the following formula:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

In this case:

Desired dose = 60 mg
Concentration = 125 mg/mL

Plugging the values into the formula:

Volume = 60 mg / (125 mg/mL) = 0.48 mL

Rounded off = 0.5ml

A. 1500 B. 0730 C. 0900 D. 1230

Correct Answer is A

Explanation

A. NPH insulin is an intermediate-acting insulin that peaks 6-8 hours after administration. Offering a snack at 1500 helps prevent hypoglycemia during the peak action of the insulin.
B. 0730 is too soon after the insulin administration, and the peak effect has not occurred yet.
C. 0900 is still early in the insulin's action, and hypoglycemia is unlikely at this time.
D. 1230 is during the early stages of NPH insulin's action, but hypoglycemia typically does not occur until the peak time later in the day.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: Solu-Medrol 60mg IV push STAT Supply: Solu-Medrol 125mg/1 mL How many mLs of Solu-Medrol should be given? ROUND TO THE NEAREST TENTH

Correct Answer is ["0.5"]

Explanation

A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse to plan to offer a snack?

Correct Answer is A

Explanation

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