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 B

Explanation

A. "My breath may have a fruity odor." is incorrect. While fruity breath odor can occur with diabetic ketoacidosis (DKA), it is not a common early sign of hyperglycemia in general.

B. "I will be more thirsty than usual." is correct. Polydipsia (excessive thirst) is a hallmark symptom of hyperglycemia due to the body's attempt to compensate for increased blood glucose levels by drawing water out of cells, leading to dehydration.

C. "I might experience blurry vision at times." is incorrect. While blurry vision can occur due to fluid shifts in the lens caused by hyperglycemia, polydipsia is a more definitive and consistent early sign.

D. "My appetite will be decreased." is incorrect. Polyphagia (increased appetite) is a common symptom of hyperglycemia, not decreased appetite. This occurs because glucose is not properly entering the cells for energy, leading to increased hunger.

A. Insulin should be injected into the lower extremity before exercise because that site provides the greatest absorption. B. Keep exercise at a minimum to conserve your energy. C. Exercise should be performed daily at the same time of day and at the same intensity. D. Plan exercise so that it coincides with the peak action of insulin.

Correct Answer is C

Explanation

A. Insulin should not be injected into a limb that will be actively exercised, as it can alter absorption rates and lead to hypoglycemia.
B. Regular, moderate exercise is recommended to improve glucose control, not minimizing it.
C. Exercise consistency helps to maintain stable blood glucose levels and prevent fluctuations.
D. Exercising at the peak action of insulin increases the risk of hypoglycemia. It is safer to avoid high-intensity exercise during this time.

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

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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