Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?
Husky voice and troubled by hoarseness.
Central type obesity, with thin extremities.
Warm, soft, moist, salmon colored skin.
Visible swelling of the neck, with no pain.
The Correct Answer is B
A. Husky voice and hoarseness are not typically associated with Cushing's syndrome but may be related to other conditions affecting the throat or vocal cords.
B. Central type obesity, with thin extremities, is a classic manifestation of Cushing's syndrome due to excess cortisol, which promotes fat accumulation in the trunk and face while causing muscle wasting in the extremities.
C. Warm, soft, moist, salmon-colored skin is not typically associated with Cushing's syndrome and may indicate other dermatological conditions.
D. Visible swelling of the neck with no pain is not a characteristic finding of Cushing's syndrome and may indicate other underlying issues such as goiter or lymphadenopathy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Auscultating the abdomen for bowel sound activity is important, but the priority is addressing the dehisced and eviscerated wound.
B. Bringing additional sterile dressing supplies is a good idea, but the priority is addressing the dehisced and eviscerated wound.
C. Obtaining a sample of the drainage for laboratory analysis can wait until the client's immediate needs are addressed.
D. Preparing the client to return to the operating room is the priority to address the dehisced and eviscerated wound and prevent further complications.
Correct Answer is A
Explanation
A. Reviewing the white blood cell (WBC) count is important because purulent drainage suggests infection, and an elevated WBC count may indicate an inflammatory response to infection.
B. Hematocrit is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
C. Blood pH level is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
D. Platelet count is an important parameter to monitor but may not directly indicate the presence of infection associated with purulent drainage in a burn wound.
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