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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Hemoglobin levels primarily indicate the oxygen-carrying capacity of the blood and are not typically affected in conditions associated with petechiae and ecchymosis.

B. White blood cell count may be elevated in response to infection but is not directly related to the presence of petechiae and ecchymosis.

C. Red blood cell count primarily reflects the oxygen-carrying capacity of the blood and is not typically affected in conditions associated with petechiae and ecchymosis.

D. Platelet count is crucial in assessing for thrombocytopenia, a condition characterized by low platelet levels, which can lead to increased bleeding and bruising, including petechiae and ecchymosis.

A. Ensure a large gauge IV catheter is used to obtain blood samples. B. Wrap bruised areas with elastic bandage dressings. C. Remove cold and frozen foods from dietary trays. D. Monitor urine and stool for occult blood regularly.

Correct Answer is D

Explanation

A. Using a large gauge IV catheter can increase the risk of bleeding in a thrombocytopenic patient.

B. Wrapping bruised areas with elastic bandage dressings is not recommended as wrapping bruised areas with elastic bandages can cause additional pressure and potentially worsen bruising or bleeding.

C. While dietary modifications may be necessary for other reasons, removing cold and frozen foods does not address the immediate risk of bleeding associated with low platelet counts.

D. This is crucial because patients with thrombocytopenia are at an increased risk of bleeding, which may not always be visible or apparent. Regular monitoring can help in early detection and prompt management of any bleeding episodes.

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Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a client with petechiae and ecchymosis scattered across the arms and legs. Which laboratory result should the nurse review?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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