Which manifestation would the nurse find when assessing a patient with Cushing syndrome? (Select all that apply)
Obesity.
Bruising.
Edema.
Abdominal pain.
Bronze skin.
Correct Answer : A,B,C
Choice A reason: Obesity, particularly central, is common in Cushing syndrome due to cortisol-induced fat redistribution. This aligns with endocrine assessment findings, making it a correct manifestation the nurse would expect when evaluating a patient with Cushing syndrome for physical signs.
Choice B reason: Bruising occurs in Cushing syndrome due to cortisol weakening blood vessels and skin. This is a typical integumentary finding, aligning with clinical assessments, making it a correct manifestation the nurse would note in a patient with Cushing syndrome during evaluation.
Choice C reason: Edema results from cortisol’s mineralocorticoid effects, causing fluid retention in Cushing syndrome. This aligns with cardiovascular and fluid balance assessments, making it a correct manifestation the nurse would expect when assessing a patient with this endocrine disorder.
Choice D reason: Abdominal pain is not a primary manifestation of Cushing syndrome, though striae or muscle weakness may occur. Obesity and bruising are more specific, making this incorrect, as it is not a typical finding in the nurse’s assessment of Cushing syndrome.
Choice E reason: Bronze skin is associated with Addison’s disease, not Cushing syndrome, which causes moon facies or buffalo hump. Obesity and edema are correct, making this incorrect, as it misattributes a finding to Cushing syndrome in the nurse’s assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hemorrhagic stroke is rare in seizure disorders, which are primarily neurological. Status epilepticus is a frequent, life-threatening complication, making this incorrect, as it does not represent the most common issue faced by patients with seizure disorders under nursing care.
Choice B reason: Lifestyle effects are significant but not a medical complication like status epilepticus, which is a direct seizure-related emergency. This is incorrect, as it addresses quality of life rather than the most common clinical complication in patients with seizure disorders.
Choice C reason: Broken bones can occur during seizures but are less common than status epilepticus, a medical emergency. This is incorrect, as it is a secondary injury rather than the primary complication the nurse would anticipate in a patient with a seizure disorder.
Choice D reason: Status epilepticus, prolonged or repeated seizures without recovery, is the most common serious complication in seizure disorders, requiring urgent intervention. This aligns with neurological nursing care, making it the correct complication the nurse would prioritize in patient management.
Correct Answer is D
Explanation
Choice A reason: Daily weighing monitors fluid changes but is less specific than fluid restriction, the cornerstone of chronic SIADH management. Limiting fluid intake directly addresses hyponatremia, making this secondary and incorrect compared to the primary teaching point for effective patient understanding.
Choice B reason: High-potassium foods relate to diuretic use, not standard in chronic SIADH, where fluid restriction is key. This is incorrect, as it misapplies treatment principles, unlike fluid limitation, which correctly reflects the nurse’s teaching on managing chronic SIADH effectively.
Choice C reason: Low-sodium diets may help but are not the primary focus in chronic SIADH, where fluid restriction prevents hyponatremia. This is incorrect, as it’s less critical than fluid limitation, which demonstrates the patient’s accurate understanding of the nurse’s teaching.
Choice D reason: Limiting fluid intake prevents water retention and hyponatremia in chronic SIADH, reflecting effective teaching. This aligns with endocrine management guidelines, making it the correct statement indicating the patient’s understanding of the nurse’s education on managing chronic SIADH.
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