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Which signs and symptoms are NOT typically present in a patient with Cushing's? Select all that apply.

Thin, light hair on face/back/ chest

Striae on abdomen/back/thighs

Hyperglycemia

Truncal obesity

Slow wound healing

Hyponatremia

Answer and Explanation

Correct Answer : A,F

A. Cushing's syndrome typically causes hirsutism (excessive hair growth) rather than thin or light hair.

B. Striae: Purple striae are characteristic of Cushing’s due to skin thinning and stretching.

C. Hyperglycemia: Elevated blood glucose levels occur due to cortisol's effect on glucose metabolism.

D. Truncal obesity: Central fat deposition is a hallmark of Cushing’s.

E. Slow wound healing: Cortisol suppresses immune function, leading to delayed healing.

F. Cushing’s is often associated with hypernatremia due to fluid retention, not hyponatremia.

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Correct Answer is C

Explanation

A. Provide legal testimony on behalf of the client: While a SANE may document findings for legal purposes, they do not act as the client's legal representative.

B. Require the client to call the police: Reporting the incident is the client’s choice; the nurse should not coerce them.

C. Protect the client from further harm: The priority is to ensure the client's safety and well-being after a traumatic event.

D. Request the police to gather evidence: The SANE is responsible for collecting forensic evidence, not the police.

A. Dobutamine B. Furosemide C. Epinephrine D. Methylprednisolone

Correct Answer is C

Explanation

A. Dobutamine: Increases cardiac output but is not a first-line treatment for anaphylaxis.

B. Furosemide: A diuretic, inappropriate for anaphylaxis.

C. Epinephrine: Epinephrine is the first-line treatment for anaphylaxis, as it rapidly reverses airway constriction, hypotension, and swelling.

D. Methylprednisolone: Corticosteroids are used to reduce prolonged inflammation but act too slowly for initial management.

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Which signs and symptoms are NOT typically present in a patient with Cushing's? Select all that apply.

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