A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Hypotension
Weight loss
Hyperpigmentation
Diaphoresis
The Correct Answer is D
Rationale:
A. Cushing’s syndrome usually causes hypertension, not hypotension, due to increased cortisol levels.
B. Weight gain, not weight loss, is a common finding in Cushing's syndrome due to fat redistribution (truncal obesity).
C. Hyperpigmentation is more associated with Addison's disease, not Cushing’s syndrome.
D. Diaphoresis (excessive sweating) can be a symptom of Cushing’s syndrome, caused by hormonal imbalances.
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View Related questions
Correct Answer is D
Explanation
Rationale:
A. Abruptly withdrawing corticosteroid therapy can lead to adrenal insufficiency, not Cushing syndrome.
B. Poorly functioning adrenal glands cause Addison’s disease, not Cushing syndrome.
C. Lacking ACTH leads to secondary adrenal insufficiency, not Cushing syndrome.
D. Taking corticosteroids for many years can result in exogenous Cushing syndrome due to prolonged exposure to high cortisol levels, which mimic the effects of endogenous Cushing syndrome.
Correct Answer is D
Explanation
Rationale:
A. Toenail trimming should be performed by a professional to prevent injury, but it does not require immediate reporting.
B. Dark yellow urine can indicate dehydration, but it is not an urgent concern in this context.
C. Dizziness when standing is a concern, but it does not take priority over the refusal of breakfast, which may lead to hypoglycemia.
D. A refusal to eat can lead to hypoglycemia in clients with type 1 diabetes, and this situation should be reported immediately to prevent a dangerous drop in blood glucose levels.