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 A
Explanation
Rationale:
A. Shakiness is a common symptom of hypoglycemia, often caused by the body's release of adrenaline in response to low blood glucose levels.
B. Hypoglycemia typically causes an increase in hunger, not a decreased appetite, as the body attempts to correct low glucose levels.
C. Cool, clammy skin is associated with hypoglycemia due to the body's stress response, not warm, moist skin.
D. Increased thirst (polydipsia) is a symptom of hyperglycemia, not hypoglycemia.
Correct Answer is A
Explanation
Rationale:
A. Checking the client's blood glucose level is the priority action to assess the current state of the client's blood glucose after administering the incorrect dose of insulin, which is essential for determining if further intervention is needed.
B. While giving carbohydrates might be necessary if the blood glucose level is low, checking the blood glucose first will provide the necessary information for the next steps.
C. Notifying the nurse manager is important, but it should not take precedence over assessing the client's current condition.
D. Completing an incident report is a required administrative task, but the immediate concern is the client's safety and well-being, which necessitates checking their blood glucose first.