A nurse is assessing a client who has Cushing's syndrome.
Which of the following findings should the nurse expect?
Muscle wasting and osteoporosis.
Diaphoresis.
Hypotension.
Weight loss.
The Correct Answer is A
Choice A rationale
Muscle wasting and osteoporosis are common findings in Cushing's syndrome due to prolonged exposure to high levels of cortisol, which leads to the breakdown of muscle tissue and decreases in bone density.
Choice B rationale
Diaphoresis is not a typical feature of Cushing's syndrome. While excessive sweating can occur in various conditions, it is not a hallmark of Cushing's syndrome, which primarily affects muscle, bone, and fat distribution.
Choice C rationale
Hypotension is not characteristic of Cushing's syndrome. Instead, hypertension is more common due to cortisol's effects on increasing blood pressure through sodium and water retention.
Choice D rationale
Weight loss is not a typical finding in Cushing's syndrome. Individuals with Cushing's syndrome often experience weight gain, particularly around the abdomen, face, and neck, due to cortisol's effects on fat distribution.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Avoiding crowds is to prevent the client from getting infections due to immunosuppression, not to prevent spreading infection to others, thus an incorrect rationale.
Choice B rationale:
Running a toothbrush through a dishwasher may seem hygienic but is generally unnecessary. More effective measures are needed to ensure oral hygiene without excessive sterilization.
Choice C rationale
Antiemetics are typically taken prior to or at the first sign of nausea during chemotherapy, not after the infusion is complete, so this statement is incorrect regarding the timing of antiemetic use.
Choice D rationale
Calling the doctor for unusual menstrual bleeding is crucial as it can indicate thrombocytopenia, a potential side effect of chemotherapy, reflecting the client's correct understanding.
Correct Answer is C
Explanation
Choice A rationale
Dark stools are not a common side effect of chemotherapy; this symptom typically indicates gastrointestinal bleeding or iron supplements.
Choice B rationale
Flossing 4 times daily can cause gum irritation and bleeding, increasing the risk of infection in immunocompromised clients.
Choice C rationale
Administering an antiemetic before chemotherapy helps to prevent nausea and vomiting, improving the client's comfort and compliance with treatment.
Choice D rationale
Swishing with commercial mouthwash can irritate the mucous membranes; instead, using a gentle saline rinse is recommended.
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