A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
Hyperpigmentation
Weight loss
Hypotension
Diaphoresis
The Correct Answer is A
A. Hyperpigmentation: This can occur due to increased production of melanin-stimulating hormones in some cases of Cushing's syndrome.
B. Weight loss: Weight loss is not a common feature of Cushing's syndrome. Instead, it usually presents with weight gain, particularly in the trunk and face (leading to "moon face" and "buffalo hump").
C. Hypotension: Hypotension is more common in Addison's disease due to the lack of cortisol and aldosterone. Cushing's syndrome is associated with hypertension due to excess cortisol increasing blood pressure.
D. Diaphoresis: Excessive sweating is not a common symptom of Cushing's syndrome.
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Related Questions
Correct Answer is A
Explanation
A. Sweat chloride test: The sweat chloride test is the gold standard for diagnosing cystic fibrosis. A high level of chloride in the sweat confirms the diagnosis, as individuals with cystic fibrosis have defective chloride channels that result in excessive chloride and sodium in their sweat.
B. A stool fat content analysis: While stool fat content analysis can indicate malabsorption issues, which are common in cystic fibrosis, it does not definitively diagnose the condition. It is more useful for evaluating pancreatic function.
C. A sputum culture: A sputum culture can identify specific respiratory infections common in cystic fibrosis patients, such as Pseudomonas aeruginosa, but it does not diagnose the underlying condition.
D. Pulmonary function tests: Pulmonary function tests can assess lung function and help monitor the progression of cystic fibrosis, but they do not confirm the diagnosis.
Correct Answer is D
Explanation
A. Anti-inflammatory: While aspirin does have anti-inflammatory properties, it is not given for this purpose in the context of preventing heart attacks. The anti-inflammatory action is more relevant in conditions like arthritis.
B. Analgesic: Aspirin is an analgesic and can relieve pain, but this is not the primary reason for its use in clients with a history of myocardial infarction.
C. Antipyretic: Aspirin has antipyretic properties, meaning it can reduce fever, but this is not the reason it is prescribed following a myocardial infarction.
D. Antiplatelet aggregate: Aspirin is used in clients with a history of myocardial infarction for its antiplatelet properties. It helps to prevent the aggregation of platelets, thereby reducing the risk of blood clots that can lead to another heart attack.
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