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

Answer and Explanation

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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Correct Answer is ["D","E"]

Explanation

A. Urine specific gravity of 1.010 (1.005 - 1.03): A urine specific gravity of 1.010 is within the normal range and does not indicate the concentrated urine typically seen in SIADH. Therefore, it is not associated with hyponatremia in SIADH.

B. Respiratory alkalosis: Respiratory alkalosis is related to an imbalance in carbon dioxide levels, not directly to sodium levels. It is not a manifestation of hyponatremia or SIADH.

C. Diarrhea: Diarrhea is not a direct manifestation of hyponatremia. While it can cause electrolyte imbalances, hyponatremia in SIADH is more related to water retention and dilution of sodium.

D. Confusion: Confusion is a common neurological symptom of hyponatremia due to the osmotic imbalance affecting brain cells. This is often seen in clients with SIADH as low sodium levels affect brain function.

E. Diminished reflexes: Diminished reflexes can occur in hyponatremia as it affects neuromuscular function, leading to decreased responsiveness of the nervous system. This can be observed in clients with SIADH.

A. Carvedilol B. Isosorbide dinitrate C. Fluticasone D. Captopril

Correct Answer is A

Explanation

A. Carvedilol: Carvedilol is a beta-blocker that can worsen asthma symptoms because it can cause bronchoconstriction. Non-selective beta-blockers like carvedilol can exacerbate respiratory conditions and should be used with caution in asthmatic patients.

B. Isosorbide dinitrate: Isosorbide dinitrate is a vasodilator used to reduce the workload on the heart by dilating blood vessels. It does not affect respiratory function and is safe for use in clients with asthma.

C. Fluticasone: Fluticasone is a corticosteroid used to manage asthma by reducing inflammation in the airways. It is beneficial for clients with asthma and does not require clarification.

D. Captopril: Captopril is an ACE inhibitor used to treat heart failure. It does not directly affect asthma and is generally safe for use in clients with respiratory conditions.

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A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["D","E"]

Explanation

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Correct Answer is A

Explanation

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