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 D
Explanation
A. Restrict fluid intake: In Addison's disease, there is often a risk of dehydration due to insufficient aldosterone leading to fluid loss and electrolyte imbalance. Fluid restriction could exacerbate these problems and is contraindicated.
B. Weigh the client daily. Monitoring daily weight is crucial to detect rapid weight changes which can indicate fluid imbalance, a common issue in Addison's disease. It helps in early detection of complications like dehydration or fluid overload.
C. Provide a low-carbohydrate diet. A low-carbohydrate diet is not specifically recommended for Addison's disease. Clients with Addison’s might need an adequate intake of carbohydrates to prevent hypoglycemia, particularly during stress or illness.
D. Administer oral corticosteroids. Addison's disease is characterized by insufficient production of corticosteroids. Administering oral corticosteroids is essential to replace the missing hormones and prevent an Addisonian crisis, especially during stress or illness.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Chronic cough: Chronic cough is a hallmark symptom of COPD. It results from inflammation and increased mucus production in the airways, leading to a persistent cough that often produces sputum.
B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.
C. Dyspnea: Dyspnea, or shortness of breath, is a primary symptom of COPD. It occurs due to airflow limitation and reduced lung capacity, making it difficult for the patient to breathe, especially during physical activity.
D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.
E.
A. Chronic cough: Chronic cough is a hallmark symptom of COPD. It results from inflammation and increased mucus production in the airways, leading to a persistent cough that often produces sputum.
B. Sputum production: Sputum production is common in COPD due to chronic bronchitis, which is part of the disease spectrum. It reflects the ongoing inflammation and irritation of the airways.
C. Dyspnea: Dyspnea, or shortness of breath, is a primary symptom of COPD. It occurs due to airflow limitation and reduced lung capacity, making it difficult for the patient to breathe, especially during physical activity.
D. Wheezing: Wheezing can occur in COPD as a result of narrowed airways due to inflammation and mucus build-up. It is a common but not universally present symptom.
E. Chest tightness: Chest tightness is also a common symptom of COPD, reflecting the discomfort and difficulty in breathing caused by the constriction and inflammation of the airways.
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