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

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.

A. Hypoglycemia B. Cardiac dysrhythmias C. Neurogenic shock D. Seizures

Correct Answer is B

Explanation

A. Hypoglycemia: Hypoglycemia is not directly related to low potassium levels. While electrolyte imbalances can impact overall metabolic processes, hypoglycemia is more commonly associated with insulin use or other medications, rather than hypokalemia.

B. Cardiac dysrhythmias: Hypokalemia (potassium level of 3.3 mEq/L) is associated with an increased risk of cardiac dysrhythmias because potassium is crucial for normal electrical activity in the heart. Low potassium can lead to abnormal heart rhythms, which can be dangerous and life-threatening.

C. Neurogenic shock: Neurogenic shock is typically related to a sudden loss of sympathetic nervous system signals, often from spinal cord injury, and is not directly associated with low potassium levels.

D. Seizures: Seizures are not a common complication of hypokalemia. They are more often related to severe electrolyte imbalances like low sodium, or neurological conditions, rather than low potassium.

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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

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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