A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism?
A client who has muscle hypertrophy.
Moon face
A client who has a butterfly rash on his face.
A client who has a positive Chvostek's sign.
The Correct Answer is B
A. Muscle hypertrophy is not a typical manifestation of hypercortisolism; rather, muscle weakness and wasting may occur.
B. Moon face, or rounded facial appearance with prominent cheeks, is a characteristic manifestation of hypercortisolism (Cushing's syndrome).
C. A butterfly rash on the face is not specific to hypercortisolism; it may suggest other conditions such as systemic lupus erythematosus.
D. Chvostek's sign is associated with hypocalcemia, not hypercortisolism.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Dry skin is not a typical manifestation of respiratory acidosis.
B. Abdominal pain is not a typical manifestation of respiratory acidosis.
C. Lethargy and altered mental status are common manifestations of respiratory acidosis due to the effects of hypercapnia (elevated PaCO2) on the central nervous system.
D. Numbness of fingers is not a typical manifestation of respiratory acidosis.
Correct Answer is B
Explanation
A. While electrolyte imbalances can occur in nephrotic syndrome, hypomagnesemia is not typically associated with corticosteroid therapy.
B. Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
C. Corticosteroid therapy is not typically associated with hyperkalemia.
D. Hypermagnesemia is not typically associated with nephrotic syndrome or corticosteroid therapy.
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