A nurse is caring for a client who has Cushing's syndrome.
The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)

Moon face.

Buffalo hump.

Purple striations.

Hypertension.

Tremors.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

Moon face is a characteristic feature of Cushing’s syndrome, caused by fat deposition around the face due to increased cortisol levels.

Choice B rationale

Buffalo hump, or the accumulation of fat on the upper back, is another hallmark of Cushing’s syndrome, resulting from prolonged exposure to high cortisol levels.

Choice C rationale

Purple striations, or stretch marks, commonly appear on the abdomen, thighs, and breasts in Cushing’s syndrome, due to skin thinning and weakening from excess cortisol.

Choice D rationale

Hypertension is a common manifestation of Cushing’s syndrome because cortisol increases blood pressure through various mechanisms, including increased sensitivity to catecholamines. .

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Correct Answer is A

Explanation

Choice A rationale

Withholding oral fluids and food is the priority because it reduces pancreatic stimulation and decreases the secretion of pancreatic enzymes, preventing further autodigestion and inflammation of the pancreas.

Choice B rationale

Auscultating the client's lungs is important to check for complications such as pleural effusion or atelectasis, but it is not the immediate priority after pain management.

Choice C rationale

Assisting the client to a side-lying position can help with comfort and may ease breathing, but it does not directly address the underlying issue of pancreatic inflammation.

Choice D rationale

Providing oral hygiene is essential for overall care but does not impact the acute management of pancreatitis.

A. Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance. B. Since you still have working beta cells, you can try diet to lower your blood sugar. C. This can be a reversible condition, so we will discuss ways to improve your health. D. This type of diabetes means that the cells in your pancreas do not produce any insulin.

Correct Answer is D

Explanation

Choice A rationale

An HbA1c level of 5.7% or below indicates normal glucose tolerance, not impaired glucose tolerance.

Choice B rationale

In type 1 diabetes mellitus, the beta cells are destroyed, and dietary changes alone cannot restore insulin production.

Choice C rationale

Type 1 diabetes mellitus is a chronic condition and is not considered reversible.

Choice D rationale

Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, leading to an absolute lack of insulin production.

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A nurse is caring for a client who has Cushing's syndrome.The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute pancreatitis.After treating the client's pain, which of the following should the nurse address as the priority intervention?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client who has Cushing's syndrome.
The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)