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A nurse is caring for a client with Cushing's syndrome. Which assessment findings would the nurse expect? (Select all that apply.)

Purple striae

Moon face

Bronze pigmentation

Buffalo hump

Poor wound healing

Answer and Explanation

Correct Answer : A,B,D,E

Rationale:

A. Purple striae (stretch marks) are common in Cushing's syndrome due to skin thinning and the redistribution of fat.

B. A "moon face" is a classic sign of Cushing's syndrome, caused by fat deposition in the face.

C. Bronze pigmentation is associated with Addison's disease, not Cushing's syndrome.

D. A "buffalo hump," or fat accumulation on the upper back, is another characteristic feature of Cushing's syndrome.

E. Poor wound healing is expected in Cushing's syndrome due to the effects of prolonged exposure to high cortisol levels, which impair immune function and tissue repair.

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Correct Answer is C

Explanation

A. Moist mucous membranes would indicate adequate hydration, which is not typically seen in diabetes insipidus.

B. Bounding peripheral pulses are associated with conditions of fluid overload, not diabetes insipidus.

C. Poor skin turgor is a sign of dehydration, which is a common finding in diabetes insipidus due to excessive urine output leading to significant fluid loss.

D. Bradycardia is not typically associated with diabetes insipidus; tachycardia might be seen due to dehydration and hypovolemia.

A. "I’ll soak my feet in cool water every night before I go to bed." B. "I’ll put lotion between my toes after drying my feet." C. "I’ll check my feet every day for sores a bruises." D. "I’ll wear sandals in warm weather."

Correct Answer is C

Explanation

A. Soaking the feet is not recommended for clients with diabetes, as it can lead to skin breakdown and increase the risk of infection.

B. While applying lotion to the feet is recommended to keep the skin moisturized, lotion should not be applied between the toes, as this can create a moist environment that promotes fungal infections.

C. Checking the feet daily for sores, bruises, and other injuries is crucial for clients with diabetes to prevent complications like infections and ulcers, which can lead to serious outcomes like amputations if not treated promptly.

D. Wearing sandals exposes the feet to potential injuries and is not recommended for clients with diabetes. It is better to wear well-fitting, closed-toe shoes that provide protection.

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A nurse is caring for a client with Cushing's syndrome. Which assessment findings would the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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