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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 D

Explanation

A. Levofloxacin is an antibiotic used to treat bacterial infections, not hypothyroidism.

B. Radioactive iodine is used to treat hyperthyroidism by reducing thyroid hormone production, not hypothyroidism.

C. Sumatriptan is a medication used to treat migraines, not hypothyroidism.

D. Levothyroxine is the standard treatment for hypothyroidism. It is a synthetic form of the thyroid hormone thyroxine (T4) and helps to normalize thyroid function by supplementing the hormone that the thyroid gland is not producing adequately

A. Purulent dialysate outflow B. Blood-tinged dialysate outflow C. Report of fullness with dialysate dwelling D. Report of discomfort during dialysate inflow

Correct Answer is A

Explanation

A. Purulent dialysate outflow is a sign of infection, specifically peritonitis, which is a serious complication of peritoneal dialysis that requires immediate medical attention.

B. Blood-tinged dialysate can occur, especially if the client is new to dialysis or has had recent abdominal surgery, but it should be monitored rather than immediately reported unless it is excessive.

C. A feeling of fullness during the dialysate dwelling phase is common and usually resolves as the body adjusts to the procedure.

D. Discomfort during dialysate inflow can occur, particularly with fast inflow rates or high dialysate volumes, but it is not immediately life-threatening.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

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Correct Answer is A

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