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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 B

Explanation

A. Bubbling in the water seal chamber with exhalation can be normal as it indicates air is escaping from the pleural space; however, continuous bubbling may indicate an air leak and would need to be assessed.

B. Movement of the trachea toward the unaffected side is a sign of a tension pneumothorax, a life-threatening condition requiring immediate medical intervention. This tracheal deviation suggests that the pressure in the pleural space is increasing, pushing the mediastinum to the opposite side.

C. Scant serosanguinous drainage on the dressing is expected and not an immediate concern unless it becomes excessive.

D. Crepitus, or subcutaneous emphysema, indicates air leakage into the tissues but is not immediately life-threatening unless it is extensive and worsening rapidly.

A. Decreased level of consciousness B. Hypercarbia C. Severe dyspnea D. Nausea E. Tachycardia

Correct Answer is ["A","B","C","E"]

Explanation

A. A decreased level of consciousness is a common symptom of ARF due to hypoxemia, which reduces oxygen delivery to the brain, leading to confusion, agitation, or lethargy.

B. Hypercarbia, or elevated levels of carbon dioxide (CO2) in the blood, occurs due to impaired gas exchange in ARF, which leads to respiratory acidosis.

C. Severe dyspnea, or difficulty breathing, is a hallmark symptom of ARF as the lungs fail to maintain adequate oxygenation or ventilation.

D. Nausea is not a typical manifestation of ARF; while it may occur due to other factors, it is not directly associated with respiratory failure.

E. Tachycardia, or an increased heart rate, is often seen in ARF as the body attempts to compensate for hypoxemia by increasing cardiac output to deliver more oxygen to tissues.

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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

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Correct Answer is ["A","B","C","E"]

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