A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?

Weight loss

Diaphoresis

Hyperpigmentation

Hypotension

Answer and Explanation

The Correct Answer is C

Choice A reason: Weight loss is not a symptom of Cushing’s syndrome. On the contrary, weight gain and obesity are common signs of this condition, especially in the trunk, face and upper back1.

Choice B reason: Diaphoresis, or excessive sweating, is not a symptom of Cushing’s syndrome. It can be caused by other conditions, such as hyperthyroidism, menopause or anxiety.

Choice C reason: Hyperpigmentation, or darkening of the skin, is a symptom of Cushing’s syndrome. It occurs due to increased production of melanin, the pigment that gives color to the skin. Hyperpigmentation can aﬀect any part of the body, but it is more noticeable in areas exposed to friction or pressure, such as the elbows, knees, knuckles and armpits.

Choice D reason: Hypotension, or low blood pressure, is not a symptom of Cushing’s syndrome. In fact, high blood pressure (hypertension) is one of the common symptoms of this condition, due to the eﬀects of cortisol on the cardiovascular system.

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Correct Answer is D

Explanation

Choice A: Both illnesses result in malabsorption of nutrients. This is incorrect because malabsorption of nutrients is more common in Crohn’s disease than in ulcerative colitis. Crohn’s disease can aﬀect any part of the gastrointestinal tract, including the small intestine, where most of the nutrient absorption occurs. Ulcerative colitis mainly aﬀects the colon and rectum, which are responsible for water and electrolyte absorption.

Choice B: Both illnesses begin in the rectum. This is incorrect because ulcerative colitis usually begins in the rectum and spreads proximally to the colon, while Crohn’s disease can begin anywhere in the gastrointestinal tract, from the mouth to the anus.

Choice C: Both illnesses manifest fistula formation. This is incorrect because fistula formation is more common in Crohn’s disease than in ulcerative colitis. Fistulas are abnormal connections between diﬀerent parts of the gastrointestinal tract or other organs, such as the bladder, vagina, or skin. They are caused by inﬂammation, ulceration, and infection that penetrate through the bowel wall.

Choice D: Both illnesses are inﬂammatory in nature. This is correct because both ulcerative colitis and Crohn’s disease are types of inﬂammatory bowel disease (IBD), which are chronic conditions that cause inﬂammation and damage to the gastrointestinal tract. The exact cause of IBD is unknown, but it may involve genetic, immune, environmental, and microbial factors.

A. Tachycardia B. Blurry vision C. Sweating D. Polydipsia E. Polyuria

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

Explanation

Choice A reason: Tachycardia is a common symptom of hypoglycemia, as the body releases adrenaline and other hormones to raise the blood sugar level. This can cause the heart to beat faster and stronger.

Choice B reason: Blurry vision is a common symptom of hypoglycemia, as low blood sugar can aﬀect the ability of the eyes to focus and see clearly. This can also cause headaches, dizziness, or double vision.

Choice C reason: Sweating is a common symptom of hypoglycemia, as the body tries to cool down and cope with the stress of low blood sugar. This can also cause shakiness, trembling, or tingling in the lips, tongue, or cheek.

Choice D reason: Polydipsia (excessive thirst) is not a symptom of hypoglycemia, but a symptom of hyperglycemia (high blood sugar). High blood sugar can cause dehydration and dry mouth, which make the person feel thirsty.

Choice E reason: Polyuria (excessive urination) is not a symptom of hypoglycemia, but a symptom of hyperglycemia (high blood sugar). High blood sugar can cause the kidneys to filter out excess glucose and water from the blood, which make the person urinate more often.

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A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A charge nurse is reinforcing teaching with a newly licensed nurse about the common link between ulcerative colitis and Crohn’s disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been eﬀective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

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

Explanation

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