A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Hypersomnia
Hypotension
Rapid weight loss
Rounded facial features
The Correct Answer is D
Choice A reason:
Hypersomnia (excessive sleepiness) is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience insomnia or disrupted sleep patterns.
Choice B reason:
Hypotension (low blood pressure) is not a characteristic finding in Cushing's syndrome. Elevated blood pressure is more commonly associated with this condition.
Choice C reason:
Rapid weight loss is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience weight gain, particularly in the face (moon face), abdomen, and upper back.
Choice D reason:
Correct. Rounded facial features, often referred to as "moon face," are a characteristic finding in children with Cushing's syndrome. This is due to the redistribution of fat in the body, particularly in the face and trunk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
While it's important to reassure the child, stating that it's not their fault is correct, the statement in choice C is a stronger affirmation of the inappropriateness of the situation.
Choice B reason:
This statement may inadvertently place blame on the child, which is not appropriate in this situation.
Choice C reason:
This statement communicates empathy and acknowledges that the child should not have experienced maltreatment.
Choice D reason:
While it's important to maintain the child's trust, the priority is to ensure the child's safety and report any suspected maltreatment to the appropriate authorities.
Correct Answer is B
Explanation
Choice A reason:
Cold compresses may exacerbate vaso-occlusion in a client with sickle cell anemia and are not recommended.
Choice B reason:
Maintaining bed rest can help reduce the risk of hypoxemia, as it minimizes energy expenditure and oxygen demand.
Choice C reason:
Increasing oral fluid intake is important for preventing vaso-occlusive crises, so decreasing fluid intake is not a recommended intervention.
Choice D reason:
Administering meperidine for fever is not a standard intervention for sickle cell anemia. Fever during a vaso-occlusive crisis should be evaluated and treated according to the underlying cause.
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