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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:

While parental divorce can be a stressful event for adolescents, it alone does not pose the highest risk of suicide completion.

Choice B reason:

Parental substance use disorder can contribute to a challenging family environment, but it is not the highest risk factor for suicide completion in adolescents.

Choice C reason:

Loss of family income can create stress and instability, but it is not the highest risk factor for suicide completion.

Choice D reason:

Bipolar disorder, especially when combined with depressive symptoms, significantly increases the risk of suicide in adolescents. It is important to monitor adolescents with bipolar disorder closely and provide appropriate mental health support and intervention. While other factors mentioned can contribute to a child's overall well-being, they do not carry the same level of direct risk for suicide completion as bipolar disorder with depressive symptoms.

A. 6 oz diet soft drink B. Metformin C. Insulin D. 6 oz regular soft drink

Correct Answer is D

Explanation

Choice A reason:

A diet soft drink does not contain enough sugar to raise the child's blood glucose level quickly. It is not the appropriate choice in this situation.

Choice B reason:

Metformin is a medication used to manage type 2 diabetes, not type 1 diabetes. It would not be effective in treating the low blood sugar (hypoglycemia) in this scenario.

Choice C reason:

Administering insulin would further lower the child's blood glucose level and is contraindicated in cases of hypoglycemia.

Choice D reason:

This statement is correct. A regular soft drink contains sugar and can rapidly increase the child's blood glucose level, effectively treating the hypoglycemia.

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A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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