A nursing is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that Apply)
(Select All that Apply.)
Buffalo hump also known as fat pads on upper back
Obese extremities
Purple or Dark Striations on skin
Tremors
Truncal obesity
Round moon-shaped face
Correct Answer : A,C,E,F
A. Buffalo hump (fat pads on the upper back): Fat redistribution is a classic sign of Cushing's syndrome.
B. Obese extremities: Cushing's syndrome typically presents with truncal obesity, not obesity of the extremities.
C. Purple or dark striations on the skin: These are caused by skin thinning and stretching due to increased cortisol levels.
D. Tremors: Tremors are not commonly associated with Cushing's syndrome.
E. Truncal obesity: Central obesity is a hallmark of Cushing's syndrome.
F. Round moon-shaped face: This is another characteristic sign of fat redistribution in Cushing's syndrome.
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Related Questions
Correct Answer is B
Explanation
A. Limit potassium-rich foods in the diet: Clients with Cushing's disease often have hypokalemia (low potassium) due to excessive aldosterone, so potassium-rich foods should not be limited.
B. Decrease sodium intake: Sodium restriction is necessary because hypernatremia and fluid retention are common in Cushing's disease due to increased cortisol levels.
C. Increase calorie intake: Clients with Cushing's disease often experience weight gain and should aim to maintain a balanced calorie intake.
D. Consume more calories from carbohydrates than protein: Clients with Cushing's disease should prioritize protein to counteract muscle wasting and avoid excessive carbohydrate intake, which can worsen hyperglycemia.
Correct Answer is C
Explanation
A. Gestational: Gestational diabetes occurs during pregnancy and does not involve ketones in blood and urine, which are indicative of diabetic ketoacidosis (DKA).
B. Prediabetes: Prediabetes involves mildly elevated glucose levels but does not present with ketones or DKA.
C. Type 1: Type 1 diabetes is characterized by an absolute insulin deficiency, leading to hyperglycemia and ketone production. DKA is a hallmark presentation of untreated or newly diagnosed Type 1 diabetes.
D. Type 2: Type 2 diabetes is less likely to present with DKA as insulin production is typically sufficient to prevent significant ketone formation.
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