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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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Check the client for hypoglycemia 4 hr after the insulin lispro injection: Insulin lispro is rapid-acting, with a peak effect 1-2 hours after administration. Monitoring for hypoglycemia should focus on this timeframe, not 4 hours later.

B. Inject insulin lispro 15 min before a meal: Insulin lispro has an onset of action of about 15 minutes, making it ideal to administer shortly before meals to match glucose absorption and prevent postprandial hyperglycemia.

C. Administer insulin lispro in the same syringe as a short-acting insulin: Mixing insulin lispro with other insulins is not recommended; each type has specific mixing guidelines, and lispro is typically given alone.

D. Monitor the client for polyuria after the insulin lispro injection: Polyuria is a symptom of hyperglycemia, not an expected finding after insulin administration. Insulin lispro should reduce hyperglycemia and associated symptoms.

A. Clammy B. Tachycardia C. Blurry Vision D. Dry Skin E. Warm/Hot Skin

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

Explanation

A. Clammy: Hypoglycemia often causes diaphoresis, resulting in clammy skin.

B. Tachycardia: The release of epinephrine in response to hypoglycemia leads to tachycardia.

C. Blurry Vision: Neuroglycopenia from insufficient glucose to the brain can result in visual disturbances like blurry vision.

D. Dry Skin: Dry skin is more indicative of hyperglycemia or dehydration, not hypoglycemia.

E. Warm/Hot Skin: Warm or hot skin is associated with fever or hyperglycemia, not hypoglycemia.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

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

Explanation

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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.)