A patient is being admited with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?
Chronically low blood pressure
Bronzed appearance of the skin
Decreased axillary and pubic hair.
Pendulous Abdomen
The Correct Answer is D
Cushing syndrome is caused by excessive cortisol production by the adrenal glands, which can result in weight gain and redistribution of fat to the abdomen, giving it a characteristic rounded appearance.
The other options mentioned in the question are not typically associated with Cushing syndrome. Chronically low blood pressure is not typically seen in Cushing syndrome, as cortisol is a hormone that can raise blood pressure. A bronzed appearance of the skin is more commonly seen in conditions like Addison's disease, where there is a deficiency of cortisol. Decreased axillary and pubic hair is not a common finding in Cushing syndrome, although excessive hair growth (hirsutism) may occur due to the excess of androgens produced by the adrenal glands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
b. Monitoring blood glucose levels: This is an essential nursing intervention as patients with Cushing syndrome are at risk for developing diabetes mellitus because of cortisol on glucose metabolism. The nurse should monitor the patient's blood glucose levels regularly and report any abnormal readings to the healthcare provider.
c. Protecting patients from exposure to infection: Patients with Cushing syndrome are also at risk for developing infections due to the immunosuppressive effects of cortisol. The nurse should take appropriate infection control measures, such as frequent handwashing, wearing gloves, and isolation precautions if necessary.
a. Observing for signs of hypotension: Although hypotension is not typically seen in patients with Cushing syndrome, it can occur in some cases due to the depletion of cortisol. The nurse should monitor the patient's blood pressure regularly and report any abnormal readings to the healthcare provider.
Correct Answer is ["A","C","D"]
Explanation
Option b is not entirely correct because while bulk-forming laxatives contain fiber, they may not always be the best source of fiber, and their use should be individualized according to the patient's needs.
Option e is incorrect because while stimulants and saline laxatives can be effective for occasional constipation, they should not be used regularly or for an extended period without medical supervision as they can lead to dependence and other complications.
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