Which findings are expected when assessing a patient with Cushing syndrome?

Excess adipose tissue in the trunk, slender extremities, and moon face

High levels of potassium and low levels of sodium, weakness, and wasting

Wasting of the abdomen with thick, calloused skin

Edema of the trunk, extremities, and face

Answer and Explanation

The Correct Answer is A

A. Cushing syndrome is characterized by central obesity (excess adipose tissue in the trunk), slender extremities, a moon-shaped face, and other features like a buffalo hump. This is due to prolonged exposure to elevated cortisol levels.
B. High levels of potassium and low levels of sodium are not associated with Cushing syndrome, which typically presents with hypokalemia and hypernatremia.
C. Wasting of the abdomen is not a feature of Cushing syndrome. The skin may become fragile, but it is not typically calloused.
D. Edema is not a primary feature; rather, fat redistribution to the trunk and face is more common.

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Correct Answer is B

Explanation

A. A 2-hour blood glucose of 132 mg/dL is within normal limits, as levels under 140 mg/dL are considered normal after an oral glucose tolerance test.
B. A fasting blood glucose level of 155 mg/dL is above the normal threshold (greater than 126 mg/dL indicates diabetes).
C. A casual blood glucose of 178 mg/dL suggests hyperglycemia but does not meet the diagnostic criteria for diabetes unless associated with symptoms.
D. An HbA1c of 5.2% is well within the normal range (below 5.7%).

Correct Answer is ["3.8"]

Explanation

To calculate the dose per administration, we need to determine the total daily dose and then divide it by the number of doses per day.

Convert pounds to kilograms:
- 22 lb (1 kg / 2.2 lb) = 10 kg
Calculate the total daily dose:
- 1.5 mg/kg/day 10 kg = 15 mg/day
Determine the dose per administration:
- 15 mg/day / 4 doses/day = 3.75 mg/dose
Calculate the volume to administer:
- 3.75 mg / 1 mg/mL = 3.75 mL

Therefore, the nurse should administer = 3.8 mL

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Which findings are expected when assessing a patient with Cushing syndrome?

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Naxlex Comprehensive Predictor Exams

A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

Correct Answer is B

Explanation

Correct Answer is ["3.8"]

Explanation

Which medication is used to treat hyperthyroidism?

A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)