Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Husky voice and troubled by hoarseness.

Central type obesity, with thin extremities.

Warm, soft, moist, salmon colored skin.

Visible swelling of the neck, with no pain.

Answer and Explanation

The Correct Answer is B

A. Husky voice and hoarseness are not typically associated with Cushing's syndrome but may be related to other conditions affecting the throat or vocal cords.

B. Central type obesity, with thin extremities, is a classic manifestation of Cushing's syndrome due to excess cortisol, which promotes fat accumulation in the trunk and face while causing muscle wasting in the extremities.

C. Warm, soft, moist, salmon-colored skin is not typically associated with Cushing's syndrome and may indicate other dermatological conditions.

D. Visible swelling of the neck with no pain is not a characteristic finding of Cushing's syndrome and may indicate other underlying issues such as goiter or lymphadenopathy.

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Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Obesity is a significant risk factor for gout as it can increase uric acid production and decrease its excretion.

B. Hypertension is commonly associated with gout, potentially due to shared risk factors including kidney health and certain medications that can raise uric acid levels.

C. Alcohol, especially beer, is a well-known trigger for gout attacks because it increases uric acid production and reduces its excretion.

D. Low doses of aspirin can increase uric acid levels by reducing its excretion through the kidneys.

E. While not a direct risk factor, type 2 diabetes is often associated with metabolic syndrome, which includes several risk factors for gout.

F. Research suggests a link between sleep apnea and increased risk of gout, possibly through the effects of intermittent hypoxia on uric acid levels.

G. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are typically used to treat gout attacks and do not generally increase the risk of developing gout. They can, however, affect kidney function with prolonged use.

H. Smoking is not directly linked to gout risk; smoking cessation is generally beneficial for overall health but does not increase gout risk.

I. Osteoarthritis is a different type of joint disease and does not increase the risk of developing gout.

A. Wear braces on both wrists during the night. B. Notify the healthcare provider as soon as possible. C. Elevate the hands on two pillows at night. D. Apply cold compresses for 30 minutes before bedtime.

Correct Answer is A

Explanation

A. Wearing braces on both wrists during the night can help maintain a neutral wrist position and alleviate pressure on the median nerve, reducing symptoms of carpal tunnel syndrome.

B. Notifying the healthcare provider may be necessary if symptoms worsen or if additional interventions are needed, but this is not the first-line intervention for managing symptoms at night.

C. Elevating the hands on two pillows at night may provide some relief, but it is not as effective as wearing wrist braces to maintain proper alignment and reduce pressure on the median nerve.

D. Applying cold compresses before bedtime may help reduce inflammation but is not specifically targeted at alleviating nighttime symptoms of carpal tunnel syndrome.

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Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Which finding(s) in the client's health record should the nurse recognize places the client at a greater risk of developing gout? Select all that apply.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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Correct Answer is A

Explanation

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