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Which signs and symptoms are NOT typically present in a patient with Cushing's? Select all that apply.

Thin, light hair on face/back/ chest

Striae on abdomen/back/thighs

Hyperglycemia

Truncal obesity

Slow wound healing

Hyponatremia

Answer and Explanation

Correct Answer : A,F

A. Cushing's syndrome typically causes hirsutism (excessive hair growth) rather than thin or light hair.

B. Striae: Purple striae are characteristic of Cushing’s due to skin thinning and stretching.

C. Hyperglycemia: Elevated blood glucose levels occur due to cortisol's effect on glucose metabolism.

D. Truncal obesity: Central fat deposition is a hallmark of Cushing’s.

E. Slow wound healing: Cortisol suppresses immune function, leading to delayed healing.

F. Cushing’s is often associated with hypernatremia due to fluid retention, not hyponatremia.

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Correct Answer is ["C","E","F"]

Explanation

A. Low blood sugar: DKA is associated with high, not low, blood sugar levels.

B. Fluid overload: DKA typically causes dehydration, not fluid overload.

C. Acidosis: DKA is characterized by metabolic acidosis due to the accumulation of ketones.

D. Alkalosis: DKA involves acidosis, not alkalosis.

E. Hyperglycemia: DKA results from severely elevated blood glucose levels, often >250 mg/dL.

F. Ketosis: Ketosis occurs in DKA as the body breaks down fat for energy in the absence of sufficient insulin.

A. Troponin is a protein that helps transport oxygen throughout the body. B. Troponin is a lipid whose levels reflect the risk for coronary artery disease. C. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. D. Troponin is an enzyme that indicates damage to brain, heart, and skeletal muscle tissues.

Correct Answer is C

Explanation

A. Troponin is a protein that helps transport oxygen: This describes hemoglobin, not troponin.

B. Troponin is a lipid: Lipids such as cholesterol and triglycerides reflect cardiovascular disease risk, not acute cardiac injury.

C. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart: Troponin is released into the bloodstream when myocardial cells are injured, making it a specific and sensitive marker for myocardial infarction.

D. Troponin is an enzyme: Troponin is a structural protein, not an enzyme.

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Which signs and symptoms are NOT typically present in a patient with Cushing's? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA? (Select All that Apply.)

Correct Answer is ["C","E","F"]

Explanation

Correct Answer is C

Explanation

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