What does the nurse expect to find when assessing a client with Cushings syndrome?

22 Questions | By Rnpedia | Last updated: Mar 22, 2022 | Total Attempts: 6367

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What findings are expected when assessing a patient with Cushing's syndrome?
Which clinical finding is classically seen in Cushing's syndrome?
What is Cushing's syndrome characterized by?

What does the nurse expect to find when assessing a client with Cushings syndrome?

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1.
Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find:
- A.
  Hypotension.
- B.
  Thick, coarse skin.
- C.
  Deposits of adipose tissue in the trunk and dorsocervical area.
- D.
  Weight gain in arms and legs.
2.
In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in:
- A.
  Serum glucose level.
- B.
  Hair loss.
- C.
  Bone mineralization.
- D.
  Menstrual flow.
3.
A female client with Cushing’s syndrome is admitted to the medical-surgical unit. During the admission assessment, nurse Tyzz notes that the client is agitated and irritable, has poor memory, reports loss of appetite, and appears disheveled. These findings are consistent with which problem?
- A.
  Depression
- B.
  Neuropathy
- C.
  Hypoglycemia
- D.
  Hyperthyroidism
4.
Nurse Ruth is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which complication?
- A.
  Tetany
- B.
  Hemorrhage
- C.
  Thyroid storm
- D.
  Laryngeal nerve damage
5.
Nurse Sugar is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately?
- A.
  Pitting edema of the legs
- B.
  An irregular apical pulse
- C.
  Dry mucous membranes
- D.
  Frequent urination
6.
The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
- A.
  The client with Cushing’s disease
- B.
  The client with diabetes
- C.
  The client with acromegaly
- D.
  The client with myxedema
7.
Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress?
- A.
  Cushing syndrome.
- B.
  Pain receptors.
- C.
  Immune response.
- D.
  Neural transmission.
8.
Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex?
- A.
  Cushing’s syndrome
- B.
  Addison’s disease
- C.
  Graves’ disease
- D.
  Hashimoto’s disease
9.
The nurse is assessing a postcraniotomy client and finds the urine output from a catheter is 1500 ml for the 1st hour and the same for the 2nd hour. The nurse should suspect:
- A.
  Cushing’s syndrome
- B.
  Diabetes mellitus
- C.
  Adrenal crisis
- D.
  
  Diabetes insipidus
10.
As the shift begins, you are assigned these patients. Which patient should you assess first?
- A.
  A 38-year-old patient with Graves’ disease and a heart rate of 94/minute
- B.
  A 63-year-old patient with type 2 diabetes and fingerstick glucose of 137 mg/dL
- C.
  A 58-year-old patient with hypothyroidism and heart rate of 48/minute
- D.
  A 49-year-old patient with Cushing’s disease and +1 dependent edema
11.
You assess a patient with Cushing’s disease. For which finding will you notify the physician immediately?
- A.
  
  Purple striae present on abdomen and thighs
- B.
  Weight gain of 1 pound since the previous day
- C.
  +1 dependent edema in ankles and calves
- D.
  Crackles bilaterally in lower lobes of lungs
12.
The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except
- A.
  Hypothyroidism
- B.
  End stage renal disease
- C.
  Cushing’s Disease
- D.
  Taking Furosemide and Phenytoin.
13.
Cushing's Syndrome is a hormone disorder caused by high levels of what?
- A.
  Y Chromosomes
- B.
  Fiber in the digestive tract
- C.
  Cortisol in the blood
- D.
  Unprotected sexual contact
14.
Which would a person with Cushing's Syndrome prefer to eat?
- A.
  Fat Free Yogurt
- B.
  Salad
- C.
  Bacon Grease
- D.
  Fiber Bars
15.
Which gland does Cushing's Syndrome originate in?
- A.
  Pituitary
- B.
  Pineal
- C.
  Pancreas
- D.
  Gonads
16.
Which is an obvious sign or sympton of Cushing's Syndrome?
- A.
  Getting really, really fat.
- B.
  Losing a lot of weight
- C.
  Becoming constipated
- D.
  Kidney Failure
17.
Which of the following is NOT another name for Cushing's Syndrome?
- A.
  Hypercorticism
- B.
  Hyperadrenocorticism
- C.
  Itsenko-Cushing syndrome
- D.
  Fatty Disease
18.
The pituitary gland is also known as the ____________.
- A.
  Hypophysis
- B.
  Infundibulum
- C.
  Hypothalamus
- D.
  Neurohypophysis
19.
Adrenocorticotropic hormone (ACTH) from the pituitary stimulates the __________ glands to release _________.
- A.
  Pineal, cortisol
- B.
  Adrenal, cortisol
- C.
  Pineal, TSH
- D.
  Adrenal, TSH
20.
Signs and/or symptoms of Cushing's Disease include: (check correct boxes)
- A.
  Moon face
- B.
  Fatty limbs
- C.
  Osteoporosis
- D.
  Acne
- E.
  Euphoria
21.
Cushing's Disease and Cushing's Sydrome have the same cause.
- A.
  True
- B.
  False
22.
The most common cause of Cushing's Disease is ____________.
- A.
  Alcohol abuse
- B.
  Steroid use
- C.
  Genetic disposition
- D.
  Adenoma (benign tumor)

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What findings are expected when assessing a patient with Cushing's syndrome?

Weight gain in face (moon face) Weight gain above the collar bone (supraclavicular fat pad) Weight gain on the back of neck (buffalo hump) Skin changes with easy bruising in the extremities and development of purplish stretch marks (striae) particularly over the abdomen or axillary region.

Which clinical finding is classically seen in Cushing's syndrome?

Clinical Features of Cushing's Syndrome Obesity, usually with a central distribution, is the most frequent sign. Any sign or symptom of cortisol excess can develop initially, but muscle weakness, bruising, hypertension, facial rounding and plethora eventually occur.

What is Cushing's syndrome characterized by?

Cushing disease is an endocrine disorder characterized by excessive adrenocorticotropic hormone (ACTH) production by the anterior pituitary, leading to the release of an excess of cortisol from the adrenal glands.

Addisons disease Cushings disease

What does the nurse expect to find when assessing a client with Cushings syndrome?

What findings are expected when assessing a patient with Cushing's syndrome?

Which clinical finding is classically seen in Cushing's syndrome?

What is Cushing's syndrome characterized by?

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