Title: The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse ... Post by: Canegang on Mar 1, 2018 The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse expect to assess in this patient?
Select all that apply. 1. weight gain 2. auscultatory lung crackles 3. jugular vein distention 4. peripheral edema 5. hypotension Question 2 A patient is prescribed prednisone (Dexasone) for a chronic health problem. The nurse instructs the patient to be alert for which signs that Cushing syndrome is developing? Select all that apply. 1. fat deposits in the abdominal and clavicle regions 2. muscle weakness and wasting in the extremities 3. delayed wound healing 4. development of varicose leg veins 5. hypotension Question 3 The nurse is assessing a patient with Cushing syndrome. Which findings should the nurse report for immediate follow-up? 1. serum potassium 2.5 mEq/L and blood pressure 150/90 2. serum sodium 145 mEq/L and reports of muscle weakness 3. serum calcium 11 mg/dL and reports of feelings of depression 4. serum phosphorus 3 mg/dL and hirsutism Title: The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse ... Post by: lildeb on Mar 1, 2018 Correct Answer: 1, 2, 3, 4 The excess cortisol secretion associated with Cushing syndrome results in sodium and water resorption, causing symptoms of fluid volume excess such as weight gain, edema, and hypertension. The nurse may note crackles and wheezes on lung auscultation as well as jugular vein distention. Hypotension is not an expected assessment finding in the patient with Cushing syndrome. Correct Answer: 1, 2, 3 Symptoms of Cushing syndrome include obesity and a redistribution of body fat to the abdominal region (central obesity), the upper back, and under the clavicle. Changes in protein metabolism cause muscle weakness and wasting, especially in the extremities. Poor wound healing is common. Varicose veins and hypotension are not manifestations of Cushing syndrome. Correct Answer: 1 Hypokalemia and hypertension occur with Cushing syndrome as potassium is lost and sodium is retained. The other laboratory values and patient manifestations do not need to be reported for immediate follow-up. |