The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse ...

The answer to question 1

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.

The answer to question 2

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.

The answer to question 3

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.