Author Question: The nurse is preparing to assess a patient with Cushing syndrome. Which findings should the nurse ... (Read 165 times)

Frost2351 · **on:** Jun 25, 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

shaikhs · **Reply #1 on:** Jun 25, 2018

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.

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.