Author Question: A 51-year-old woman has been diagnosed with Cushing syndrome after a diagnostic workup that reveals ... (Read 78 times)

jasdeep_brar · **on:** Jun 25, 2018

A 51-year-old woman has been diagnosed with Cushing syndrome after a diagnostic workup that reveals cortisol hypersecretion.

The nurse knows which of the following assessment findings would be inconsistent with her diagnosis?
A)
Increased blood pressure and decreased potassium levels
B)
A protruding abdomen and a buffalo hump on the back
C)
Poor stress management and hyperpigmentation
D)
A moon face and muscle weakness

Question 2

A 15-year-old who has just been diagnosed with type 1 diabetes says she read on the Internet that diabetes is the leading cause of acquired blindness among Americans. She asks you if she will lose her sight.

In addition to explaining that new treatment technologies are being worked on every day, which of the following would be the most appropriate response?
A)
Reassure her that only type 2 diabetes is a risk factor for blindness.
B)
Explain that almost all people with type 1 diabetes do experience some degree of vision loss.
C)
Tell her to expect that she will begin to lose her eyesight by the time she is 25.
D)
Tell her there is about a 50chance that she will suffer some diabetes-related sight loss by the time she is 50.

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

Answer to Question 1

Ans:
C

Feedback:

A low tolerance for stress and hyperpigmentation is associated with Addison disease and its consequent elevated levels of ACTH. High blood pressure, hypokalemia, buffalo hump, and moon face are all characteristics of the elevated steroid levels that denote Cushing syndrome.

Answer to Question 2

Ans:
B

Feedback:

Nearly all people with type 1 diabetes and more than 60 of people with type 2 diabetes have some degree of retinopathy. Pregnancy, puberty, and cataract surgery can accelerate these changes.