Which findings are expected when assessing a patient with Cushing syndrome?

a. Edema of the trunk, extremities, and face
b. Wasting of the abdomen with thick, call-oused skin
c. Excess adipose tissue in the trunk, slender extremities, and moon face
d. High levels of potassium and low levels of sodium, weakness, and wasting


C
Truncal obesity, thin extremities, and moon face are the classical signs of Cushing syndrome caused by long-term corticosteroid therapy.

Nursing

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When a client provides written instruction of their personal choices related to health care that is recognized under state law, the nurse recognizes that this is considered:

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The nursing instructor is discussing with students different types of health histories. A student asks when it would be appropriate to take a comprehensive health history. What would be the instructor's best answer? (Select all that apply.)

A) During a hospital admission B) At a clinic visit for a fall C) In the emergency department after a car accident D) During an annual physical examination E) At a screening for sports participation

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The nurse and doctor are discussing treatment options for a client diagnosed with benign prostatic hypertrophy (BPH) with the client and his wife

The client expresses an interest in trying an alternative therapy, as he has read that this has been effective in relieving symptoms. The nurse is aware that which of the following is an alternative therapy? 1. Laser surgery 2. Treatment with dutasteride (Avodart) 3. Use of phytotherapy 4. Balloon uretoplasty

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In the neural tube defect spina bifida, which of the following problems can the nurse expect the child to exhibit?

1. Problems walking 2. Partial or complete paralysis of the legs 3. Problems with bowel or bladder control 4. All of the above

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