An adolescent has Cushing's syndrome due to long-term use of steroid therapy for another illness. When writing this child's care plan, which nursing diagnosis takes priority?
A.
Activity intolerance
B.
Altered body image
C.
Fluid volume deficit
D.
Impaired skin integrity
ANS: B
The child with Cushing's syndrome has a typical appearance consisting of a pendulous abdomen, round "moon" face, facial flushing, a buffalo hump, thin fragile skin, and striae. This would lead the teen to have an altered body image, as he or she would want to look like his or her peers. The other nursing diagnoses may or may not apply to individual children.
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