The nurse is assessing a patient with possible Cushing's syndrome. In a patient with Cushing's syndrome, the nurse would expect to find:
A) Hypotension
B) Thick, coarse skin
C) Deposits of adipose tissue in the trunk and dorsocervical area
D) Weight gain in arms and legs
Ans: C
Feedback: Because of changes in fat distribution, adipose tissue accumulates in the trunk, face (moon face), and dorsocervical areas (buffalo hump). Hypertension is caused by fluid retention. Skin becomes thin and bruises easily because of a loss of collagen. Muscle wasting causes muscle atrophy and thin extremities.
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A school-age client is admitted with dog bites and scratches obtained when throwing rocks at a neighbor's dog. Which action by the nurse is most appropriate?
A) Tell the client that he might go to jail for hurting the dog. B) Ask the client where his parents were when he was hurting the dog. C) Suggest to the client that it is not okay to harm animals. D) Ask the client what he intended to accomplish by hurting the dog.
A nurse educator is planning a class for a group of nursing students regarding risk management. Which information should the educator include in this presentation?
Select all that apply. A) Risk management seeks to prevent harm. B) Risk management empowers clients. C) Risk management controls the cost of supplies. D) Risk management examines past mistakes and identifies potential hazards. E) Risk management assures that nurses are truthful.
A teenage boy was hospitalized 3 weeks ago. He has been confined to bed throughout his hospital stay because of a crushed pelvis
His parents tell the nurse, "Our son is just staring off into space; he won't talk to us. We are worried because he has not even listened to his iPod, watched television, or played his video games for 2 days. That is so unlike him." What is the best response the nurse can make? a. "I will inform his doctor and see whether we can get your son started on an antidepressant medication." b. "He is at a critical time in his life; teens are often moody, and being in the hospital with an injury will only make that worse." c. "Your son had a major injury, and his immobility might be causing him to feel isolated and depressed." d. "He is bored because he has been in the hospital for 3 weeks; I'll try to find something new for him to do."