A patient with small cell lung cancer (SCLC) has developed a paraneoplastic syndrome called Cushing syndrome. Based on this new complication, the nurse will likely assess which of the following clinical manifestations of Cushing syndrome?
A)
Weight gain, moon face, buffalo hump, and purple striae on the abdomen
B)
Bilateral edema in the arms, swollen face, and protruding eyes
C)
Severe bone/joint pain, nausea/vomiting, and polyuria
D)
Tetany, new-onset seizure activity, emotional lability, and extrapyramidal symptoms
Ans:
A
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SCLS is associated with several types of paraneoplastic syndromes, including Cushing's. Answer choice B refers to superior vena cava syndrome; answer choice C refers to hypercalcemia; and answer choice D refers to tumor lysis syndrome. All of these are complications that can occur with cancer and treatment of cancer.
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