An obese patient is admitted to the unit. The blood glucose level is 379, urinalysis reveals glycosuria, blood pressure is 178/99, and the patient complains of muscle aches and weakness
The patient also exhibits a "moon face" and "buffalo hump." The nurse recognizes these signs and symptoms as ______________________ and anticipates _____________________.
a. Graves' disease; treatment directed at the cause
b. Addison's disease; administration of fludrocortisone
c. Cushing's syndrome; treatment directed at the cause
d. diabetes; insulin replacement therapy
ANS: C
Cushing's syndrome is manifested by obesity, hyperglycemia, glycosuria, hypertension, fluid and electrolyte disturbances, osteoporosis, muscle weakness, myopathy, hirsutism, a "moon face," and a "buffalo hump." Treatment is directed at the cause.
Graves' disease is not associated with the adrenal gland, but rather with the thyroid gland.
Addison's disease is manifested by weakness, emaciation, hypoglycemia, and increased pigmentation of the skin and mucous membranes.
Diabetes is manifested in many ways but not by a "moon face" or "buffalo hump."
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