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
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 pigmen-tation of the skin and mucous membranes.
Diabetes is manifested in many ways but not by a "moon face" or "buffalo hump."
You might also like to view...
While assessing the child, the nurse uses palpation to assess:(Select all that apply) Standard Text: Select all that apply
1. Texture of hair 2. Temperature 3. Vibration 4. Mobility 5. Color
According to Maslow's basic human needs hierarchy, which needs are the most basic?
A) physiologic B) safety and security C) love and belonging D) self-esteem
The nurse is completing the medication reconciliation form for a patient admitted with chronic cancer pain. Which medication is of most concern to the nurse?
a. Amitriptyline (Elavil) 50 mg at bedtime b. Ibuprofen (Advil) 800 mg 3 times daily c. Oxycodone (OxyContin) 80 mg twice daily d. Meperidine (Demerol) 25 mg every 4 hours
The nurse is caring for a postpartum patient who had an estimated blood loss of 500 ml following a vaginal birth. What is the best clinical measure of the patient's actual blood loss?
1. The clinical estimation of blood loss at time of birth 2. A decrease in the hematocrit of 10 points between the time of admission and the time of postbirth 3. The amount of saturation of the linens during and after the birth 4. A decrease in blood pressure and increase in pulse after birth