A client is taking glucocorticoids for an extended period of time. The nurse would anticipate the client to display which physical signs upon assessment?(Select all that apply.)
1. Increased urination
2. Constipation
3. Fat deposits on the shoulders
4. Moon face
5. Buffalo hump
3, 4, 5
Rationale 1: Increased urination is not a physical sign of long-term glucocorticoid use.
Rationale 2: Constipation is not a physical sign of long-term glucocorticoid use.
Rationale 3: Signs include bruising and a characteristic pattern of fat deposits in the cheeks (moon face), shoulders (buffalo hump), and abdomen.
Rationale 4: Signs include bruising and a characteristic pattern of fat deposits in the cheeks (moon face), shoulders (buffalo hump), and abdomen.
Rationale 5: Signs include bruising and a characteristic pattern of fat deposits in the cheeks (moon face), shoulders (buffalo hump), and abdomen.
Global Rationale: During long-term therapy, the healthcare provider must be alert for signs of overtreatment, a condition called Cushing syndrome which includesbruising and a characteristic pattern of fat deposits in the cheeks (moon face), shoulders (buffalo hump), and abdomen. Increased urination is not a physical sign of long-term glucocorticoid use. Constipation is not a physical sign of long-term glucocorticoid use.
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