The nurse is planning to admit a 14-year-old adolescent with Cushing syndrome. What clinical manifestations should the nurse expect to observe in this child? (Select all that apply.)
a. Truncal obesity
b. Decreased pubic hair
c. Petechial hemorrhage
d. Hyperpigmentation of elbows
e. Facial plethora
f. Headache and weakness
ANS: A, C, E
Clinical manifestations of Cushing syndrome include truncal obesity, petechial hemorrhage, and facial plethora. Decreased pubic and axillary hair; hyperpigmentation of elbows, knees, and wrists; and headache and weakness are clinical manifestations of adrenocortical insufficiency.
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