Nurse Ronn is assessing a client with
possible Cushing’s syndrome. In a client with
Cushing’s syndrome, the nurse would expect
to find:
a. Hypotension.
b. Thick, coarse skin.
c. Deposits of adipose tissue in the trunk and
dorsocervical area.
d. Weight gain in arms and legs.
1. Answer C. Because of changes in fat distribution,
adipose tissue accumulates in the trunk, face
(moonface), and dorsocervical areas (buffalo hump).
Hypertension is caused by fluid retention. Skin
becomes thin and bruises easily because of a loss of
collagen. Muscle wasting causes muscle atrophy and
thin extremities.
2. A male client with primary diabetes
insipidus is ready for discharge on
desmopressin (DDAVP). Which instruction
should nurse Lina provide?
a. “Administer desmopressin while the suspension
is cold.”
b. “Your condition isn’t chronic, so you won’t need
to wear a medical identification bracelet.” c.
“You may not be able to use desmopressin
nasally if you have nasal discharge or
blockage.”
d. “You won’t need to monitor your fluid
intake and output after you start taking
desmopressin.”
2. Answer C. Desmopressin may not be absorbed if
the intranasal route is compromised. Although
diabetes insipidus is treatable, the client should wear
medical identification and carry medication at all
times to alert medical personnel in an emergency and
ensure proper treatment. The client must continue to
monitor fluid intake and output and receive adequate
fluid replacement.
3. Nurse Wayne is aware that a positive
Chvostek’s sign indicate? a.
Hypocalcemia
b. Hyponatremia
Hypokalemia
d. Hypermagnesemia
a. Hypocalcemia
b. Hyponatremia
Hypokalemia
d. Hypermagnesemia
3. Answer A. Chvostek’s sign is elicited by tapping
the client’s face lightly over the facial nerve, just
below the temple. If the client’s facial muscles twitch,
it indicates hypocalcemia. Hyponatremia is indicated
by weight loss, abdominal cramping, muscle
weakness, headache, and postural hypotension.
Hypokalemia causes paralytic ileus and muscle
weakness. Clients with hypermagnesemia exhibit a
loss of deep tendon reflexes, coma, or cardiac arrest.
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