Free PN NCLEX Practice Questions Practice Question
Because the client is thought to have Cushing's syndrome, the nurse should assess the client for the presence of which of the following? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Cushing's syndrome is characterized by excess cortisol, leading to several physiological changes. High blood sugar (A) is common due to cortisol's role in glucose metabolism. Easy bruising (B) occurs because cortisol weakens blood vessels and skin integrity. Immunosuppression (D) arises from elevated cortisol levels, which can impair the immune response. Fluid retention (E) is also a typical symptom, as cortisol influences fluid balance.
Low blood pressure (C) is incorrect; patients typically experience hypertension due to fluid retention and increased vascular resistance. Pitting acne (F) is not a hallmark of Cushing's syndrome; while skin changes occur, they are more related to thinning rather than acne formation.
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