Cushing's Syndrome By Rnpedia.Com
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Choose the letter of the correct answer.
- 1.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.
- 2.In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in:
- A.
Serum glucose level.
- B.
Hair loss.
- C.
Bone mineralization.
- D.
Menstrual flow.
- 3.
- A.
Depression
- B.
Neuropathy
- C.
Hypoglycemia
- D.
Hyperthyroidism
- 4.
- A.
Tetany
- B.
Hemorrhage
- C.
Thyroid storm
- D.
Laryngeal nerve damage
- 5.Nurse Sugar is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately?
- A.
Pitting edema of the legs
- B.
An irregular apical pulse
- C.
Dry mucous membranes
- D.
Frequent urination
- 6.The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
- A.
The client with Cushing’s disease
- B.
The client with diabetes
- C.
The client with acromegaly
- D.
The client with myxedema
- 7.Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress?
- A.
Cushing syndrome.
- B.
Pain receptors.
- C.
Immune response.
- D.
Neural transmission.
- 8.Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex?
- A.
Cushing’s syndrome
- B.
Addison’s disease
- C.
Graves’ disease
- D.
Hashimoto’s disease
- 9.
- A.
Cushing’s syndrome
- B.
Diabetes mellitus
- C.
Adrenal crisis
- D.
Diabetes insipidus
- 10.As the shift begins, you are assigned these patients. Which patient should you assess first?
- A.
A 38-year-old patient with Graves’ disease and a heart rate of 94/minute
- B.
A 63-year-old patient with type 2 diabetes and fingerstick glucose of 137 mg/dL
- C.
A 58-year-old patient with hypothyroidism and heart rate of 48/minute
- D.
A 49-year-old patient with Cushing’s disease and +1 dependent edema
- 11.You assess a patient with Cushing’s disease. For which finding will you notify the physician immediately?
- A.
Purple striae present on abdomen and thighs
- B.
Weight gain of 1 pound since the previous day
- C.
+1 dependent edema in ankles and calves
- D.
Crackles bilaterally in lower lobes of lungs
- 12.The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except
- A.
Hypothyroidism
- B.
End stage renal disease
- C.
Cushing’s Disease
- D.
Taking Furosemide and Phenytoin.
- 13.Cushing's Syndrome is a hormone disorder caused by high levels of what?
- A.
Y Chromosomes
- B.
Fiber in the digestive tract
- C.
Cortisol in the blood
- D.
Unprotected sexual contact
- 14.Which would a person with Cushing's Syndrome prefer to eat?
- A.
Fat Free Yogurt
- B.
Salad
- C.
Bacon Grease
- D.
Fiber Bars
- 15.Which gland does Cushing's Syndrome originate in?
- A.
Pituitary
- B.
Pineal
- C.
Pancreas
- D.
Gonads
- 16.Which is an obvious sign or sympton of Cushing's Syndrome?
- A.
Getting really, really fat.
- B.
Losing a lot of weight
- C.
Becoming constipated
- D.
Kidney Failure
- 17.Which of the following is NOT another name for Cushing's Syndrome?
- A.
Hypercorticism
- B.
Hyperadrenocorticism
- C.
Itsenko-Cushing syndrome
- D.
Fatty Disease
- 18.The pituitary gland is also known as the ____________.
- A.
Hypophysis
- B.
Infundibulum
- C.
Hypothalamus
- D.
Neurohypophysis
- 19.Adrenocorticotropic hormone (ACTH) from the pituitary stimulates the __________ glands to release _________.
- A.
Pineal, cortisol
- B.
Adrenal, cortisol
- C.
Pineal, TSH
- D.
Adrenal, TSH
- 20.Signs and/or symptoms of Cushing's Disease include: (check correct boxes)
- A.
Moon face
- B.
Fatty limbs
- C.
Osteoporosis
- D.
Acne
- E.
Euphoria
- 21.Cushing's Disease and Cushing's Sydrome have the same cause.
- A.
True
- B.
False
- 22.The most common cause of Cushing's Disease is ____________.
- A.
Alcohol abuse
- B.
Steroid use
- C.
Genetic disposition
- D.
Adenoma (benign tumor)
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