Questions: Which clinical manifestation would the nurse expect to observe when assessing a patient with Cushing syndrome? Dyspnea Hypoglycemia Weight loss Hypotension

Which clinical manifestation would the nurse expect to observe when assessing a patient with Cushing syndrome?
Dyspnea
Hypoglycemia
Weight loss
Hypotension
Transcript text: Which clinical manifestation would the nurse expect to observe when assessing a patient with Cushing syndrome? Dyspnea Hypoglycemia Weight loss Hypotension
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Solution

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The answer is none of the provided options: Dyspnea, Hypoglycemia, Weight loss, Hypotension.

Explanation: Cushing syndrome is a condition caused by prolonged exposure to high levels of cortisol. The clinical manifestations typically associated with Cushing syndrome include:

  1. Weight gain: Particularly around the abdomen, face (moon face), and upper back (buffalo hump).
  2. Hyperglycemia: Elevated blood sugar levels due to increased gluconeogenesis and insulin resistance.
  3. Hypertension: High blood pressure due to the effects of cortisol on the cardiovascular system.
  4. Muscle weakness: Due to protein catabolism.
  5. Skin changes: Such as thinning of the skin, easy bruising, and purple striae (stretch marks).
  6. Osteoporosis: Due to decreased bone formation and increased bone resorption.
  7. Mood changes: Such as depression, anxiety, and irritability.

Given these typical manifestations, none of the options provided (Dyspnea, Hypoglycemia, Weight loss, Hypotension) are characteristic of Cushing syndrome. Instead, the nurse would expect to observe symptoms like weight gain, hyperglycemia, and hypertension.

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