Endocrine Question #6

Question

The nurse is caring for a client with a diagnosis of Cushing’s syndrome with a history of anterior pituitary tumor. The nurse will assess for which of the following characteristics of Cushing’s syndrome? (Select all that apply)

Answers

  1. Round face
    • Rationale:
  2. Hyperactive state
    • Rationale:
  3. Round face
    • Rationale:
  4. Swelling of feet and legs
    • Rationale:

Overview

Explanation

Cushing’s syndrome has features of weight gain, round face, loss of hair, thin skin and stretch marks, feet and leg edema, fatigue, ‘buffalo hum’ between posterior shoulders, and hypertension. All of the selections are correct except for B since Cushing’s may cause fatigue and poor concentration instead of hyperactivity. The syndrome manifests itself due to pituitary tumor that secretes ACTH, which stimulates the adrenal glands to produce too much cortisol which may produce Cushing’s.

Learning Outcomes

Test Taking Tip

Video Rationale