Practice Quiz

NCLEX-RN

Category - Physiological

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A nurse is caring for a client with Cushing’s disease and is planning care to prevent complications of the disease while hospitalized. In order to properly report abnormal findings, the nurse should understand that this finding is not expected:
  1. Purple striae on the abdomen and thighs
  2. One pound weight gain since yesterday
  3. Bilateral crackles in the lungs
  4. Edema on the back of the neck
Explanation
Answer: C - Bilateral crackles on the lungs indicate fluid volume overload. Although edema is common in Cushing’s disease, fluid in the lungs may result in pulmonary edema. It should be managed immediately. Purple striae on the abdomen, weight gain, and a hump on the back of the neck are key findings in Cushing’s syndrome.
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