Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Endocrine

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Jena, age 32, visited a day clinic to report a sudden weight gain. She also reported to the nurse on duty that her abdomen is now bigger than before and her face looks “swollen” and rounded. Which additional assessment finding would lead the nurse to suspect that Jena has Cushing’s syndrome rather than obesity?
  1. Large thighs and upper arms
  2. Pendulous abdomen and large hips
  3. Abdominal striae and ankle enlargement
  4. Posterior neck fat pad and thin extremities
Explanation
Answer - D - Posterior neck fat pad and thin extremities are also noted in a client with Cushing’s syndrome. “Buffalo hump” is the accumulation of fat pads over the upper back and neck. Fat may also accumulate on the face, which suggests a “swollen” and rounded face. There is truncal obesity, but the extremities are thin.
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