Which assessment findings should the nurse anticipate for the client with Cushings syndrome?

The client who is about to have a unilateral adrenalectomy for an adenoma that is causing hypercortisolism asks the nurse if she will have to continue the severe sodium restriction after surgery. What is the nurse's best response?

a."No, once the tumor has been removed and your cortisol levels have normalized, you will not retain excess sodium anymore."

b. "No, after surgery you will have to take oral cortisol, which can easily be controlled so that your sodium levels do not rise."

c. "Yes, the fact that you are retaining sodium and have high blood pressure is related to your age and lifestyle, not the tumor."

d. "Yes, sodium is very bad for people and everyone needs to eliminate sodium completely from their diets for the rest of their lives."

What findings are expected when assessing a patient with Cushing's syndrome?

A patient with Cushing's syndrome include an increase in serum sodium and a decrease in potassium levels. Blood studies. Indicators of Cushing's syndrome include an increase in the blood glucose levels, a reduction in the number of eosinophils, and disappearance of lymphoid tissue.

Which findings are presented with the patient who suspected with Cushing's syndrome?

Frequent clinical findings include weight gain, truncal obesity, striae, hypertension, glucose intolerance and infections. Cranial nerve II may be affected by enlarging pituitary adenomas in Cushing's disease; cranial nerves III, IV and VI may also be affected.

Which physical symptoms would a client diagnosed with Cushing syndrome exhibit?

Weight gain in face (moon face) Weight gain above the collar bone (supraclavicular fat pad) Weight gain on the back of neck (buffalo hump) Skin changes with easy bruising in the extremities and development of purplish stretch marks (striae) particularly over the abdomen or axillary region.

When caring for a client with a diagnosis of Cushing's syndrome the nurse understands the most common cause of Cushing's syndrome is?

Benign Pituitary Tumor (Adenoma) This is the most common cause of CS. Almost 75 out of 100 to 85 out of 100 all Cushing's syndrome cases are this type. Corticotropin (CRH) is normally made by the pituitary gland.