A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Rationale: A. Hyperpigmentation: Cushing’s syndrome is associated with excessive cortisol levels, which can increase adrenocorticotropic hormone (ACTH) in some cases, leading to hyperpigmentation of the skin. Clients often develop darkened areas in skin folds, scars, and pressure points. B. Hypotension: Cushing’s syndrome usually causes hypertension due to fluid retention and sodium reabsorption stimulated by excess cortisol and aldosterone-like effects. Hypotension would be more characteristic of Addison’s disease, not Cushing’s. C. Weight loss: Clients with Cushing’s typically experience weight gain, especially truncal obesity, moon face, and buffalo hump, due to altered fat metabolism. Weight loss is inconsistent with the pathophysiology of the disorder. D. Diaphoresis: Excessive sweating is not a hallmark feature of Cushing’s syndrome. Clients are more likely to present with skin thinning, easy bruising, and poor wound healing rather than diaphoresis.