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

Rationale: A. Vitiligo: Vitiligo is an autoimmune condition characterized by depigmented patches of skin due to melanocyte destruction. It is more commonly associated with Addison's disease, not Cushing’s syndrome, which involves cortisol excess rather than deficiency. B. Osteoporosis: Cushing's syndrome causes prolonged exposure to high cortisol levels, which inhibits bone formation and accelerates bone resorption. This leads to decreased bone density, making osteoporosis a common and expected finding in affected clients. C. Myxedema: Myxedema refers to the severe hypothyroid state marked by non-pitting edema, dry skin, and slowed metabolism. It is associated with thyroid hormone deficiency, not the glucocorticoid excess seen in Cushing's syndrome. D. Heat intolerance: Heat intolerance is a symptom more commonly linked to hyperthyroidism, where an increased metabolic rate leads to overheating. Clients with Cushing’s syndrome typically experience weight gain, fatigue, and cold intolerance rather than heat sensitivity.