A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)

A. Purple striations: Purple striae (stretch marks) are a common manifestation of Cushing's syndrome due to skin thinning and increased cortisol levels. These marks are often found on the abdomen, thighs, or arms. B. Hypertension: Elevated blood pressure is a common finding in Cushing's syndrome because excess cortisol increases sodium and water retention, leading to fluid volume expansion and increased blood pressure. C. Moon face: A rounded, "moon-shaped" face is a classic feature of Cushing's syndrome due to the redistribution of fat associated with high cortisol levels. D. Buffalo hump: A buffalo hump, which is a fat pad that forms on the back of the neck and shoulders, is another characteristic manifestation of Cushing's syndrome caused by fat redistribution. E. Tremors: Tremors are not a typical manifestation of Cushing's syndrome. The primary symptoms are related to changes in fat distribution, skin, blood pressure, and hormone levels.