A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)
Explanation & Rationale
A. Monitor for an irregular heart rate: Electrolyte imbalances (such as low potassium) and hypertension in Cushing’s can predispose clients to cardiac arrhythmias, so cardiac monitoring is prudent. B. Monitor for postural hypotension: Cushing’s usually causes fluid retention and hypertension rather than postural hypotension (postural hypotension is more associated with adrenal insufficiency). C. Weigh the client daily: Daily weights detect fluid retention and rapid weight changes common with cortisol excess. D. Assess blood glucose level: Hyperglycemia and glucose intolerance are frequent in Cushing’s and require monitoring. E. Assess for neck vein distention: Jugular venous distention is more specific to cardiac failure or significant volume overload and is not a routine primary assessment focus for uncomplicated Cushing’s.