Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?
Explanation & Rationale
A. Visible swelling of the neck, with no pain: This description is more consistent with a goiter, commonly associated with thyroid disorders, rather than Cushing’s syndrome. It is not a typical manifestation of cortisol excess. B. Warm, soft, moist, salmon colored skin: These skin changes are more typical of hyperthyroidism, where increased metabolism affects skin temperature and texture. Cushing’s syndrome is instead associated with fragile, thin skin and easy bruising. C. Husky voice and troubled by hoarseness: A husky or hoarse voice is generally linked to laryngeal irritation, vocal cord issues, or thyroid enlargement. It is not characteristic of the endocrine or metabolic effects of Cushing’s syndrome. D. Central type obesity, with thin extremities: This is a hallmark finding in Cushing’s syndrome. Excess cortisol leads to fat redistribution, producing truncal obesity, a rounded “moon” face, and thin extremities due to muscle wasting.