During an assessment of a client with Cushing syndrome, which signs are likely to be present?

Study for the Nursing care for Disorders of the Endocrine and Exocrine Systems Test. Use flashcards and multiple-choice questions, each with detailed explanations. Ace your exam now!

In assessing a client with Cushing syndrome, muscle weakness and frequent urination are indeed notable signs that may be present. Cushing syndrome results from prolonged exposure to elevated levels of cortisol, which can lead to muscle breakdown, resulting in muscle weakness. This catabolic effect on muscle tissue is a hallmark sign in patients with this condition.

Frequent urination, or polyuria, can occur due to cortisol’s effect on glucose metabolism and the body’s overall fluid balance. Elevated cortisol levels can lead to insulin resistance and increased glucose in the bloodstream, promoting osmotic diuresis, which subsequently contributes to increased urination.

The other signs associated with Cushing syndrome typically include hypertension and hyperglycemia, rather than hypotension and sodium loss. Hence, muscle weakness and frequent urination align with the expected clinical manifestations of Cushing syndrome, validating the choice as correct.

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