The answer to this question is C. When a nurse is assessing a client with a possible diagnosis of Cushing's syndrome, the nurse should expect to find deposits of adipose tissue in the trunk and dorsocervical area. Additionally, client’s with Cushing’s syndrome may also experience excess fat around the face, sometimes called moon face.
Cushing’s syndrome can actually cause the opposite affects as the other answer choices. Their skin is usually thin and cause bruise easily. Clients can also experience hypertension because of fluid retention. And there is also some muscle wasting that happens in the arms and legs.
Deposits of adipose tissue in the trunk and dorsocervical area.-rationale: because of changes in fat distribution, adipose tissue accumulates in the trunk, face (moon face), and dorsocervical areas (buffalo hump). hypertension is caused by fluid retention. skin becomes thin and bruises easily because of a loss of collagen. muscle wasting causes muscle atrophy and thin extremities. client needs category: physiological integrity client needs subcategory: physiological adaptation cognitive level: comprehension reference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing,11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1480.