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Question
Client Profile: Z.R. is a 34-year-old high school math teacher. He is at his primary care provider's office due to concerns about changes to his physical appearance over the past 10 months. Subjective Data: Reports 10-15 lb weight gain, mostly in his abdomen, easily bruises, and swelling in his legs, feet, and hands. Reports he has had problems with insomnia and has noted generalized weakness Objective Data: BP: 148/108, 2 edema bilateral lower extremities, purple striae on abdomen, skin is thin and friable, notable acne on the face, neck, chest, and upper back. Labs: Glucose 165 mg/dL, WBC 13,200/uL, RBC 6.6 x 106/uL, K 3.3 mEq/L
Answer the following questions:
Discuss the pathophysiology of Cushing's Syndrome. Identify and explain what diagnostic tests would help identify the cause of Z.R's condition. What treatments are available for Cushing's Syndrome? Identify two priority nursing actions when providing care for this client. List the potential long-term complications Z.R. could experience due to his condition.
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