— 生理適應 · MEDIUM · SATA —
護理師評估庫興氏症候群（Cushing's syndrome）的病人，應預期出現哪些臨床表徵？（選所有適合的）
A nurse is assessing a client with Cushing's syndrome. Which findings should the nurse anticipate? (Select all that apply.)
- ATruncal obesity✓ 正解軀幹性肥胖
- BMoon face✓ 正解滿月臉
- CPurple striae on the abdomen✓ 正解腹部出現紫色紋路
- DWeight loss體重減輕
- EHyperglycemia✓ 正解高血糖
— Explanation · 中文詳解 —
庫興氏症候群源於體內皮質醇（cortisol）長期過高。臨床表現包含脂肪重分配導致的軀幹肥胖、滿月臉，皮膚變薄導致腹部紫色條紋，以及皮質醇促進糖質新生導致的高血糖。體重因水腫與脂肪堆積通常會增加，而非減輕。
Cushing's syndrome results from chronic cortisol excess, leading to characteristic fat redistribution such as truncal obesity and moon face. The condition also causes skin thinning, resulting in purple striae, and promotes gluconeogenesis, which leads to hyperglycemia; weight gain is typical due to fluid retention and fat accumulation.
✦ 台美臨床差異
美台對於此類內分泌疾患的診斷與照護重點一致，皆強調代謝監測。