— 生理適應 · HARD · SATA —
病人呈現庫欣氏症候群（Cushing's syndrome）徵象。護理師應預期哪些評估發現？（選所有適合的）
A client presents with signs of Cushing's syndrome. What assessment findings should the nurse anticipate? (Select all that apply.)
- AMoon face✓ 正解月亮臉
- BTruncal obesity✓ 正解軀幹性肥胖
- CHypertension✓ 正解高血壓
- DWeight loss體重減輕
- EPurple striae on the abdomen✓ 正解腹部出現紫色紋路
— Explanation · 中文詳解 —
庫欣氏症候群（Cushing's syndrome）是因長期皮質素（Cortisol）過量分泌引起的代謝異常。典型特徵包括：水牛肩（Buffalo hump）、月亮臉（Moon face）、軀幹型肥胖（Truncal obesity）、腹部與大腿的紫色紋路（Purple striae）、高血壓、高血糖、肌肉萎縮與骨質疏鬆。皮質素會導致水分與鈉滯留，脂肪重新分布至軀幹，故體重通常增加而非減輕。
Cushing's syndrome results from chronic excess cortisol, leading to characteristic metabolic and physical changes such as moon facies, truncal obesity, hypertension, and purple abdominal striae due to collagen breakdown. Weight gain is typical rather than weight loss, making options A, B, C, and E the correct anticipated findings.