— 生理適應 · HARD · SATA —
護理師評估庫欣氏症候群（Cushing's syndrome）病人時，應預期出現哪些臨床發現？（選所有適合的）
A nurse is assessing a client with Cushing's syndrome. Which clinical findings should the nurse expect? (Select all that apply.)
- ATruncal obesity✓ 正解軀幹性肥胖
- BMoon face✓ 正解月圓臉
- CWeight loss體重減輕
- DPurple striae✓ 正解紫色紋路
- EHypotension低血壓
— Explanation · 中文詳解 —
庫欣氏症候群（Cushing's syndrome）因長期過量的糖皮質素導致代謝異常。臨床表現包括脂肪重新分配引起軀幹肥胖（Truncal obesity）與月亮臉；蛋白質分解導致皮膚變薄，出現紫色條紋（Purple striae）；此外，皮質醇具礦物皮質素作用，會導致鈉滯留與高血壓。體重增加（非減輕）是典型表現。護理重點在於監測代謝異常與血壓變化。
Cushing's syndrome causes cortisol excess, leading to fat redistribution resulting in truncal obesity and moon face, as well as protein breakdown that thins the skin and causes purple striae. These findings are characteristic of the metabolic changes associated with the condition.