Final answer:
A nurse should expect to find high blood glucose, obesity, a "moon face," buffalo hump, weak muscles, bone pain, fatigue, hyperhidrosis, capillary dilation, and thin skin in a client with Cushing's disease. These signs result from excessive levels of cortisol, often caused by tumors, and treatments aim to reduce cortisol levels.
Step-by-step explanation:
When assessing a client with a new diagnosis of Cushing's disease, a nurse should expect to observe several characteristic findings. Common symptoms include high blood glucose levels, an increased risk of obesity, and distinctive changes in body composition such as a rounded "moon face," fat accumulation between the shoulders (buffalo hump), and weak muscles. Additional findings may include bone pain, fatigue, excessive sweating (hyperhidrosis), capillary dilation, thinning of the skin which can lead to easy bruising, and possibly hypertension, excessive body hair, and signs of depression. The diagnosis and treatment of Cushing's syndrome are focused on identifying and managing excessive cortisol levels, which may involve discontinuing exogenous cortisol sources, undergo surgery, or using radiation therapy or medications that regulate cortisol if the excess is caused by tumors.