Final answer:
C. "Did you notice any roughness of your skin To assess for hypercortisolism or Cushing's syndrome, the nurse should ask about thinning of the extremities, roughness or easy bruising of the skin, and any recent skin darkening. These symptoms are indicative of excessive cortisol levels associated with Cushing's syndrome.
Step-by-step explanation:
The nurse assessing a client suspected of having hypercortisolism, which is often referred to as Cushing's syndrome, should ask questions related to the signs and symptoms associated with this condition. The appropriate questions to confirm the diagnosis of hypercortisolism include:"Did you notice your extremities to be thin?" (The thinning of extremities"Did you notice any roughness of your skin?" (Thinning of the skin leading to easy bruising"Did you notice any skin darkening recently?"
(Hyperpigmentation can occurOther classic symptoms associated with Cushing's syndrome, which are caused by excessive cortisol levels, include obesity (particularly around the abdomen and face), a rounded moon face, muscle weakness, bone pain, fatigue, high blood glucose levels, excessive body hair (hirsutism), and osteoporosis. Conversely, unintentional weight loss and thicker body hair are not typical symptoms of Cushing's syndrome and might point to other conditions.To help confirm the diagnosis of hypercortisolism, the nurse should ask the following questions:'Did you lose any weight unintentionally?' Weight loss can be a symptom of hypercortisolism'Did you notice any skin darkening recently?' Skin darkening, especially in areas exposed to sunlight, is a common symptom of hypercortisolism'Did the hair on your body become thicker?' Increased hair growth or thickening of body hair is another symptom of hypercortisolismBy asking these questions, the nurse can gather information that can help confirm the diagnosis of hypercortisolism.