What physical assessment finding might indicate a client has Cushing syndrome?

The presence of hypertension and a moon face are significant physical assessment findings that indicate a client may have Cushing syndrome. Cushing syndrome results from prolonged exposure to high levels of cortisol, which can lead to various systemic effects.

Hypertension is commonly associated with increased cortisol levels, as cortisol can enhance the reabsorption of sodium, leading to fluid retention and elevated blood pressure. Moon face, characterized by a rounded face with a smooth, full appearance, is a hallmark cosmetic manifestation of Cushing syndrome due to the redistribution of fat.

These symptoms are particularly telling because they directly relate to the pathophysiology of the syndrome. In Cushing syndrome, along with hypertension and moon face, other symptoms may include weight gain in the upper body, red streaks on the skin, and muscle weakness, but the combination of hypertension and moon face tightly correlates with the disorder.