Which Hormonal Deficiency Would Increase The Client'S Risk For Fractures
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Question: A nurse is caring for a client with Addison’s disease. Upon assessment, which classic sign will the nurse find?
Ecchymosis
b. Hyperreflexia
c. Exophthalmos
d. Hyperpigmentation
Answer: D. Hyperpigmentation
Rational
Hyperpigmentation, or “bronzing,” is a classic sign of Addison’s disease. Ecchymosis (bruise) is the discoloration of the skin due to rupture of blood vessels beneath the skin. Hyperreflexia is a sign of hypoparathyroidism. Exophthalmos is the classic sign of hyperthyroidism.
Question: Which laboratory value may indicate hyperfunction of the adrenal gland in a client?
A. Sodium: 143 mEq/L
B. Potassium: 2.9 mEq/L
C. Bicarbonate: 25 mEq/L
D. Total calcium: 10 mg/dL
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Question: Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels?
A. Diabetes insipidus
B. Adrenal Cushing’s syndrome
C. Pituitary Cushing’s syndrome
D. Syndrome of inappropriate antidiuretic hormone
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Question: The laboratory report of a client reveals increased serum cholesterol levels. Which other finding indicates growth hormone deficiency in the client?
A. Scalp alopecia
B. Intolerance to cold
C. Pathological fractures
D.Increased urine output
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Question: Which neurologic manifestation in a client is associated with hyperthyroidism?
A. Confusion
B. Hearing loss
C. Tremors
D. Slowness of speech
Answer: C. Tremors
Tremors is a neurologic manifestation in a client associated with hyperthyroidism. Confusion, hearing loss, and slowness of speech are caused by hypothyroidism.
Question: Which hormonal deficiency causes breast atrophy in female clients?
A. Growth hormone
B. Luteinizing hormone
C. Thyroid-stimulating hormone
D. Adrenocorticotropic hormone
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Question: A nurse is reviewing several charts. Which condition is an autoimmune disorder?
A. Addison’s disease
B. Cushing’s syndrome
C. Hashimoto’s disease
D. Sheehan’s syndrome
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