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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?

  1. Ecchymosis

  2. b. Hyperreflexia

  3. c. Exophthalmos

  4. d. Hyperpigmentation

  5. Answer: D. Hyperpigmentation

  6. Rational

  7. 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.

  8. Question: Which laboratory value may indicate hyperfunction of the adrenal gland in a client?

  9. A. Sodium: 143 mEq/L

  10. B. Potassium: 2.9 mEq/L

  11. C. Bicarbonate: 25 mEq/L

  12. D. Total calcium: 10 mg/dL

  13. Answer:

  14. Question:

  15. Answer:

  16. Question: Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels?

  17. A. Diabetes insipidus

  18. B. Adrenal Cushing’s syndrome

  19. C. Pituitary Cushing’s syndrome

  20. D. Syndrome of inappropriate antidiuretic hormone

  21. Answer:

  22. Question: The laboratory report of a client reveals increased serum cholesterol levels. Which other finding indicates growth hormone deficiency in the client?

  23. A. Scalp alopecia

  24. B. Intolerance to cold

  25. C. Pathological fractures

  26. D.Increased urine output

  27. Answer:

  28. Question: Which neurologic manifestation in a client is associated with hyperthyroidism?

  29. A. Confusion

  30. B. Hearing loss

  31. C. Tremors

  32. D. Slowness of speech

  33. Answer: C. Tremors

  34. Tremors is a neurologic manifestation in a client associated with hyperthyroidism. Confusion, hearing loss, and slowness of speech are caused by hypothyroidism.

  35. Question: Which hormonal deficiency causes breast atrophy in female clients?

  36. A. Growth hormone

  37. B. Luteinizing hormone

  38. C. Thyroid-stimulating hormone

  39. D. Adrenocorticotropic hormone

  40. Answer:

  41. Question:

  42. Answer:

  43. Question: A nurse is reviewing several charts. Which condition is an autoimmune disorder?

  44. A. Addison’s disease

  45. B. Cushing’s syndrome

  46. C. Hashimoto’s disease

  47. D. Sheehan’s syndrome

  48. Answer: