A 35 year old female with Graves disease is admitted to the hospital. What manifestations would the nurse expect to find on her initial assessment?
weight gain and cold intolerance
slow heart rate and rash
skin hot and moist and rapid heart rate
constipation and confusion
The Correct Answer is C
A. Weight gain and cold intolerance: These manifestations are typical of hypothyroidism rather than Graves disease. Hypothyroid clients often experience decreased metabolism, leading to weight gain and intolerance to cold temperatures, which contrasts with the hypermetabolic state of Graves disease.
B. Slow heart rate and rash: Bradycardia is associated with hypothyroidism, not hyperthyroidism. A rash is not a typical presenting feature of Graves disease. These findings do not align with the expected clinical picture of a client with excessive thyroid hormone activity.
C. Skin hot and moist and rapid heart rate: Graves disease is characterized by hyperthyroidism, which increases metabolism and sympathetic nervous system activity. Clients commonly present with warm, moist skin and tachycardia. Other expected findings include weight loss, heat intolerance, and tremors.
D. Constipation and confusion: Constipation is more common in hypothyroidism due to slowed gastrointestinal motility. Confusion may occur in severe thyroid storm or other metabolic disturbances but is not a typical initial manifestation of Graves disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased risk of colon cancer: Chronic inflammation of the colon in ulcerative colitis predisposes clients to dysplasia and an elevated risk of colorectal cancer. The risk increases with disease duration and extent, making regular surveillance essential.
B. Malabsorption in small intestine: Ulcerative colitis primarily affects the colon and rectum. Malabsorption is more characteristic of Crohn’s disease, which can involve the small intestine and impair nutrient absorption.
C. Development of fistulas: Fistula formation is common in Crohn’s disease due to transmural inflammation, whereas ulcerative colitis involves only the mucosa and submucosa, making fistulas rare.
D. Skip lesions: Skip lesions, or patchy areas of inflammation separated by normal tissue, are typical of Crohn’s disease. Ulcerative colitis usually presents with continuous inflammation starting from the rectum, not skip lesions.
Correct Answer is C
Explanation
A. Density: Osteoporosis is characterized by decreased bone density rather than an increase. Loss of bone mass makes bones more fragile and susceptible to fractures. Increased density would be protective against fractures.
B. Formation: Bone formation by osteoblasts is reduced or outpaced in osteoporosis. The imbalance favors bone loss rather than new bone production. Increased formation would strengthen bone, not weaken it.
C. Resorption: Osteoporosis results from increased bone resorption by osteoclasts relative to bone formation. This imbalance leads to thinning of bone structure and reduced strength. The accelerated breakdown of bone tissue increases fracture risk.
D. Mineralization: Mineralization refers to the deposition of calcium and phosphate in bone matrix. Osteoporosis does not involve increased mineralization; instead, overall bone mass is reduced. Increased mineralization would not explain bone fragility.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.