A client has a decreased secretion of erythropoietin from the kidneys due to end-stage kidney disease. What outcome will the decrease in erythropoietin have?

Glucose tolerance test in combination with a Growth hormone measurement. Acromegaly is a condition in which there is an excess of growth hormone (GH) production by the anterior pituitary gland, resulting in abnormal growth of bones and tissues in the body. The definitive diagnostic test for acromegaly involves a glucose tolerance test combined with a measurement of GH levels. During the test, the client will be given a dose of glucose, and the GH levels will be measured before and after the glucose is given. In acromegaly, the GH levels remain elevated even after glucose administration.

Choice A, bone radiographs, may show the enlarged bones associated with acromegaly, but it is not the definitive diagnostic test for the condition.

Choice C, growth hormone levels, is not specific enough for diagnosing acromegaly, as elevated GH levels can occur in other conditions as well.

Choice D, a serum glucose level, is not specific for acromegaly, as the glucose level may be normal in clients with the condition.

A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.

Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.

Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.

Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.