A client is experiencing excessive thirst, increased urination, weight loss, and fatigue.
What conditions does the nurse suspect?
Hyperthyroidism
Hypoglycemia
Diabetes mellitus
Cushing syndrome
The Correct Answer is C
Choice C rationale
Excessive thirst, increased urination, weight loss, and fatigue are all classic symptoms of diabetes mellitus, which is characterized by high blood sugar levels due to insulin deficiency or resistance (nih.gov, n.d.).
Choice A rationale
Hyperthyroidism, although it can cause weight loss, typically presents with additional symptoms such as increased heart rate, heat intolerance, and tremor (Studocu, n.d.).
Choice B rationale
Hypoglycemia typically leads to symptoms like sweating, hunger, and shakiness, often occurring in diabetic patients who take too much insulin or miss a meal (nih.gov, n.d.).
Choice D rationale
Cushing syndrome, resulting from excessive cortisol production, presents with symptoms like weight gain, thinning skin, easy bruising, and muscle weakness (nih.gov, n.d.).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The most common first sign of breast cancer is a new lump or mass in the breast. However, not all lumps are cancerous, and some may be benign or non-cancerous19.
Choice B rationale
Chest pain is not typically associated with breast cancer. While it can occur in some cases, it is not usually the first clinical sign19.
Choice C rationale
Breast dimpling can be a sign of breast cancer, but it is not usually the first clinical sign. It is more commonly associated with more advanced stages of the disease19.
Choice D rationale
Unilateral nipple discharge can be a sign of breast cancer, but it is not usually the first clinical sign. It is more commonly associated with more advanced stages of the disease19.
Correct Answer is A
Explanation
Choice A rationale
Pyloric stenosis is a condition that affects infants, typically between two and six weeks of age. The most common symptoms include projectile vomiting and persistent hunger, as the thickening of the pylorus prevents food from passing to the small intestines. Abdominal pain may also be present. Therefore, projectile vomiting and abdominal pains are clinical manifestations of pyloric stenosis in the infant.
Choice B rationale
While irritability can be a symptom of pyloric stenosis due to the infant’s discomfort, weight gain is not typically associated with this condition. In fact, weight loss or poor weight gains are more common due to the vomiting and reduced food intake.
Choice C rationale
Pyloric stenosis does not typically cause frequent stools or bleaching. In fact, fewer bowel movements may be observed because little food is passing to the small intestines.
Choice D rationale
Edema and diarrhea are not typical symptoms of pyloric stenosis. The primary symptoms are related to the obstruction of the stomach outlet, which includes projectile vomiting and persistent hunger.
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