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 C
Explanation
Choice A rationale
Intussusception is a condition in which a part of the intestine folds into the section next to it. It is not an inflammatory bowel disorder. Ulcerative colitis is an inflammatory bowel disorder, but it is not paired with intussusception in this context.
Choice B rationale
Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or first part of the small intestine, called the duodenum. It is not an inflammatory bowel disorder.
Choice C rationale
Ulcerative colitis and Crohn’s disease are both types of Inflammatory Bowel Disease (IBD). They are chronic diseases that cause inflammation in the digestive tract, specifically the colon and the end of the small intestine.
Choice D rationale
Intussusception and volvulus are both types of bowel obstructions. They are not classified as inflammatory bowel disorders.
Correct Answer is A
Explanation
Choice A rationale
Delirium, or sudden confusion, is a clinical manifestation of a urinary tract infection (UTI) in an elderly client. UTIs can cause sudden confusion among seniors, which may resemble serious conditions like dementia. The confusion is usually reversible if the UTI is properly treated.
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