A client is suspected of having acromegaly. What definitive diagnostic testing is the most reliable for confirming acromegaly?
Bone radiographs.
Glucose tolerance test in combination with a Growth hormone measurement.
Growth hormone levels.
A serum glucose level.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
. A biopsy is a procedure in which a sample of tissue is removed from the suspicious area and examined under a microscope to determine if the lump is cancerous or benign. An ultrasound uses sound waves to create an image of the breast tissue and is often used to evaluate the lump further. A clinical breast exam is a physical examination of the breast by a healthcare provider. Magnetic resonance imaging (MRI) may be used to obtain additional information about the lump, but it is not the primary diagnostic test.

Correct Answer is B
Explanation
Enuresis. Enuresis is the involuntary discharge of urine after the age at which bladder control should have been established. It is a normal finding for children up to the age of 5 years. Hematuria, Anuria, and Dysuria are abnormal findings related to the urinary system and are not normal findings for a 3-year-old.
Choice A, Hematuria, is incorrect because it is an abnormal finding related to the urinary system.
Choice C, Anuria, is incorrect because it is an abnormal finding related to the urinary system.
Choice D, Dysuria, is incorrect because it is an abnormal finding related to the urinary system.
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