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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Compression fractures. Osteoporosis is a condition characterized by decreased bone mass and density, which can lead to an increased risk of fractures. In severe cases of osteoporosis, the client may be at risk for compression fractures, especially in the spine. Compression fractures can lead to pain, loss of height, and a stooped posture.

Choice A, diabetes, is not the correct answer because it is a metabolic disorder that affects the way the body uses glucose.

Choice B, cardiac disease, is not the correct answer because it is a group of disorders that affect the heart and blood vessels.

Choice D, hypertension, is not the correct answer because it is a condition characterized by high blood pressure.

A. Report the condition to the physician immediately. B. Provide the client with nonprescription laxatives. C. Measure abdominal girth according to a set routine. D. Ask the client about food intake.

Correct Answer is C

Explanation

Measure abdominal girth according to a set routine. Abdominal enlargement is a common finding in clients with cirrhosis, which is a condition characterized by liver scarring and impaired liver function. Measuring abdominal girth regularly is an important nursing intervention to monitor the progression of abdominal distention and to identify potential complications such as ascites, which is an accumulation of fluid in the abdomen.

Choice A, reporting the condition to the physician immediately, may be necessary if the abdominal enlargement is sudden or accompanied by other symptoms such as severe pain or shortness of breath.

Choice B, providing the client with nonprescription laxatives, is not indicated for abdominal enlargement in clients with cirrhosis.

Choice D, asking the client about food intake, is not relevant to the assessment of abdominal enlargement in clients with cirrhosis.

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A client is suspected of having acromegaly. What definitive diagnostic testing is the most reliable for confirming acromegaly?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is C

Explanation

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