A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Mineralocorticoids

Calcitonin

Thyroxine (T4)

Triiodothyronine (T3)

Glucocorticoids

Answer and Explanation

Correct Answer : C,D

Choice A reason: Mineralocorticoids are produced by the adrenal glands and regulate sodium and potassium balance, not typically associated with the symptoms of myxedema.

Choice B reason: Calcitonin is involved in calcium metabolism and is not related to the symptoms of myxedema.

Choice C reason: Thyroxine (T4) is a thyroid hormone essential for regulating metabolism. A deficiency in T4 leads to symptoms such as fatigue, cold intolerance, and myxedema.

Choice D reason: Triiodothyronine (T3) is another thyroid hormone crucial for metabolism regulation. A lack of T3, along with T4, contributes to the symptoms of myxedema.

Choice E reason: Glucocorticoids are produced by the adrenal glands and are involved in stress response and metabolism, but are not directly related to myxedema.

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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: Cullen's sign is a physical finding of bruising around the umbilicus, often associated with intra-abdominal bleeding or pancreatitis. It is not related to Parkinson's disease.

Choice B reason: Bradykinesia, or slowed movement, is a hallmark symptom of Parkinson's disease. It affects the ability to initiate and control movements.

Choice C reason: Pill rolling is a characteristic hand tremor seen in Parkinson's disease. It involves a rhythmic movement of the fingers as if rolling a small object between them.

Choice D reason: Unilateral tremors, or tremors occurring on one side of the body, are often one of the early signs of Parkinson's disease. The tremors typically start on one side and may progress to affect both sides.

Choice E reason: Swan neck deformity is a feature of rheumatoid arthritis, involving deformity of the fingers. It is not associated with Parkinson's disease.

A. A low fiber diet with decreased intake of nuts B. A low fat diet with a restriction of citrus fruits C. A low carbohydrate diet and the elimination of red meats D. A low sodium diet and fluid restriction

Correct Answer is D

Explanation

Choice A reason: A low fiber diet with decreased intake of nuts is not specifically indicated for managing Meniere's disease. Meniere's disease management focuses on fluid balance rather than dietary fiber.

Choice B reason: A low fat diet with a restriction of citrus fruits is not relevant to Meniere's disease. Fat intake and citrus fruits do not directly affect the symptoms or management of this condition.

Choice C reason: A low carbohydrate diet and the elimination of red meats are not standard dietary recommendations for Meniere's disease. The focus is on reducing sodium intake to manage fluid retention and balance.

Choice D reason: A low sodium diet and fluid restriction are key dietary measures for managing Meniere's disease. Reducing sodium intake helps to decrease fluid retention, which can alleviate symptoms such as vertigo and tinnitus associated with this condition.

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A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client's family complains of several gradually presenting signs and symptoms. The nurse suspects Parkinson's disease based on what signs and symptoms? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

The home care nurse is preparing to visit a client diagnosed with Meniere's disease. The nurse reviews the primary health care provider's prescriptions and expects to educate the client on which dietary measure?

Correct Answer is D

Explanation

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