A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

Tachycardia.

Diarrhea.

Facial edema.

Heat intolerance.

The correct answer is c) Facial edema.

Answer and Explanation

The Correct Answer is C

Choice A reason:
Tachycardia, or an abnormally rapid heart rate, is not a typical finding in myxedema. Myxedema is associated with hypothyroidism, which usually presents with bradycardia, or a slower than normal heart rate, due to the decreased metabolic demands on the body.
Choice B reason:
Diarrhea is not commonly associated with myxedema. Instead, patients with hypothyroidism and myxedema often experience constipation due to slowed gastrointestinal motility.
Choice C reason:
Facial edema, particularly around the eyes, is a classic sign of myxedema. Myxedema is a severe form of hypothyroidism that can cause mucopolysaccharide deposition in the skin, leading to non-pitting edema. This can be particularly noticeable in the face and periorbital area.
Choice D reason:
Heat intolerance is more commonly associated with hyperthyroidism, not hypothyroidism. Patients with myxedema typically have cold intolerance due to a decrease in basal metabolic rate and reduced heat production.

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Correct Answer is D

Explanation

Choice a reason:
Pigeon Chest, or pectus carinatum, is a condition where the breastbone is pushed outward, and the chest appears to protrude. It is not typically associated with a barrel-shaped chest, which is characterized by a rounded and bulging appearance.

Choice b reason:
Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus. While it can cause chest expansion, it does not lead to a barrel-shaped chest. The barrel-shaped chest is more indicative of a chronic condition rather than an acute infection like pneumonia.

Choice c reason:
Funnel Chest, or pectus excavatum, is a condition where the breastbone is sunken into the chest. Unlike a barrel-shaped chest, funnel chest gives the chest a depressed appearance.

Choice d reason:
COPD, or Chronic Obstructive Pulmonary Disease, is commonly associated with a barrel-shaped chest. This shape results from the chronic hyperinflation of the lungs due to obstructive lung disease, which causes the rib cage to remain expanded.

A. The immunization schedule recommended for the client's age. B. The need for regular mammogram screening to identify breast cancer lesions. C. The need for consistent use of seat belts when in a motor vehicle. D. The impact of annual vision examinations on personal health and safety.

Correct Answer is B

Explanation

Choice a reason:
Immunization schedules are typically considered a part of primary prevention. They are intended to prevent diseases before they occur by using vaccines to provide immunity against infections.

Choice b reason:
Regular mammogram screenings are a form of secondary prevention. They are used to detect breast cancer lesions early before symptoms appear, which can lead to more effective treatment and better outcomes.

Choice c reason:
The consistent use of seat belts is a primary prevention strategy. It is a proactive measure to prevent injuries in the event of a motor vehicle accident.

Choice d reason:
Annual vision examinations can be considered part of secondary prevention if they are used to detect vision problems or eye diseases in their early stages. However, they can also be seen as primary prevention because they help maintain and protect eye health before issues arise.

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A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While examining a client, the nurse observes the client's chest to be barrel-shaped. The nurse would interpret this as indicating which of the following?

Correct Answer is D

Explanation

While conducting the health assessment, the nurse instructs the client about secondary prevention activities. What information did the nurse most likely provide to this client?

Correct Answer is B

Explanation

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