A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?
Intention tremors
Hyperpigmentation
Purple striations
Hirsutism
The Correct Answer is B
A. Intention tremors are not typically associated with Addison's disease.
B. Hyperpigmentation, particularly in sun-exposed areas and pressure points, is a characteristic finding in Addison's disease due to increased melanocyte-stimulating hormone (MSH) production.
C. Purple striations are typically associated with Cushing's syndrome, not Addison's disease.
D. Hirsutism (excessive hair growth) is not a common manifestation of Addison's disease. It is more associated with Cushing’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is incorrect because the pH is indicative of alkalosis, not acidosis, and the body has not compensated.
B. The arterial blood gas (ABG) values provided indicate a pH of 7.6, which is above the normal range (7.35-7.45), suggesting alkalosis. The PaCO2 is low at 31 mm Hg, indicating hyperventilation, which is a respiratory process. Since the HCO3 is normal at 25 mmol/L, it suggests that the metabolic system is not the cause of the alkalosis. The body has not had time to compensate for the high pH with renal adjustments to the bicarbonate level, which would be seen in a partially compensated state.
C. This is incorrect because the bicarbonate level is normal, suggesting the metabolic system is not the cause.
D. This is incorrect because the bicarbonate level is normal, suggesting the metabolic system is not the cause.
Correct Answer is D
Explanation
A. Consuming excessive animal protein can increase the risk of kidney stones due to the metabolism of protein leading to increased excretion of calcium and oxalate.
B. Restricting calcium intake is not recommended for preventing calcium oxalate kidney stones. Adequate calcium intake from dietary sources can actually help prevent kidney stone formation by binding to oxalate in the intestines and reducing its absorption.
C. High doses of vitamin C can increase oxalate levels in the urine, which can contribute to the formation of calcium oxalate kidney stones.
D. Adequate fluid intake, typically recommended at least 3 liters (about 100 ounces) per day, helps dilute urine and reduce the concentration of stone-forming substances, thereby reducing the risk of kidney stone formation.
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