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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Constipation is not typically associated with hypocalcemia.
B. Shortened QT intervals are not characteristic of hypocalcemia; rather, prolongation of QT intervals is more common.
C. Hypoactive deep tendon reflexes, would suggest a decrease in neuromuscular excitability, which is contrary to the increased excitability seen in hypocalcemia. Therefore, hypoactive deep tendon reflexes is more commonly associated with hypercalcemia and not hypocalcemia.
D. Tingling of the extremities is a common symptom of hypocalcemia.

A. A client who has salicylate intoxication B. A client who is taking a thiazide diuretic C. A client who is vomiting D. A client who has diarrhea

Correct Answer is A

Explanation

A. Salicylate intoxication can lead to metabolic acidosis due to the accumulation of salicylic acid, which increases metabolic rate and production of organic acids.
B. Thiazide diuretics can lead to metabolic alkalosis due to the loss of hydrogen and chloride ions.
C. Vomiting can lead to metabolic alkalosis due to the loss of gastric acid.
D. Diarrhea can lead to metabolic acidosis due to the loss of bicarbonate-rich fluids.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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