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 B

Explanation

A. Respiratory Acidosis, both compensated and uncompensated, is characterized by an elevated PaCO2, which is not present in this case.
B. The elevated pH (7.5) and HCO3 (34 mmol/L) indicate metabolic alkalosis. The elevated pH and the slightly elevated PaCO2 (40 mm Hg) suggest the partially compensated state, which is the respiratory compensation attempting to correct the alkalosis.
C. The fact that the PaCO2 is not low rules out respiratory alkalosis.
D. The arterial blood gas values indicate a high pH (7.5), a normal PaCO2 (40 mm Hg), and an elevated HCO3 (34 mmol/L), which are indicative of metabolic alkalosis. However, the elevated pH and the slightly elevated PaCO2 (40 mm Hg) suggest a partially compensated state.

A. Lethargy B. Photophobia C. Weight loss D. Exophthalmos

Correct Answer is A

Explanation

A. Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
B. Photophobia is not typically associated with hypothyroidism.
C. Weight gain is more common in hypothyroidism due to slowed metabolism, rather than weight loss.
D. Exophthalmos is a characteristic feature of hyperthyroidism, not hypothyroidism.

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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

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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