A nurse is assessing a client with a history of Addison's disease admitted for surgery. The nurse is aware that which of the following is an expected assessment finding?

Weight gain

Hyperpigmentation

Elevated blood pressure

Purple striations

Answer and Explanation

The Correct Answer is B

A. Weight gain is not typical in Addison's disease; instead, weight loss is common.
B. Hyperpigmentation, particularly in sun-exposed areas and skin folds, is a classic symptom of Addison's disease due to elevated ACTH levels.
C. Low blood pressure, not elevated, is common due to decreased cortisol levels.
D. Purple striations are more commonly seen in Cushing's syndrome rather than Addison's disease.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Hypertension has been associated with an increased risk of cataract development due to vascular changes that may affect the eye’s lens.
B. A family history of cataracts increases an individual's risk, as there may be a genetic predisposition to developing the condition.
C. Obesity is linked to cataracts, possibly due to metabolic effects that affect lens clarity over time.
E. Increasing age is a well-established risk factor for cataracts, as natural aging processes lead to changes in lens transparency.
D. Wearing sunglasses protects against UV exposure, which can lower the risk of cataracts, making it a preventive measure rather than a risk factor.

A. A 19-year-old male on low dose steroids for a week B. A 35-year-old female who completed 3 weeks of steroids. C. An 80-year-old female who takes steroids daily. D. A 45-year old male with COPD who uses intermittent steroids.

Correct Answer is C

Explanation

A. A short-term, low-dose steroid use (one week) has minimal risk for adrenal suppression.
B. Three weeks of steroids increases risk, but daily use presents a higher risk.
C. Prolonged daily steroid use, especially in an older adult, poses the greatest risk for adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal (HPA) axis.
D. Intermittent steroid use is less likely to cause adrenal insufficiency compared to daily long-term use.

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A nurse is assessing a client with a history of Addison's disease admitted for surgery. The nurse is aware that which of the following is an expected assessment finding?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is C

Explanation

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