A nurse is caring for a patient who has secondary obesity. Which condition is the most likely to result in secondary obesity?

Crohn’s disease

Addison’s disease

Cushing’s disease

Graves’ disease

Answer and Explanation

The Correct Answer is C

Choice A reason: Crohn’s disease, an inflammatory bowel condition, typically causes weight loss due to malabsorption, diarrhea, and reduced appetite. It does not lead to secondary obesity, as the chronic inflammation and nutrient loss impair weight gain. Obesity is more associated with metabolic or endocrine disorders, not gastrointestinal diseases like Crohn’s.

Choice B reason: Addison’s disease, or adrenal insufficiency, leads to weight loss due to cortisol deficiency, causing reduced appetite, nausea, and metabolic dysfunction. It does not cause secondary obesity, as the lack of glucocorticoids impairs fat accumulation. Weight gain is more linked to conditions with excess cortisol, not its deficiency.

Choice C reason: Cushing’s disease, caused by excess cortisol from a pituitary tumor, promotes secondary obesity by increasing appetite and fat deposition, particularly in the trunk and face. Cortisol enhances gluconeogenesis and fat storage, leading to weight gain. This endocrine disorder directly causes obesity, making it the most likely condition in this scenario.

Choice D reason: Graves’ disease, a form of hyperthyroidism, causes weight loss due to increased metabolism, despite increased appetite. Elevated thyroid hormones accelerate catabolism, burning calories and preventing fat accumulation. Secondary obesity is not associated with Graves’ disease, as it promotes a hypermetabolic state, not weight gain.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Hypotension is a hallmark of myxedema coma, as severe hypothyroidism slows metabolism, reducing cardiac output and vascular tone. This leads to low blood pressure, contributing to shock. Fluid retention and hyponatremia may exacerbate hypotension, making it a critical symptom requiring urgent thyroid hormone replacement and supportive care.

Choice B reason: Tachycardia is not typical in myxedema coma. Severe hypothyroidism causes bradycardia due to decreased metabolic rate and cardiac output. Tachycardia is seen in hyperthyroidism or other conditions like sepsis. Myxedema coma presents with slowed physiological processes, making tachycardia inconsistent with this life-threatening hypothyroid state.

Choice C reason: Hypothermia is a classic symptom of myxedema coma, as hypothyroidism impairs thermogenesis and metabolic rate, leading to decreased body temperature. This can drop to life-threatening levels, exacerbating altered consciousness and organ dysfunction. Hypothermia reflects the systemic slowdown of metabolic processes, requiring urgent warming and thyroid hormone administration.

Choice D reason: Hypoventilation is common in myxedema coma due to reduced respiratory drive from severe hypothyroidism. Decreased metabolism and central nervous system depression lead to shallow, slow breathing, causing hypercapnia and acidosis. This respiratory compromise is a critical feature, necessitating ventilatory support alongside thyroid hormone replacement to reverse the coma.

Choice E reason: Hyperactivity is not associated with myxedema coma. Severe hypothyroidism causes lethargy, confusion, and decreased consciousness due to slowed metabolism and cerebral hypoperfusion. Hyperactivity is seen in hyperthyroidism, not hypothyroidism. Myxedema coma presents with profound sluggishness, making this symptom inconsistent with the patient’s clinical presentation.

A. Hypothermia B. Bradycardia C. Nystagmus D. Chills

Correct Answer is D

Explanation

Choice A reason: Hypothermia is not a common adverse effect of platelet transfusion. It may occur with massive blood transfusions due to cold storage, but platelet transfusions are smaller and given at room temperature. Chills, from immune reactions, are more likely, as hypothermia is unrelated to platelet-specific transfusion complications.

Choice B reason: Bradycardia is not typically associated with platelet transfusions. Adverse reactions include fever, chills, or allergic responses, not heart rate slowing. Bradycardia may occur in cardiovascular conditions or massive transfusions causing electrolyte shifts, but platelet transfusions primarily cause immune or febrile reactions, making this an incorrect choice.

Choice C reason: Nystagmus, an ocular movement disorder, is not an adverse effect of platelet transfusion. Transfusion reactions involve fever, chills, urticaria, or anaphylaxis due to immune responses. Nystagmus is related to neurological conditions, not hematologic interventions, making it an irrelevant finding in the context of platelet transfusion complications.

Choice D reason: Chills are a common adverse effect of platelet transfusion, often part of a febrile non-hemolytic reaction. Cytokines or antibodies in the donor platelets trigger an immune response, causing chills, fever, or rigors. This is a recognized transfusion reaction, requiring monitoring and possible intervention like antipyretics to manage symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a patient who has secondary obesity. Which condition is the most likely to result in secondary obesity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a 20-year history of hypothyroidism who has not been compliant with taking thyroid replacement therapy is brought into the ED with a diagnosis of myxedema coma. Which symptoms are consistent with this life-threatening event? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse is assessing a patient who is receiving a platelet transfusion. Which of the following findings is an adverse effect of the transfusion?

Correct Answer is D

Explanation

A nurse is caring for a patient who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

A nurse admits a patient to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

A nurse is caring for a patient who the provider suspects might have pernicious anemia. The nurse should expect the provider to prescribe which of the following diagnostic tests?

What should the nurse suspect when hourly assessment of urine output on a patient post-craniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?

A nurse is providing care for a patient who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor?

A patient has symptoms suspicious of deep vein thrombosis. Which lab test would be helpful to see if higher-than-normal amounts of protein fragments secondary to fibrinolysis are present in the blood?

A nurse is assessing a patient who has Graves’ disease. Which of the following findings should the nurse expect? (Select all that apply)

A nurse cares for a patient experiencing diabetic ketoacidosis who presents with Kussmaul respirations. What action would the nurse take?