A nurse is performing a physical examination on an adolescent male suspected of having an endocrine disorder. Which of the following assessment findings might be indicative of a problem with the thyroid gland?
Development of a buffalo hump and moon face
Central obesity and purple striations
Sudden weight loss without dieting
Positive Trosseau's sign when checking the client's blood pressure
The Correct Answer is C
A. Development of a buffalo hump and moon face:
This is associated with Cushing's syndrome, a disorder characterized by prolonged exposure to high levels of cortisol.
B. Central obesity and purple striations:
Also indicative of Cushing's syndrome, where excess cortisol can lead to the accumulation of fat in the abdominal area (central obesity) and the development of purple stretch marks (striae).
C. Sudden weight loss without dieting:
This is more characteristic of hyperthyroidism, where the thyroid gland is overactive, leading to increased metabolism and unintended weight loss.
D. Positive Trousseau's sign when checking the client's blood pressure:
Trousseau's sign is associated with hypocalcemia and is seen in conditions affecting the parathyroid gland rather than the thyroid. It involves carpal spasm induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increase the intake of vitamin E to enhance absorption:
While vitamin C can enhance iron absorption, vitamin E does not play a significant role in iron absorption. Vitamin C-rich foods can be advised to enhance iron absorption.
B. Iron will cause the stools to darken in color:
This statement is accurate. Iron supplements can cause stools to appear darker in color, often black or greenish-black. This change in stool color is normal and expected when taking iron supplements.
C. Take the iron with dairy products to enhance absorption:
Dairy products can inhibit iron absorption. It's better to take iron supplements with vitamin C-rich foods or orange juice to enhance absorption.
D. Limit foods high in fiber due to the risk for diarrhea:
Fiber-rich foods do not necessarily need to be limited when taking iron supplements. However, some individuals may experience constipation when taking iron supplements, in which case increasing fluid intake and dietary fiber can help alleviate constipation.
Correct Answer is ["B","C","E"]
Explanation
A. Buffalo hump:
Explanation: A buffalo hump is associated with excess cortisol, which is not a typical manifestation of Addison's disease. Instead, patients with Addison's disease may experience weight loss and muscle wasting.
B. Hyponatremia:
Explanation: Correct. Hyponatremia (low sodium levels) can occur in Addison's disease due to the loss of aldosterone, which plays a role in sodium and water balance.
C. Decreased glucose level:
Explanation: Correct. Addison's disease can lead to hypoglycemia (low blood glucose levels) because cortisol, which is important for maintaining blood glucose, is deficient.
D. Weight gain:
Explanation: Weight gain is not a typical manifestation of Addison's disease. Instead, weight loss and muscle wasting may occur.
E. Craving for salt:
Explanation: Correct. Addison's disease can lead to salt craving, as aldosterone deficiency results in increased sodium loss and potassium retention.
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