A patient has been told that the recent changes in her facial features are due to a hormonal pathology called myxedema. Her nurse's explanation will be based on the understanding that myxedema is a
puffy appearance associated with hypersecretion of antidiuretic hormone (ADH)
tissue puffiness associated with hypothyroidism
proliferation of tissue behind the eyes that is common in hyperthyroidism,
state of increased cerebral edema the morning after a college party.
state of increased cerebral edema the morning after a college party.
The Correct Answer is B
A. Puffy appearance associated with hypersecretion of antidiuretic hormone (ADH): This describes the appearance associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), not myxedema.
B. Tissue puffiness associated with hypothyroidism: Myxedema is a condition related to severe hypothyroidism, characterized by swelling of the skin and underlying tissues, giving a puffy appearance, especially in the face.
C. Proliferation of tissue behind the eyes that is common in hyperthyroidism: This describes exophthalmos, a condition often seen in Graves' disease, which is associated with hyperthyroidism, not myxedema.
D. State of increased cerebral edema the morning after a college party: This choice is incorrect and unrelated to the description of myxedema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Occurs when you are physically and psychologically exhausted: An aura is a specific set of symptoms that precedes the headache, not related to exhaustion.
B. Occurs in the postdrome and causes you to feel sleepy and weak: The postdrome phase is after the headache, and an aura occurs before the headache.
C. Is a trigger such as a stressful event, that is the cause of the headache: An aura is not a trigger but rather a symptom experienced before the headache begins.
D. An aura is a warning, such as an unpleasant smell, before the headache begins: An aura is a neurological phenomenon that can include visual disturbances, unusual smells, or other sensory changes occurring before the onset of a migraine.
Correct Answer is D
Explanation
A. Hyperproteinemia and increased drug effect: In cirrhosis, hypoproteinemia (low protein levels) occurs due to decreased protein synthesis by the liver, and drug metabolism is often impaired, leading to increased drug effects, but hyperproteinemia is not a typical finding.
B. Hyperkalemia and fluid retention: While fluid retention is common due to hypoalbuminemia and portal hypertension, hyperkalemia is not a direct consequence of hepatocyte dysfunction.
C. Hypercortisolism and increased infection risk: Hypercortisolism is not typically associated with cirrhosis. However, increased infection risk is common due to compromised immune function.
D. An elevated blood glucose and ammonia level: In cirrhosis, the liver's ability to metabolize ammonia is impaired, leading to elevated levels. Additionally, impaired glucose metabolism can result in hyperglycemia.
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