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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Moon face, buffalo hump, and hyperglycemia: These manifestations are associated with Cushing's disease, not Addison's disease.

B. Hirsutism, fever, and irritability: These symptoms are not characteristic of Addison's disease.

C. Anorexia, fatigue, and hypotension: Addison's disease often presents with symptoms like anorexia, fatigue, hypotension, and hyperpigmentation of the skin.

D. Tachycardia, exophthalmos, and goiter: These symptoms are associated with hyperthyroidism, not Addison's disease.

A. high unconjugated low direct B. high conjugated: high direct C. high direct: high unconjugated. D. low indirect: normal unconjugated.

Correct Answer is B

Explanation

A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

B. High conjugated, high direct: In cirrhosis and alcoholic liver disease, the liver's ability to process bilirubin is impaired, leading to elevated levels of both conjugated (direct) and unconjugated bilirubin, causing jaundice.

C. High direct, high unconjugated: Both direct (conjugated) and unconjugated bilirubin levels are elevated, but this does not clarify the direct relationship with jaundice.

D. Low indirect, normal unconjugated: In liver disease, bilirubin levels are elevated, not low or normal.

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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

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient diagnosed with Addison's disease. Which clinical manifestations are expected?

Correct Answer is C

Explanation

A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

Correct Answer is B

Explanation

A patient presents to the emergency department (ED) with malaise, nausea and "yellow eyes." A diagnosis of hepatitis A (HAV) is confirmed. Which statement, by the registered nurse (RN), indicates an understanding of this illness?

A patient has seizure activity that is continuous in nature; the seizure subsides and then immediately resumes and continues. The nurse identifies this emergent condition as

A clinic nurse asks her patient who suffers from migraine headaches if she experiences an aura before the headache begins. The patient appears confused and asks "What is an aura?". Which statement is true? "An aura

A patient presents to the emergency department (ED) with a two-hour history of hemiparesis of the right arm and leg. These symptoms spontaneously resolve within 4 hours of her arrival to the emergency department (ED). The nurse will anticipate teaching the patient about

Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

An elderly patient is hospitalized with several problems. His medical history includes uncontrolled hypertension and Type II diabetes mellitus (DM). A HbA1c is measured This laboratory test measures the

Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?