A patient presents to the emergency department with complaints of frequent urination, excessive thirst, chronic fatigue, and mild confusion. Serum glucose is shown to be within normal limits. Which condition is described?
Diabetes mellitus
Underactive thyroid
Acute thyroiditis
Diabetes insipidus
The Correct Answer is D
Diabetes insipidus is a disorder of water balance caused by a deficiency of antidiuretic hormone (ADH) or a resistance to its action. ADH regulates the reabsorption of water in the kidneys and prevents excessive urine output. Without enough ADH or with reduced sensitivity to it, the kidneys produce large amounts of diluted urine, leading to frequent urination and thirst. Chronic fatigue and mild confusion may result from dehydration and electrolyte imbalance. Serum glucose is not affected by diabetes insipidus, unlike diabetes mellitus, which is a disorder of carbohydrate metabolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Memory impairment. A TIA is a temporary interruption of blood flow to a part of the brain, causing neurological deficits that usually resolve within 24 hours. The symptoms of a TIA may include difficulty speaking, understanding, reading, or writing; confusion; memory loss; weakness or numbness on one side of the body; vision problems; or dizziness.
Correct Answer is C
Explanation
Barrett's esophagus is a condition in which the normal squamous epithelium of the esophagus is replaced by columnar epithelium due to chronic acid reflux. This can increase the risk of esophageal cancer and cause symptoms such as dysphagia, odynophagia, and a sensation of a lump in the throat.
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