A patient with Addison's disease is likely to have which electrolyte imbalance?
Hypokalemia
Hyperkalemia
Hyponatremia
Hypernatremia
Correct Answer : B,C
(A) Hypokalemia: Addison’s disease does not cause potassium loss.
(B) Hyperkalemia: Addison’s disease involves adrenal insufficiency, leading to low aldosterone levels. Aldosterone normally promotes potassium excretion; without it, potassium accumulates in the blood.
(C) Hyponatremia: Lack of aldosterone also prevents sodium retention, leading to excess sodium loss in urine and low sodium levels.
(D) Hypernatremia: Sodium levels are low due to excessive sodium excretion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
(A) Achondroplasia: Causes short stature due to impaired bone growth.
(B) Marfan Syndrome: An autosomal dominant connective tissue disorder associated with tall stature, long limbs, and aortic aneurysm risk.
(C) Cystic Fibrosis: Affects the lungs and pancreas but does not cause tall stature or cardiovascular issues.
(D) Huntington’s Disease: Affects the nervous system, causing movement disorders, not tall stature.
Correct Answer is C
Explanation
(A) Prevent constipation: Calcium channel blockers can cause constipation, but metoprolol does not prevent it.
(B) Minimize gingival hyperplasia: Gingival hyperplasia is a side effect of calcium channel blockers, but metoprolol does not counteract it.
(C) Prevent recurrent chest pain: Nifedipine can cause reflex tachycardia, which increases myocardial oxygen demand. Metoprolol (a beta-blocker) prevents this by slowing the heart rate and reducing myocardial workload, thereby preventing angina.
(D) Reduce flushing: Flushing is a side effect of nifedipine, but metoprolol is not used for this purpose.
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