During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

Exophthalmos

Coarse facial features

Bowed long bones

Acorn-shaped cranium

Answer and Explanation

The Correct Answer is B

A.   Exophthalmos, or bulging eyes, is associated with hyperthyroidism (such as in Graves' disease), not acromegaly.
B.   This is a hallmark sign of acromegaly. People with acromegaly often develop coarse, enlarged facial features (e.g., thickened lips, enlarged nose, protruding jaw, and enlarged tongue), which occur due to excess growth hormone.
C.   While acromegaly can cause abnormal bone growth, especially in the hands and feet, it does not typically result in bowed long bones. This would be more suggestive of conditions like rickets or osteomalacia.
D.   While acromegaly can lead to changes in the skull, it does not typically result in a distinctly acorn- shaped cranium. This is not a primary diagnostic feature of acromegaly.

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Correct Answer is D

Explanation

A. Top-to-bottom comparison is not the best method for auscultation. A more systematic approach is needed.
B. Posterior-to-anterior comparison does not apply to all auscultation areas, and a consistent method across the thorax is preferred.
C. Interspace-by-interspace comparison involves comparing sounds across different intercostal spaces but is not a method for transitioning between sites.
D. Side-to-side comparison ensures the nurse is assessing both sides of the thorax equally and systematically, which is the correct approach.

A. 2nd intercostal space right of the sternal border B. 5th intercostal space medial to mid-clavicular line C. 2nd intercostal space left of the sternal border. D. 4-5th intercostal space left of the sternal border.

Correct Answer is A

Explanation

A. 2nd intercostal space right of the sternal border is the correct location for auscultating the aortic valve.
B. 5th intercostal space medial to the mid-clavicular line is the location for the mitral valve.
C. 2nd intercostal space left of the sternal border is the location for auscultating the pulmonic valve.
D. 4-5th intercostal space left of the sternal border is where the tricuspid valve is auscultated.

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During an admission assessment, the nurse notices that a male patient has an enlarged and rather thick skull. The nurse suspects acromegaly. What additional finding would the nurse assess for to confirm this suspicion?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is A

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