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 B

Explanation

A. This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B. The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C. These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D. A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.

A. Increasing capillary fragility B. increased sebaceous and sweat glands. C. Decreased collagen. D. Lose elasticity

Correct Answer is C

Explanation

A. Increasing capillary fragility contributes to bruising and bleeding but does not directly cause skin folding or sagging.
B. Increased sebaceous and sweat glands may affect skin texture but are not the primary cause of sagging skin.
C. Decreased collagen is the primary reason for skin sagging in aging, as collagen provides structure and elasticity to the skin. With age, collagen production decreases, leading to wrinkles and sagging.
D. Loss of elasticity is a consequence of reduced collagen and elastin fibers, contributing to skin changes, but decreased collagen is the main cause of the sagging.

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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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Explanation

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Explanation

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