Exhibits

For each assessment finding, click to specify if the finding is consistent with diabetes, pancreatitis, or hyperthyroidism. Each client finding may support more than one disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

Change in weight

Blood glucose

Current T3 level

Polyuria

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B"},"C":{"answers":"C"},"D":{"answers":"A,C"}}

Rationale:

Change in weight: In uncontrolled diabetes due to the breakdown of fat and muscle when insulin is insufficient to utilize glucose effectively. Chronic pancreatitis can cause weight loss due to malabsorption of nutrients from pancreatic insufficiency and ongoing inflammation. Increased metabolic rate in hyperthyroidism causes the body to burn calories rapidly, often resulting in significant, unintentional weight loss.
Blood glucose: A blood glucose level of 250 mg/dL is diagnostic of hyperglycemia and is strongly indicative of diabetes or poorly controlled blood glucose in a known diabetic. Inflammation of the pancreas can impair insulin production, leading to hyperglycemia, especially in chronic or severe pancreatitis.
Current T3 level: A T3 level of 200 mg/dL is at the upper limit of normal. In the presence of other symptoms like weight loss and polyuria, it may support a diagnosis of hyperthyroidism or subclinical hyperthyroidism.
Polyuria: High blood glucose levels exceed the renal threshold, leading to osmotic diuresis and frequent urination, a classic sign of diabetes. Increased metabolic activity and cardiac output in hyperthyroidism can lead to increased renal perfusion and mild diuresis, contributing to frequent urination.

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Correct Answer is A

Explanation

A. Calcium 9.6 mg/dL (9 to 10.5 mg/dL): Treatment involves calcium and vitamin D supplementation to restore normal calcium levels. A calcium level of 9.6 mg/dL is within the normal range, indicating that the treatment is effective in correcting the calcium deficiency.

B. Glucose 96 mg/dL (74 to 106 mg/dL): Blood glucose is not directly related to the management of hypoparathyroidism. The glucose level being within normal range does not provide information about the effectiveness of treatment for hypoparathyroidism.

C. Potassium 4.3 mEq/L (3.5 to 5 mEq/L): Potassium levels are not directly affected by hypoparathyroidism. This value is within the normal range but does not indicate the effectiveness of treatment for hypoparathyroidism specifically.

D. Sodium 142 mEq/L (136 to 145 mEq/L): Sodium levels are not typically influenced by hypoparathyroidism or its treatment. This value is within normal range but does not indicate the effectiveness of treatment for hypoparathyroidism.

A. Serosanguineous drainage B. Granulation tissue C. Localized tenderness D. Moist wound bed

Correct Answer is C

Explanation

A. Serosanguineous drainage: Serosanguineous drainage, which is a mixture of serum and blood, is common and expected in the early stages of wound healing, including stage 3 pressure injuries. It does not necessarily indicate infection.

B. Granulation tissue: Granulation tissue is a sign of healthy wound healing. It appears as red, moist tissue and indicates that the wound is healing properly, so it does not suggest infection.

C. Localized tenderness: Localized tenderness around the wound can be a sign of infection. Infection can cause pain, redness, warmth, and tenderness at the site of the pressure injury. It is important to monitor for other signs of infection, such as increased drainage or changes in wound color.

D. Moist wound bed: A moist wound bed is generally beneficial for wound healing and does not indicate infection. In fact, keeping the wound moist helps promote granulation tissue formation and wound closure.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hypoparathyroidism. Which of the following findings should indicate to the nurse that the treatment is effective?

Correct Answer is A

Explanation

A nurse is assessing a client who has a stage 3 pressure injury. Which of the following findings indicates possible infection of the wound?

Correct Answer is C

Explanation

A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

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