The client reports experiencing episodes of palpitations with a high heart rate, restlessness, weight loss, amenorrhea, and an intolerance to heat.
She also presents with eyes that appear to be bulging.
The nurse suspects that the provider may test for which of the following conditions?
Hyperthyroidism
Hypothyroidism
Hypoparathyroidism
Hyperparathyroidism
The Correct Answer is A
Choice A rationale
The client's symptoms, such as palpitations, high heart rate, restlessness, weight loss, amenorrhea, intolerance to heat, and bulging eyes, are consistent with hyperthyroidism. This condition occurs when the thyroid gland produces excessive amounts of thyroid hormones (Healthline, 2022).
Choice B rationale
Hypothyroidism typically presents with symptoms such as fatigue, weight gain, cold intolerance, constipation, and dry skin. This condition is characterized by an underactive thyroid gland (Healthline, 2022).
Choice C rationale
Hypoparathyroidism results from low parathyroid hormone levels, leading to symptoms like muscle cramps, tingling sensations, and tetany. It does not involve the thyroid gland (nih.gov, n.d.).
Choice D rationale
Hyperparathyroidism is caused by overactive parathyroid glands, resulting in high calcium levels in the blood. Symptoms include kidney stones, bone pain, and fatigue (Healthline, 2022).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While a urinary tract infection (UTI) can cause discomfort and pain, it typically does not cause a palpable mass in the costovertebral angle.
Choice B rationale
Gout is a form of arthritis that causes severe pain and swelling in the joints, not typically in the costovertebral angle.
Choice C rationale
Renal calculi, or kidney stones, can cause severe pain, but they do not typically cause a palpable mass in the costovertebral angle.
Choice D rationale
Renal cell carcinoma, a type of kidney cancer, can cause a palpable mass in the costovertebral angle. This is because the tumor can grow large enough to be felt through the skin.
Correct Answer is D
Explanation
Choice D rationale
Fluid retention is a factor that leads to electrolyte imbalance in a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). SIADH is a condition where the body makes too much antidiuretic hormone (ADH), leading to water retention. This retention dilutes the blood, leading to low levels of sodium, a condition known as hyponatremia.
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