The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Severe obesity

Severe dehydration

Connective tissue disorders such as scleroderma

Childhood growth spurts

Answer and Explanation

The Correct Answer is B

A.   Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B.   Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C.   Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D.   Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

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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. Tachycardia B. Dyspnea C. Constipation D. Atrophied nodular thyroid gland

Correct Answer is A

Explanation

A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.

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The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

Correct Answer is B

Explanation

The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

Correct Answer is A

Explanation

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