The nurse is reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?
Acromegaly.
Gigantism.
Dwarfism.
Simmonds disease.
The Correct Answer is B
Gigantism. Oversecretion of growth hormone before puberty leads to gigantism, which is characterized by excessive growth in height and length of bones. The growth hormone stimulates the growth of cartilage and bone, resulting in an increased height. When oversecretion occurs after puberty, it results in acromegaly, which is characterized by the enlargement of bones in the face, hands, and feet.
Choice A, Acromegaly, is incorrect because acromegaly results from oversecretion of growth hormone after puberty, and not before puberty.
Choice C, Dwarfism, is incorrect because dwarfism is caused by insufficient growth hormone secretion or poor response to the hormone, and not oversecretion.
Choice D, Simmonds disease, is incorrect because Simmonds disease is a rare disorder characterized by the atrophy of the pituitary gland, which results in decreased secretion of several hormones, including growth hormone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is ["B","C","D","E"]
Explanation
"Impaired verbal communication," "Impaired swallowing," and "Self-care deficit." These are all potential nursing diagnoses for a client who has suffered a cerebral vascular accident. Pain may not be a priority nursing diagnosis in this situation.
Correct Answer is B
Explanation
The assessment finding that is most important in determining which client has a higher risk for testicular cancer is cryptorchidism as an infant. Cryptorchidism, or undescended testicle(s), is a condition where one or both testicles fail to move from the abdomen into the scrotum before birth. Males with cryptorchidism are many times more likely to get testicular cancer than those with normally descended testicles. Cryptorchidism is the main risk factor for testicular cancer, while other factors such as previous STI, low sperm count, and family history of cancer are less clear or less common
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