The nurse observes the final diagnosis of four clients in their case reports as given below.
In which client does the nurse notice the presence of Chvostek sign and Trousseau sign?
Hypothyroidism
Pineal tumor
Hypoparathyroidism
Pheochromocytoma
The Correct Answer is C
Choice A rationale: Chvostek and Trousseau signs are not typically associated with hypothyroidism.
Choice B rationale: These signs are not commonly related to pineal tumors.
Choice C rationale: Chvostek and Trousseau signs, indicating neuromuscular irritability due to hypocalcemia, are often seen in hypoparathyroidism.
Choice D rationale: Chvostek and Trousseau signs are not characteristic findings in pheochromocytoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Gloves should be worn during direct contact with the client's skin. This is a standard precaution that applies to all clients, but especially to those with infectious diseases that can be transmitted through contact. Secondary syphilis is highly contagious and can be spread through direct contact with the skin lesions or mucous
membranes of an infected person.
Choice B rationale: This is incorrect because secondary syphilis requires more than standard precautions to prevent transmission.
Choice C rationale: This is incorrect because handwashing is a basic component of standard precautions and is not sufficient to prevent the spread of syphilis.
Choice D rationale: This is incorrect because a mask is not necessary for contact precautions, unless the client has respiratory symptoms or is undergoing aerosol- generating procedures.
Correct Answer is C
Explanation
Choice A rationale: Peptic ulcer disease doesn't typically present with ecchymosis around the umbilicus (Cullen's sign) or significantly elevated amylase and lipase levels.
Choice B rationale: Gastroenteritis is less likely given the specific symptoms, physical exam findings, and laboratory results indicating pancreatic involvement.
Choice C rationale: Acute pancreatitis fits the clinical picture with epigastric pain after heavy alcohol use, persistent nausea/vomiting, tenderness, and elevated amylase and lipase levels.
Choice D rationale: Diverticulitis typically presents with symptoms more localized to the lower abdomen and doesn't cause the characteristic findings seen in this scenario.
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