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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale: this is the correct answer since the darkened spots in the uterus represent endometrial-like tissue growths within the muscular wall of the uterus (the myometrium).

Choice B rationale: This picture shows leiomyomas, also known as fibroids, which are benign tumors that develop from the smooth muscle cells of the uterus. They can vary in size, number, and location within or outside the uterus. They can cause symptoms such as heavy bleeding, pelvic pressure, pain, and infertility.

Choice C rationale: This is endometriosis which is a condition where tissue similar to the endometrium (the lining of the uterus) grows outside the uterus, such as on the ovaries, fallopian tubes, pelvic wall, or bowel. This tissue responds to hormonal changes and bleeds during the menstrual cycle, causing inflammation, pain, and sometimes infertility.

Choice D rationale: This image shows a normal uterus.

A. Assess the client urine output (UOP) B. Obtain a 12-lead electrocardiogram (ECG) C. Notify the primary healthcare provider (PMHCP) D. Stop the regular insulin infusion

Correct Answer is C

Explanation

Choice A rationale: Assessing the UOP is important, but not as urgent as correcting the potassium imbalance.

Choice B rationale: Obtaining a 12-lead ECG can help monitor the cardiac status, but it does not address the cause of the problem.

Choice C rationale: The PMHCP can order potassium replacement to prevent cardiac arrhythmias and other adverse effects of low potassium levels.

Choice D rationale: Stopping the regular insulin infusion can worsen the DKA and increase the risk of cerebral edema and coma.

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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?

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Explanation

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Correct Answer is C

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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?