What serum electrolyte imbalance should the nurse anticipate in a client with Addison’s disease?
Serum potassium of 6 mEq/L
Serum potassium of 4 mEq/L
Serum sodium of 140 mEq/L
Serum sodium of 135 mEq/L
The Correct Answer is A
Choice A rationale
In a client with Addison’s disease, the nurse should anticipate a serum electrolyte imbalance characterized by a serum potassium level of 6 mEq/L. Addison’s disease, also known as primary adrenal insufficiency, occurs when the adrenal glands do not produce enough cortisol and/or aldosterone. This can lead to hyperkalemia, or high levels of potassium in the blood.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The most common first sign of breast cancer is a new lump or mass in the breast. However, not all lumps are cancerous, and some may be benign or non-cancerous19.
Choice B rationale
Chest pain is not typically associated with breast cancer. While it can occur in some cases, it is not usually the first clinical sign19.
Choice C rationale
Breast dimpling can be a sign of breast cancer, but it is not usually the first clinical sign. It is more commonly associated with more advanced stages of the disease19.
Choice D rationale
Unilateral nipple discharge can be a sign of breast cancer, but it is not usually the first clinical sign. It is more commonly associated with more advanced stages of the disease19.
Correct Answer is D
Explanation
Choice D rationale
An elevated thyroid-stimulating hormone (TSH) level combined with decreased Triiodothyronine (T3) and Thyroxine (T4) levels is indicative of hypothyroidism. This is due to the body attempting to stimulate the underactive thyroid gland to produce more thyroid hormones (Healthline, 2022).
Choice A rationale
Hyperparathyroidism, characterized by elevated serum calcium, does not involve thyroid hormone levels (nih.gov, n.d.).
Choice B rationale
Normal thyroid functioning would not exhibit elevated TSH with decreased T3 and T4 levels (Healthline, 2022).
Choice C rationale
Hyperthyroidism would present with low TSH levels and elevated T3 and T4 levels (Studocu, n.d.).
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