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","B","D","E"]
Explanation
Choice A rationale
Pain during or after intercourse is a common symptom of endometriosis. The misplaced endometrial-like tissue can cause irritation and inflammation, leading to pain during or after sexual activity.
Choice B rationale
Pelvic pain is a primary symptom of endometriosis. The growth of endometrial-like tissue outside the uterus, particularly on structures within the pelvis, can lead to chronic pelvic pain. This pain may be cyclical (worsening around the menstrual period) or constant.
Choice C rationale
Urinary tract infection is not a direct clinical manifestation of endometriosis. While endometriosis can involve the urinary tract structures and cause urinary symptoms, it does not cause infections. Urinary tract infections are typically caused by bacteria, not by the presence of endometrial-like tissue.
Choice D rationale
Infertility is a potential complication of endometriosis. The presence of endometrial-like tissue can interfere with the normal function of the reproductive organs, leading to difficulties in achieving pregnancy. Approximately 30-50% of women with endometriosis may experience infertility.
Choice E rationale
Dysmenorrhea, or painful menstrual periods, is a common symptom of endometriosis. The pain is often described as far worse than typical menstrual cramps and may become more severe over time.
Correct Answer is A
Explanation
Choice A rationale
Thyrotoxicosis, also known as a thyroid storm, is a sudden and severe exacerbation of hyperthyroidism symptoms. It can indeed be triggered by infections or stress.
Choice B rationale
Hirsutism, the presence of excessive body and facial hair, is not associated with a sudden worsening of hyperthyroidism symptoms.
Choice C rationale
Myxedema refers to severe hypothyroidism, not hyperthyroidism. It does not describe a sudden worsening of hyperthyroidism symptoms.
Choice D rationale
Exophthalmos, or bulging eyes, is a symptom of hyperthyroidism, particularly Graves’ disease. However, it does not describe a sudden worsening of hyperthyroidism symptoms.
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