Which manifestations are associated with fluid excess? (Select all that apply)
Weight gain
Edema
Decreased blood pressure
Crackles in lungs
Jugular vein distension
Correct Answer : A,B,D,E
Choice A reason: Fluid excess causes weight gain due to increased water retention in tissues and vascular spaces. This is common in conditions like heart failure or renal dysfunction, where fluid accumulates, increasing body mass, making this a correct manifestation.
Choice B reason: Edema, swelling from fluid accumulation in interstitial spaces, is a hallmark of fluid excess. It occurs when hydrostatic or oncotic pressures are imbalanced, as in heart or kidney failure, making this a correct manifestation.
Choice C reason: Fluid excess typically increases blood pressure due to expanded blood volume, as seen in heart failure. Decreased blood pressure is not a direct result of fluid overload, making this choice incorrect for fluid excess.
Choice D reason: Crackles in the lungs occur in fluid excess, as fluid leaks into alveoli (pulmonary edema) due to increased hydrostatic pressure, often in heart failure. This impairs gas exchange, making this a correct manifestation.
Choice E reason: Jugular vein distension results from fluid excess increasing venous pressure, often in right heart failure. Expanded blood volume distends neck veins, a visible sign of fluid overload, making this a correct manifestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Photophobia, sensitivity to light, is not associated with hypothyroidism. It occurs in conditions like migraines or meningitis. Hypothyroidism slows metabolism, causing fatigue, not light sensitivity, making this choice incorrect.
Choice B reason: Exophthalmos, protruding eyes, is associated with hyperthyroidism (Graves’ disease) due to orbital inflammation. Hypothyroidism does not cause eye protrusion, making this choice incorrect for hypothyroidism manifestations.
Choice C reason: Weight loss is typical of hyperthyroidism due to increased metabolism. Hypothyroidism slows metabolism, causing weight gain, not loss, due to reduced energy expenditure, making this choice incorrect.
Choice D reason: Hypothyroidism reduces thyroid hormone levels, slowing metabolism and causing lethargy, fatigue, and reduced energy. This is a hallmark symptom due to decreased cellular activity, making this the correct choice.
Correct Answer is C
Explanation
Choice A reason: Overproduction of parathyroid hormone causes hyperparathyroidism, leading to hypercalcemia and bone issues. Addison’s disease involves adrenal insufficiency, reducing cortisol and aldosterone, not parathyroid dysfunction, making this choice incorrect as it describes a different endocrine disorder unrelated to adrenal function.
Choice B reason: Lack of insulin production by the pancreas describes type 1 diabetes, not Addison’s disease. Addison’s disease affects the adrenal glands, causing deficiencies in cortisol and aldosterone, leading to metabolic and electrolyte imbalances, making this choice incorrect for the described condition.
Choice C reason: Addison’s disease is adrenal insufficiency, characterized by inadequate cortisol and aldosterone production due to adrenal gland damage (e.g., autoimmune). This leads to symptoms like fatigue, hypotension, and hyperkalemia, accurately describing the pathophysiology and making this the correct choice.
Choice D reason: Overproduction of growth hormone causes acromegaly or gigantism, not Addison’s disease. Addison’s involves adrenal hormone deficiency, not pituitary overactivity. Growth hormone excess affects growth and metabolism, not adrenal function, making this choice incorrect for Addison’s disease.
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