Which of the following conditions would be expected with a client with an elevated thyroid-stimulating hormone (TSH) level with a decreased Triiodothyronine (T3) and Thyroxine (T4) level?

Choice D rationale

Type 1 diabetes mellitus often begins during childhood or adolescence, characterized by an absolute insulin deficiency due to autoimmune destruction of pancreatic beta cells (nih.gov, n.d.).

Choice A rationale

Relative insulin insufficiency or insulin resistance typically develops in type 2 diabetes mellitus (nih.gov, n.d.).

Choice B rationale

Type 1 diabetes mellitus requires insulin therapy, as diet, weight control, exercise, and oral hypoglycemics are usually insufficient (nih.gov, n.d.).

Choice C rationale

Complications such as neuropathy, retinopathy, and nephropathy can occur with type 1 diabetes mellitus (nih.gov, n.d.).

Choice A rationale

Stress incontinence is not caused by a detrusor muscle problem. The detrusor muscle is the muscle in the wall of the bladder, and problems with this muscle are more commonly associated with urge incontinence.

Choice B rationale

Stress incontinence is indeed caused by a pelvic floor muscle problem. Weakness in these muscles can lead to urine leakage when pressure is placed on the bladder, such as when coughing, sneezing, or lifting heavy objects.

Choice C rationale

Stress incontinence does not only occur during sleep. It can occur at any time when pressure is placed on the bladder.

Choice D rationale

While stress incontinence is more common in women, it does not occur in women only. Men can also experience stress incontinence, although it is less common.