Which of the following factors leads to electrolyte imbalance in a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH)?
Increased blood glucose
Excessive urination
Excessive sweating
Fluid retention
The Correct Answer is D
Choice D rationale
Fluid retention is a factor that leads to electrolyte imbalance in a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). SIADH is a condition where the body makes too much antidiuretic hormone (ADH), leading to water retention. This retention dilutes the blood, leading to low levels of sodium, a condition known as hyponatremia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Testicular torsion is a condition in which the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly.
Choice B rationale
A spermatocele is a fluid-filled sac that develops in the epididymis, a small organ attached to the testicle that is involved in producing sperm. It does not involve an abnormal rotation of the testes on the spermatic cord.
Choice C rationale
A hydrocele is a type of scrotal swelling caused by fluid accumulating in the thin sheath surrounding a testicle. It does not involve an abnormal rotation of the testes on the spermatic cord.
Choice D rationale
A varicocele is an enlargement of the veins within the loose bag of skin that holds your testicles (scrotum). It does not involve an abnormal rotation of the testes on the spermatic cord.
Correct Answer is A
Explanation
Choice A rationale
The client's symptoms, such as palpitations, high heart rate, restlessness, weight loss, amenorrhea, intolerance to heat, and bulging eyes, are consistent with hyperthyroidism. This condition occurs when the thyroid gland produces excessive amounts of thyroid hormones (Healthline, 2022).
Choice B rationale
Hypothyroidism typically presents with symptoms such as fatigue, weight gain, cold intolerance, constipation, and dry skin. This condition is characterized by an underactive thyroid gland (Healthline, 2022).
Choice C rationale
Hypoparathyroidism results from low parathyroid hormone levels, leading to symptoms like muscle cramps, tingling sensations, and tetany. It does not involve the thyroid gland (nih.gov, n.d.).
Choice D rationale
Hyperparathyroidism is caused by overactive parathyroid glands, resulting in high calcium levels in the blood. Symptoms include kidney stones, bone pain, and fatigue (Healthline, 2022).
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