You are an RN taking report on a new patient that will be transferred to your unit. During the report, you learn that the patient has Acanthosis Nigricans. What do you expect to see when you finally get to perform a physical assessment of the patient?
Darkened urine coloration
Tachycardia
Increased pigmentation of the patients Iris
Brownish, thickened skin around the patient's neck or armpits
The Correct Answer is D
A. This is unrelated to acanthosis nigricans. Darkened urine might indicate liver issues or other conditions.
B. This is an increased heart rate, unrelated to skin conditions.
C. This refers to the colored part of the eye and is unrelated to acanthosis nigricans.
D. This is accurately describes the appearance of acanthosis nigricans. This is characterized by dark, thickened, velvety patches of skin in body folds and creases. These areas commonly include the armpits, groin, and neck.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Polydipsia, or excessive thirst, is a common symptom of diabetes, including Type 2 Diabetes Mellitus. It occurs because high blood glucose levels lead to increased urine output (polyuria), which causes dehydration and prompts excessive thirst.
B. Polyphagia, or excessive hunger, is another common symptom of T2DM. In Type 2 Diabetes, despite having high blood glucose levels, the cells are unable to effectively use glucose due to insulin resistance, leading to persistent hunger.
C. Polyuria, or excessive urination, is common in T2DM. High blood glucose levels lead to glucose spilling into the urine, which increases urine volume and frequency.
D. Anorexia, or loss of appetite, is not a typical symptom of Type 2 Diabetes Mellitus. In fact, T2DM usually presents with increased appetite (polyphagia) rather than decreased appetite.
Correct Answer is C
Explanation
A. While hyperglycemia is common after surgery, a blood sugar of 120 is not considered severely high.
B. Nausea is a common side effect of opioid pain medication and not specifically related to diabetes complications.
C. This is the most likely indicator of a severe complication, specifically Diabetic Ketoacidosis (DKA). Ketones in the blood and urine are characteristic of DKA, which can be life-threatening.
D. Postoperative soreness is expected.
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