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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. For patients with COPD, exercising right before a meal can increase shortness of breath and fatigue, making it difficult to eat. It's generally recommended to rest for at least 30 minutes before a meal.
B. High-carbohydrate meals can lead to increased carbon dioxide production, which can worsen shortness of breath in COPD patients.
C. Carbonated drinks can cause bloating and discomfort, which can worsen breathing difficulties.
D. Eating smaller meals more often can help prevent bloating and shortness of breath.

A. This type of Diabetes is likely related to your high LDL levels B. This type of Diabetes is probably related to your waist size and ethnicity C. This type of Diabetes has to do with the hormone ADH D. This type of Diabetes is thought to be an Autoimmune disorder caused by genetic factors and stress

Correct Answer is D

Explanation

A. Type 1 Diabetes Mellitus (T1DM) is not directly related to LDL (low-density lipoprotein) levels, which are typically associated with cardiovascular health rather than T1DM.
B. Type 1 Diabetes Mellitus is not associated with waist size or ethnicity. Waist size and ethnicity are more relevant to Type 2 Diabetes Mellitus, which is influenced by lifestyle factors such as diet and exercise.
C. ADH (antidiuretic hormone) primarily regulates water balance in the body and is not directly related to the pathogenesis of Type 1 Diabetes Mellitus.
D. Type 1 Diabetes Mellitus is indeed an autoimmune disorder. It is caused by the immune system mistakenly attacking insulin-producing beta cells in the pancreas. Genetic factors play a significant role in predisposing individuals to T1DM, and while stress may exacerbate symptoms, it is not the primary cause.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

COPD patients require teaching regarding modifications to their diet and eating habits. Which of the following patient teachings is FALSE?

Correct Answer is A

Explanation

You are caring for a patient with a new diagnosis of Diabetes Mellitus Type 1. The patient is upset and states "How could this happen? I eat a vegan diet and get plenty of exercise". What is your BEST response?

Correct Answer is D

Explanation

What is the term used to describe the total amount of blood ejected from the Ventricle over 1 minute?

Your patient is a 50-year-old female who was brought into the hospital several days ago and diagnosed with Type 1 Diabetes Mellitus. Which of the following lab results would be expected?

Your patient states that he experiences chest pain that increases with activity and decreases with rest. He is most likely describing which type of Angina?

A nurse is caring for a client who has a blood glucose of 52. The client is lethargic but arousable. Which of the following actions should the nurse perform first?

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A nurse is providing discharge teaching to a client who has a new prescription for Prednisone for asthma. Which of the follow client statements indicates understanding?

A nurse is providing discharge teaching to a client who has COPD and a new prescription for Albuterol. Which of the following statements by the client indicates an understanding of the teaching?

Patients with Emphysema can sometimes display some characteristic signs and symptoms. Which of the following is NOT commonly one of these characteristic signs?