A nurse in the emergency department is caring for female client.

Exhibits
For each of the client's findings, click to specify if the assessment finding is consistent with Cushing syndrome, hyperthyroidism, or diabetes mellitus. Each finding may support more than 1 disease process.

Glucose level

Weight change

Emotional feelings

Blood pressure

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"A,B,C"}}

Glucose level: Elevated glucose is a hallmark of Diabetes Mellitus. In Cushing syndrome, excess cortisol causes insulin resistance and hyperglycemia. In Hyperthyroidism, increased metabolism leads to rapid glucose absorption and glucose intolerance.

Weight change: The client experienced weight loss. This is consistent with Hyperthyroidism (high metabolism burns calories faster than intake) and Diabetes (breakdown of fats/proteins due to lack of insulin). Cushing syndrome is characterized by weight gain (truncal obesity/moon face).

Emotional feelings: Both Cushing syndrome (excess cortisol) and Hyperthyroidism (excess thyroid hormone) are well-known for causing severe mood lability, irritability, anxiety, and insomnia. While unstable blood sugar in diabetes can affect mood, it is not a primary psychiatric characteristic of the disease pathology in the same way.

Blood pressure: Hypertension is found in all three. Cushing's causes fluid/sodium retention. Hyperthyroidism increases cardiac workload. Diabetes causes vascular damage and renal complications leading to hypertension.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

Thyroid ultrasound:Needed to visualize the thyroid gland structure (goiter) and check for nodules or tumors.

Eye drops:The client has exophthalmos (bulging eyes), which prevents the eyelids from closing completely, leading to dry, irritated corneas. Lubricating drops prevent corneal damage.

Limit visitors:The client is hyper-stimulated (irritable, insomniac, tachycardic). Reducing environmental stimuli is a key nursing intervention to lower cardiac workload and anxiety.

Levothyroxine:This is a synthetic thyroid hormone used to treat hypothyroidism. Giving it to a client with high T4 would worsen the condition and could precipitate a thyroid storm.

Laxative:The client already reports increased bowel frequency (2-3/day) due to hypermotility. A laxative would cause diarrhea and dehydration.

A. Previous suicide attempt B. Loss of a parent C. Active psychiatric disorder D. History of substance abuse

Correct Answer is A

Explanation

A. Previous suicide attempt: A prior suicide attempt is the strongest predictor of future suicide completion, as it demonstrates both intent and access to means. It is considered a high-risk red flag in adolescents.

B. Loss of a parent: While parental loss is a significant psychosocial stressor, it is not as strong a predictor of suicide completion as a prior attempt.

C. Active psychiatric disorder: Psychiatric disorders (e.g., depression, anxiety) increase suicide risk, but the presence of a prior attempt outweighs the risk from diagnosis alone.

D. History of substance abuse: Substance abuse elevates risk, but the history of a prior attempt is the more immediate and critical predictor.

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A nurse in the emergency department is caring for female client. Exhibits For each of the client's findings, click to specify if the assessment finding is consistent with Cushing syndrome, hyperthyroidism, or diabetes mellitus. Each finding may support more than 1 disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for female client. Exhibits For each of the provider's potential prescriptions, click to specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine that which of the following is the priority risk factor for suicide completion?

Correct Answer is A

Explanation

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A nurse in the emergency department is caring for female client.

Exhibits
For each of the client's findings, click to specify if the assessment finding is consistent with Cushing syndrome, hyperthyroidism, or diabetes mellitus. Each finding may support more than 1 disease process.