A nurse is assessing a patient diagnosed with Addison's disease. Which clinical manifestations are expected?

Moon face, buffalo hump, and hyperglycemia

Hirsutism, fever, and irritability

Anorexia, fatigue and hypotension

Tachycardia, exophthalmos, and goiter

Answer and Explanation

The Correct Answer is C

A. Moon face, buffalo hump, and hyperglycemia: These manifestations are associated with Cushing's disease, not Addison's disease.

B. Hirsutism, fever, and irritability: These symptoms are not characteristic of Addison's disease.

C. Anorexia, fatigue, and hypotension: Addison's disease often presents with symptoms like anorexia, fatigue, hypotension, and hyperpigmentation of the skin.

D. Tachycardia, exophthalmos, and goiter: These symptoms are associated with hyperthyroidism, not Addison's disease.

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Correct Answer is A

Explanation

A. Adherence to a low-fat diet: The patient likely experienced a transient ischemic attack (TIA), which is a warning sign for future strokes. A low-fat diet is recommended to help manage cholesterol and reduce the risk of atherosclerosis and stroke.

B. The administration of clot-busting drugs: Clot-busting drugs (thrombolytics) are used in the acute management of a stroke, but this patient’s symptoms resolved spontaneously, and the focus is on prevention.

C. Reporting any signs of heat or cold intolerance: This is unrelated to the prevention of stroke or management after a TIA.

D. Avoiding red wine and chocolate: While moderation in alcohol and certain foods is generally advised for overall health, this specific recommendation does not address the primary concern of preventing future cerebrovascular events.

A. Administer some insulin B. Prepare the patient to receive a blood transfusion C. Administer IV glucose D. Collect some urine and assess for glucosuria

Correct Answer is C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

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A nurse is assessing a patient diagnosed with Addison's disease. Which clinical manifestations are expected?

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Naxlex Comprehensive Predictor Exams

A patient presents to the emergency department (ED) with a two-hour history of hemiparesis of the right arm and leg. These symptoms spontaneously resolve within 4 hours of her arrival to the emergency department (ED). The nurse will anticipate teaching the patient about

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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