A nurse is caring for a client who is postoperative and has a history of Addison’s disease. For which of the following manifestations should the nurse monitor?

Hypernatremia

Bradycardia

Hypotension

Hypokalemia

Answer and Explanation

The Correct Answer is C

Choice A: Hypernatremia. This is not a manifestation that the nurse should monitor for in a client who is postoperative and has a history of Addison’s disease. Hypernatremia is a high level of sodium in the blood, which can be caused by dehydration, excessive sodium intake, or kidney dysfunction. It is not related to Addison’s disease or cortisol and aldosterone levels.

Choice B: Bradycardia. This is not a manifestation that the nurse should monitor for in a client who is postoperative and has a history of Addison’s disease. Bradycardia is a slow heart rate, which can be caused by vagal stimulation, medication side eﬀects, or cardiac disorders. It is not related to Addison’s disease or cortisol and aldosterone levels.

Choice C: Hypotension. This is a manifestation that the nurse should monitor for in a client who is postoperative and has a history of Addison’s disease, which is a condition that occurs when the adrenal glands do not produce enough cortisol and aldosterone. Cortisol is a hormone that regulates the metabolism of carbohydrates, proteins, and fats, and helps the body cope with stress. Aldosterone is a hormone that regulates the balance of sodium and potassium in the blood and ﬂuid volume. Addison’s disease can cause hypotension, which is a low blood pressure, due to decreased aldosterone production and ﬂuid loss.

Choice D: Hypokalemia. This is not a manifestation that the nurse should monitor for in a client who is postoperative and has a history of Addison’s disease. Hypokalemia is a low level of potassium in the blood, which can be caused by diuretics, vomiting, diarrhea, or alkalosis. It is not related to Addison’s disease or cortisol and aldosterone levels.

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Correct Answer is C

Explanation

Choice A: Weak pulse. This is not a manifestation that the nurse should expect to find in a client who has advanced cirrhosis. A weak pulse may indicate hypovolemia, shock, or cardiac dysfunction, but it is not directly related to liver disease.

Choice B: Dark colored stools. This is not a manifestation that the nurse should expect to find in a client who has advanced cirrhosis. Dark colored stools may indicate bleeding in the upper gastrointestinal tract, such as from esophageal varices or peptic ulcers, but they are not specific to liver disease.

Choice C: Spider angioma. This is a manifestation that the nurse should expect to find in a client who has advanced cirrhosis, which is a chronic liver disease that causes scarring and impaired liver function. Spider angioma is a type of vascular lesion that appears as a red spot with radiating branches on the skin, usually on the face, neck, chest, or upper arms. It is caused by increased estrogen levels due to reduced liver metabolism of hormones.

Choice D: Increased body hair. This is not a manifestation that the nurse should expect to find in a client who has advanced cirrhosis. Increased body hair may indicate hypertrichosis, which is excessive hair growth due to genetic, hormonal, or metabolic factors, but it is not related to liver disease.

A. Dysphagia B. Pathologic fractures C. Fluid retention D. Impaired skin integrity

Correct Answer is B

Explanation

Choice A: Dysphagia. This is not a complication that the nurse should monitor the client for who has hyperparathyroidism. Dysphagia is difficulty swallowing, which can be caused by disorders of the esophagus, throat, or nervous system. It is not related to hyperparathyroidism or calcium and phosphorus levels.

Choice B: Pathologic fractures. This is a complication that the nurse should monitor the client for who has hyperparathyroidism, which is a condition that occurs when the parathyroid glands produce too much parathyroid hormone (PTH). PTH regulates calcium and phosphorus levels in the blood and bones. Hyperparathyroidism can cause hypercalcemia, which is a high level of calcium in the blood, and hypophosphatemia, which is a low level of phosphorus in the blood. These imbalances can lead to bone resorption, which is the breakdown of bone tissue and release of calcium into the blood. Bone resorption can weaken the bones and increase the risk of pathologic fractures, which are fractures that occur due to disease or injury to the bone.

Choice C: Fluid retention. This is not a complication that the nurse should monitor the client for who has hyperparathyroidism. Fluid retention is excess ﬂuid accumulation in the body, which can be caused by disorders of the heart, kidney, liver, or lymphatic system. It is not related to hyperparathyroidism or calcium and phosphorus levels.

Choice D: Impaired skin integrity. This is not a complication that the nurse should monitor the client for who has hyperparathyroidism. Impaired skin integrity is damage or loss of skin tissue, which can be caused by trauma, infection, inﬂammation, or pressure. It is not related to hyperparathyroidism or calcium and phosphorus levels.

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A nurse is caring for a client who is postoperative and has a history of Addison’s disease. For which of the following manifestations should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has advanced cirrhosis. Which of the following manifestations should the nurse expect to find?

Correct Answer is C

Explanation

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

Correct Answer is B

Explanation

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