A patient, diagnosed with Addison's disease, is admitted to the emergency department (ED) after spending the day at the lake. The patient is diaphoretic, weak and forgetful. Which intervention would be supportive for these S&S (signs and symptoms)?

Administer some insulin

Prepare the patient to receive a blood transfusion

Administer IV glucose

Collect some urine and assess for glucosuria

Answer and Explanation

The Correct Answer is C

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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Correct Answer is B

Explanation

A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.

B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.

C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.

D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.

A. Paralytic ileus B. Esophageal dysplasia. C. Gastroparesis D. Paralytic ileum

Correct Answer is A

Explanation

A. Paralytic ileus: Paralytic ileus is a common complication of major abdominal surgery and prolonged bed rest. It is a temporary cessation of normal bowel peristalsis, leading to a lack of bowel sounds and the inability to pass gas or stool.

B. Esophageal dysplasia: This condition refers to abnormal changes in the cells of the esophagus, typically related to chronic gastroesophageal reflux disease (GERD), not prolonged bed rest.

C. Gastroparesis: This is a condition in which the stomach cannot empty itself of food in a normal fashion, often related to diabetes or damage to the vagus nerve. It is not a direct result of prolonged bed rest.

D. Paralytic ileum: This should refer to "paralytic ileus."

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A patient, diagnosed with Addison's disease, is admitted to the emergency department (ED) after spending the day at the lake. The patient is diaphoretic, weak and forgetful. Which intervention would be supportive for these S&S (signs and symptoms)?

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During a workshop, a pathophysiology instructor is teaching a group of students about hypothyroidism. Which statement identifies why hypothyroidism is rarely seen in the U.S. (United States)?

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Correct Answer is A

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