A patient has been told that the recent changes in her facial features are due to a hormonal pathology called myxedema. Her nurse's explanation will be based on the understanding that myxedema is a

puffy appearance associated with hypersecretion of antidiuretic hormone (ADH)

tissue puffiness associated with hypothyroidism

proliferation of tissue behind the eyes that is common in hyperthyroidism,

state of increased cerebral edema the morning after a college party.

Answer and Explanation

The Correct Answer is B

A. Puffy appearance associated with hypersecretion of antidiuretic hormone (ADH): This describes the appearance associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), not myxedema.

B. Tissue puffiness associated with hypothyroidism: Myxedema is a condition related to severe hypothyroidism, characterized by swelling of the skin and underlying tissues, giving a puffy appearance, especially in the face.

C. Proliferation of tissue behind the eyes that is common in hyperthyroidism: This describes exophthalmos, a condition often seen in Graves' disease, which is associated with hyperthyroidism, not myxedema.

D. State of increased cerebral edema the morning after a college party: This choice is incorrect and unrelated to the description of myxedema.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. His body does not produce any insulin so he must receive insulin injections: Type I diabetes is characterized by the destruction of pancreatic beta cells, resulting in little to no insulin production. Therefore, insulin must be administered via injection to replace the insulin the body cannot produce.

B. The pills are not as effective as the insulin injections: While this might be partially true for Type I diabetes, it is not the complete answer. Oral medications are generally not effective in Type I diabetes because they stimulate the pancreas to produce insulin, which is not possible in these patients.

C. He will only be on insulin injections for a short while, then he can take a pill: This is incorrect. Type I diabetes requires lifelong insulin therapy.

D. He can stop the insulin injections once his body begins to make insulin again: This is incorrect as Type I diabetes is a permanent condition where the body cannot produce insulin.

A. low T4, High TSH. B. low T4, high calcitonin C. high PSA and estrogen levels. D. HighT4, low TSH.

Correct Answer is D

Explanation

A. Low T4, High TSH: This pattern is seen in primary hypothyroidism, where the thyroid gland is underactive.

B. Low T4, high calcitonin: This choice is unrelated to the typical lab findings in Graves' disease. Calcitonin levels are not commonly assessed in thyroid disorders like Graves' disease.

C. High PSA and estrogen levels: PSA (Prostate-Specific Antigen) and estrogen levels are unrelated to Graves' disease, which is an autoimmune hyperthyroid condition.

D. High T4, low TSH: Graves' disease is characterized by hyperthyroidism, where T4 (thyroxine) levels are elevated, and TSH (Thyroid-Stimulating Hormone) levels are suppressed due to the negative feedback mechanism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient has been told that the recent changes in her facial features are due to a hormonal pathology called myxedema. Her nurse's explanation will be based on the understanding that myxedema is a

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young boy is admitted to the hospital with a diagnosis of new onset type I diabetes mellitus. As the registered nurse prepares to administer insulin, the child's mother asks why he can't just "take a pill. Which response, by the nurse, explains the rationale for an injection of insulin?

Correct Answer is A

Explanation

When analyzing laboratory values, for a patient diagnosed with Graves' disease, the nurse would expect to find a

Correct Answer is D

Explanation

Which assessment findings would alert the nurse to the presence of a cerebellar brain attack?

A. High unconjugated, low direct: In liver disease, both conjugated (direct) and unconjugated bilirubin levels are typically elevated.

A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.

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)?

Which manifestations (S&S) alert the nurse to the possibility of pancreatitis in the patient who has elevated serum amylase and lipase levels?

A registered nurse (RN) assesses a patient with cirrhosis and finds ascites with pitting edema of the feet and legs. Which factor contributes to edema and ascites in patients with cirrhosis?

Alzheimer's disease (AD)

A patient with diabetes mellitus (DM) developed a serum glucose of 900 and an elevated serum osmolality. The patient then became unconscious. What pathological process most likely caused the altered neurologic status?