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.

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Correct Answer is A

Explanation

A. Esophageal varices: Coffee-ground emesis suggests upper gastrointestinal bleeding, which is often due to ruptured esophageal varices in patients with cirrhosis.

B. Colorectal cancer: This condition typically presents with lower gastrointestinal symptoms such as changes in bowel habits or blood in the stool, not coffee-ground emesis.

C. Inflammatory bowel disease: This condition can cause gastrointestinal bleeding but is more commonly associated with symptoms like diarrhea and abdominal pain rather than coffee-ground emesis.

D. Appendicitis: This condition typically presents with right lower quadrant pain, not upper GI bleeding.

A. His body does not produce any insulin so he must receive insulin injections B. "The pills are not as effective as the insulin injections." C. "He will only be on insulin injections for a short while, then he can take a pill D. "He can stop the insulin injections once his body begins to make insulin again.

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.

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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

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Naxlex Comprehensive Predictor Exams

A patient, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider because he vomited something that looked like coffee grounds. Which health problem would the care team first suspect?

Correct Answer is A

Explanation

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

A patient has seizure activity that is continuous in nature; the seizure subsides and then immediately resumes and continues. The nurse identifies this emergent condition as

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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)?

Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

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)?

A man, diagnosed with alcoholic liver disease and cirrhosis, presents to his healthcare provider for treatment. The nurse notes that his skin and sclera are jaundiced. While reviewing his laboratory data, the nurse should expect to find a serum bilirubin level and a serum bilirubin level.

A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?