A patient is diagnosed with Cushing's disease. Which statement about hyperaldosteronism is correct?
Steroid injections will be administered daily
Weight gain and edema are present.
Painful leg cramps are common from hyperkalemia.
Decreased amount of body hair is frequently seen.
The Correct Answer is B
A. Steroid injections will be administered daily: This is incorrect; steroid therapy may exacerbate Cushing's disease. The condition is often due to excessive production of cortisol, not a deficiency.
B. Weight gain and edema are present: Hyperaldosteronism, often associated with Cushing's syndrome, leads to sodium and water retention, resulting in weight gain and edema.
C. Painful leg cramps are common from hyperkalemia: Hyperaldosteronism typically causes hypokalemia, not hyperkalemia, leading to muscle cramps, not leg pain from hyperkalemia.
D. Decreased amount of body hair is frequently seen: Cushing's disease often leads to hirsutism (increased body hair), not a decrease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. There is an imbalance between the formation of new bone and the resorption of existing bone: Osteoporosis occurs when bone resorption outpaces bone formation, leading to decreased bone density and increased susceptibility to fractures.
B. An invasion of a pathogen leads to infection, causing destruction and weakening of the bone: This describes osteomyelitis, a bone infection, not osteoporosis.
C. A decrease in blood supply to the bone results in bony necrosis or the death of bone cells: This describes avascular necrosis, not osteoporosis.
D. Increased amounts of estrogen in postmenopausal women contribute to bone loss: In fact, decreased estrogen levels after menopause contribute to bone loss and osteoporosis.
Correct Answer is D
Explanation
A. An increased serum calcitonin level: Calcitonin is involved in lowering blood calcium levels, so increased levels would not indicate hypercalcemia but rather a compensatory mechanism to lower calcium.
B. An increased number of osteocytes: Osteocytes are bone cells, and their number is not a direct indicator of hypercalcemia. Osteoclasts and osteoblasts are more relevant to bone metabolism.
C. Elevated plasma magnesium levels: Elevated magnesium levels are not specifically indicative of hypercalcemia and can be related to other conditions.
D. An increased parathyroid hormone (PTH) level: Hypercalcemia can be associated with increased PTH levels, particularly in primary hyperparathyroidism. Elevated PTH can lead to increased calcium release from bones.
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