The client reports experiencing episodes of palpitations with a high heart rate, restlessness, weight loss, amenorrhea, and an intolerance to heat.
She also presents with eyes that appear to be bulging.
The nurse suspects that the provider may test for which of the following conditions?
Hyperthyroidism
Hypothyroidism
Hypoparathyroidism
Hyperparathyroidism
The Correct Answer is A
Choice A rationale
The client's symptoms, such as palpitations, high heart rate, restlessness, weight loss, amenorrhea, intolerance to heat, and bulging eyes, are consistent with hyperthyroidism. This condition occurs when the thyroid gland produces excessive amounts of thyroid hormones (Healthline, 2022).
Choice B rationale
Hypothyroidism typically presents with symptoms such as fatigue, weight gain, cold intolerance, constipation, and dry skin. This condition is characterized by an underactive thyroid gland (Healthline, 2022).
Choice C rationale
Hypoparathyroidism results from low parathyroid hormone levels, leading to symptoms like muscle cramps, tingling sensations, and tetany. It does not involve the thyroid gland (nih.gov, n.d.).
Choice D rationale
Hyperparathyroidism is caused by overactive parathyroid glands, resulting in high calcium levels in the blood. Symptoms include kidney stones, bone pain, and fatigue (Healthline, 2022).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale
Pain during or after intercourse is a common symptom of endometriosis. The misplaced endometrial-like tissue can cause irritation and inflammation, leading to pain during or after sexual activity.
Choice B rationale
Pelvic pain is a primary symptom of endometriosis. The growth of endometrial-like tissue outside the uterus, particularly on structures within the pelvis, can lead to chronic pelvic pain. This pain may be cyclical (worsening around the menstrual period) or constant.
Choice C rationale
Urinary tract infection is not a direct clinical manifestation of endometriosis. While endometriosis can involve the urinary tract structures and cause urinary symptoms, it does not cause infections. Urinary tract infections are typically caused by bacteria, not by the presence of endometrial-like tissue.
Choice D rationale
Infertility is a potential complication of endometriosis. The presence of endometrial-like tissue can interfere with the normal function of the reproductive organs, leading to difficulties in achieving pregnancy. Approximately 30-50% of women with endometriosis may experience infertility.
Choice E rationale
Dysmenorrhea, or painful menstrual periods, is a common symptom of endometriosis. The pain is often described as far worse than typical menstrual cramps and may become more severe over time.
Correct Answer is D
Explanation
Choice D rationale
Type 1 diabetes mellitus often begins during childhood or adolescence, characterized by an absolute insulin deficiency due to autoimmune destruction of pancreatic beta cells (nih.gov, n.d.).
Choice A rationale
Relative insulin insufficiency or insulin resistance typically develops in type 2 diabetes mellitus (nih.gov, n.d.).
Choice B rationale
Type 1 diabetes mellitus requires insulin therapy, as diet, weight control, exercise, and oral hypoglycemics are usually insufficient (nih.gov, n.d.).
Choice C rationale
Complications such as neuropathy, retinopathy, and nephropathy can occur with type 1 diabetes mellitus (nih.gov, n.d.).
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