The nurse is caring for a client suspected of having an endocrine disorder.

Exhibits

Based on the client's laboratory data, the client is at the highest risk for which condition?

Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Cushing's syndrome/disease

Adrenal insufficiency

Diabetes Insipidus (DI)

Answer and Explanation

The Correct Answer is A

Choice A rationale: These lab findings, particularly concentrated urine (high specific gravity) and hyponatremia, are consistent with SIADH, where excessive ADH secretion leads to water retention and dilutional hyponatremia.

Choice B rationale: While it can affect sodium levels, Cushing's syndrome typically results in hypernatremia or normal sodium levels rather than hyponatremia.

Choice C rationale: Usually presents with hyponatremia but not specifically with high urine specific gravity or hematocrit.

Choice D rationale: DI is associated with high serum sodium and low urine specific gravity due to excessive excretion of dilute urine.

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Correct Answer is C

Explanation

Choice A rationale: Pulmonary embolism would cause chest pain, dyspnea, and hemoptysis, but not petechiae or neurological changes.

Choice B rationale: While chest pain might be associated with myocardial infarction, the combination of symptoms aligns more with a pulmonary embolism.

Choice C rationale: Fat embolism syndrome occurs when fat globules from the bone marrow enter the bloodstream and travel to the lungs, brain, or other organs. This can

cause respiratory distress, neurological impairment, petechiae (reddish-purple spots on the skin), and cardiac dysfunction.

Choice D rationale: Compartment syndrome doesn't typically manifest with respiratory symptoms or reddish-purple spots.

A. Use of hormone therapy (HT) B. Irregularities in the menstrual cycle C. Changes in secondary sex characteristics D. Potential complication of infertility

Correct Answer is D

Explanation

Choice A rationale: Hormone therapy (HT) is used to treat menopausal symptoms, not PID.

Choice B rationale: Irregularities in the menstrual cycle is not a common complications of PID.

Choice C rationale: Changes in secondary sex characteristics is not a common complications of PID.

Choice D rationale: Pelvic inflammatory disease (PID) is an infection of the female reproductive organs that can cause scarring and damage to the fallopian tubes, ovaries, and uterus. This can lead to ectopic pregnancy, chronic pelvic pain, and infertility.

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The nurse is caring for a client suspected of having an endocrine disorder. Exhibits Based on the client's laboratory data, the client is at the highest risk for which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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The nurse is caring for a client suspected of having an endocrine disorder.

Exhibits

Based on the client's laboratory data, the client is at the highest risk for which condition?