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 B

Explanation

Choice A rationale: This is not correct since the picture depicted has uterine tissues deposited in other regions other than the uterus.

Choice B rationale: Endometriosis is a condition where tissue similar to the endometrium (the lining of the uterus) grows outside the uterus, such as on the ovaries, fallopian tubes, pelvic wall, or bowel. This tissue responds to hormonal changes and bleeds during the menstrual cycle, causing inflammation, pain, and sometimes infertility.

Choice C rationale: Leiomyomas, also known as fibroids, are benign tumors that develop from the smooth muscle cells of the uterus. They can vary in size, number, and location within or outside the uterus. They can cause symptoms such as heavy bleeding, pelvic pressure, pain, and infertility.

Choice D rationale: Adenomyosis is a condition where endometrial-like tissue grows within the muscular wall of the uterus (the myometrium). This tissue also bleeds during the menstrual cycle, causing the uterus to enlarge and become painful and heavy .

A. The client has chronic pancreatitis. B. The client has cholecystitis. C. The client has cholelithiasis. D. The client has acute pancreatitis.

Correct Answer is D

Explanation

Choice A rationale: Symptoms and findings described align more with an acute, severe condition rather than a chronic one.

Choice B rationale: While cholecystitis can present with similar symptoms, the radiation of pain to the back is more indicative of a different condition.

Choice C rationale: Cholelithiasis (gallstones) might cause abdominal pain but typically doesn’t lead to fever and hypotension.

Choice D rationale: Symptoms including severe abdominal pain, radiation to the back, fever, and hypotension suggest acute pancreatitis, a potentially serious condition requiring urgent medical attention.

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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

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Explanation

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?