The nurse observes the final diagnosis of four clients in their case reports as given below.
In which client does the nurse notice the presence of Chvostek sign and Trousseau sign?
Hypothyroidism
Pineal tumor
Hypoparathyroidism
Pheochromocytoma
The Correct Answer is C
Choice A rationale: Chvostek and Trousseau signs are not typically associated with hypothyroidism.
Choice B rationale: These signs are not commonly related to pineal tumors.
Choice C rationale: Chvostek and Trousseau signs, indicating neuromuscular irritability due to hypocalcemia, are often seen in hypoparathyroidism.
Choice D rationale: Chvostek and Trousseau signs are not characteristic findings in pheochromocytoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: An allergy to sulfa drugs is important as some diabetes medications, like sulfonylureas, contain components related to sulfa drugs, which could cause an allergic reaction in susceptible individuals.
Choice B rationale: Smoking cessation and lifestyle history are important but might not directly impact initial diabetes treatment options.
Choice C rationale: Numbness in the soles of the feet might indicate neuropathy, a common complication of diabetes, but is not directly related to the choice of initial treatment.
Choice D rationale: While obesity is a risk factor for Type 2 diabetes, it's less critical for immediate treatment decisions compared to drug allergies that could impact medication choices.
Correct Answer is C
Explanation
Choice A rationale: Peptic ulcer disease doesn't typically present with ecchymosis around the umbilicus (Cullen's sign) or significantly elevated amylase and lipase levels.
Choice B rationale: Gastroenteritis is less likely given the specific symptoms, physical exam findings, and laboratory results indicating pancreatic involvement.
Choice C rationale: Acute pancreatitis fits the clinical picture with epigastric pain after heavy alcohol use, persistent nausea/vomiting, tenderness, and elevated amylase and lipase levels.
Choice D rationale: Diverticulitis typically presents with symptoms more localized to the lower abdomen and doesn't cause the characteristic findings seen in this scenario.
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