Of the following disorders, which results from excessive secretion of somatotropin? a) Acromegaly The patient with acromegaly demonstrates progressive enlargement of peripheral body parts, most commonly the face, head, hands, and feet.

Of the following disorders, which results from excessive
secretion of somatotropin?
a) Acromegaly
The patient with acromegaly demonstrates progressive enlargement of
peripheral body parts, most commonly the face, head, hands, and
feet.
b) Cretinism
Cretinism occurs as a result of congenital hypothyroidism.
c) Dwarfism
Dwarfism is caused by insufficient secretion of growth hormone during
childhood.
d) Adrenogenital syndrome
Adrenogenital syndrome is the result of abnormal secretion of
adrenocortical hormones, especially androgen.
by

1 Answer

Answer :

a) Acromegaly
The patient with acromegaly demonstrates progressive enlargement of
peripheral body parts, most commonly the face, head, hands, and
feet.
by

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When the post-cardiac surgical patient demonstrates vasodilation, hypotension, hyporeflexia, slow gastrointestinal motility (hypoactive bowel sounds), lethargy, and respiratory depression, the nurse suspects which of the following electrolyte imbalances? a) Hypermagnesemia Untreated hypomagnesemia may result in coma, apnea, cardiac arrest.

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When the post-cardiac surgery patient demonstrates restlessness, nausea, weakness, and peaked T waves, the nurse reviews the patient’s serum electrolytes anticipating which abnormality? a) Hyperkalemia Hyperkalemia is indicated by mental confusion, restlessness, nausea, weakness, and dysrhythmias (tall, peaked T waves). b) Hypercalcemia Hypercalcemia would likely be demonstrated by asystole. c) Hypomagnesemia Hypomagenesemia would likely be demonstrated by hypotension, lethargy, and vasodilation. d) Hyponatremia Hyponatremia would likely be indicated by weakness, fatigue, and confusion without change in T wave formation

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Which of the following actions is most appropriate for the nurse to take when the patient demonstrates subcutaneous emphysema along the suture line or chest dressing 2 hours after chest surgery? a) Record the observation. Subcutaneous emphysema occurs after chest surgery as the air that is located within the pleural cavity is expelled through the tissue opening created by the surgical procedure.

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Patient presents with rapidly progressive root caries on many teeth. Which of the following laboratory results would be a possible indicator of this? A. Stimulated salivary secretion rate of 1.5ml/min B. S. mutans concentration of 105 organism/ml C. A plaque sample containing 5% S. mutans D. A lactobacilli concentration of 105 organism/ml E. Salivary buffering PH 5.5 > 100000 CFU/ml high caries incidence

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Which of the following statements reflect nursing interventions of a patient with post-polio syndrome? a) Providing care aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient. No specific medical or surgical treatment is available for this syndrome and therefore nursing plays a pivotal role in the team approach to assisting patients and families in dealing with the symptoms of progressive loss of muscle strength and significant fatigue. Nursing interventions are aimed at slowing the loss of strength and maintaining the physical, psychological and social well being of the patient.

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Nursing management of the patient with new variant Creutzfeldt-Jakob Disease (nvCJD) includes a) providing supportive care. The nvCJD is a progressive fatal disease with no treatment available. Due to the fatal outcome of nvCJD, nursing care is primarily supportive.

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Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg? a) Progressive In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits. b) Refractory The refractory or irreversible stage of shock represents the point at which organ damage is so severe that the patient does not respond to treatment and cannot survive.

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Acromegaly results due to excessive release of (A) Thyroxine (B) Growth hormone (C) Insulin (D) Glucagon

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Last Answer : Answer : B

Which of the following diseases is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dance-like movement and dementia? a) Huntington’s disease Because it is transmitted as an autosomal dominant genetic disorder, each child of a parent with HD has a 50% risk of inheriting the illness.

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Which type of glaucoma presents an ocular emergency? a) Acute angle-closure glaucoma Acute angle-closure glaucoma results in rapid progressive visual impairment.

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The nurse teaches the patient with peripheral vascular disease to refrain from smoking because nicotine causes a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the extremities. b) slowed heart rate. Nicotine has stimulant effects. c) depression of the cough reflex. Nicotine does not suppress cough. Smoking irritates the bronchial tree, causing coughing. d) diuresis. Nicotine does not cause diuresis.

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Last Answer : a) vasospasm. Nicotine causes vasospasm and can thereby dramatically reduce circulation to the extremities.

Which of the following terms refers to leg pain that is brought on walking and caused by arterial insufficiency? a) Intermittent claudication Intermittent claudication is leg pain that is brought on by exercise and relieved by rest. b) Dyspnea Dyspnea is the patient’s subjective statement of difficulty breathing. c) Orthopnea Orthopnea is the inability of the patient to breathe except in the upright (sitting) position. d) Thromboangitis obliterans Thomroangitis obliterans is a peripheral vascular disease also known as Burger’s disease.

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Last Answer : a) Intermittent claudication Intermittent claudication is leg pain that is brought on by exercise and relieved by rest.

60. Acromegaly often develops insidiously that nurses should understand that the client with this disorder would seek medical care because of

Description : 60. Acromegaly often develops insidiously that nurses should understand that the client with this disorder would seek medical care because of

Last Answer : C. Changes in appearance

56. The nurse is aware that acromegaly is a condition when growth hormone occurs in excess in adulthood or after epiphyses of the long bones have fused. The following are the typical features of the disorder except

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Last Answer : C. The client grows taller

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Last Answer : a) gains access to the blood and lymphatic channels. By this mechanism, the tumor metastasizes to other areas of the body.

Which of the following terms describes a gastric secretion that combines with vitamin B-12 so that it can be absorbed? a) Intrinsic factor Lack of intrinsic factor is a common finding in the aged patient. b) Amylase Amylase is an enzyme that aids in the digestion of starch. c) Pepsin Pepsin is a gastric enzyme important in protein digestion. d) Trypsin Trypsin is an enzyme that aids in the digestion of protein.

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The nurse recognizes which of the following signs as typical of the patient in shock? a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate. b) Flushed face Pallor is an indicator of shock. c) Warm, dry skin Skin is generally cool and moist in shock. d) Increased urine output Usually, a low blood pressure and concentrated urine are observed in the patient in shock.

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Stage 3 of breast development, according to Tanner, occurs when a) the areola (a darker tissue ring around the nipple) develops. Stage 3 also involves further enlargement of breast tissue.

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An increase in the number of new cells in an organ or tissue that is reversible when the stimulus for production of new cells is removed is termed a) Hyperplasia. Hyperplasia occurs as cells multiply and are subjected to increased stimulation resulting in tissue mass enlargement. b) Hypertrophy. Hypertrophy is an increase in size and bulk of tissue that does not result from an increased number of cells. c) Atrophy. Atrophy refers to reduction in size of a structure after having come to full maturity. d) Neoplasia. With neoplasia, the increase in the number of new cells in an organ or tissue continues after the stimulus is removed.

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Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a) Widened pulse pressure Additional signs of increasing ICP include increasing systolic blood pressure, bradycardia, rapid respirations, and rapid rise in body temperature.

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Last Answer : a) encouraging the patient to void immediately. Immediate voiding is not usually encouraged. The patient is commonly placed on a timed voiding schedule, usually within two to three hours.

Regarding tolerance and addiction, the nurse understands that a) although patients may need increasing levels of opioids, they are not addicted. Physical tolerance usually occurs in the absence of addiction. b) tolerance to opioids is uncommon. Tolerance to opioids is common. c) addiction to opioids commonly develops. Addiction to opioids is rare. d) the nurse must be primarily concerned about development of addiction by the patient in pain. Addiction is rare and should never be the primary concern for a patient in pain.

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When x-ray demonstrates a fracture in which the fragments of bone are driven inward, the fracture is described as a) depressed. Depressed skull fractures occur as a result of blunt trauma.

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Last Answer : a) depressed. Depressed skull fractures occur as a result of blunt trauma.

When x-ray demonstrates a fracture in which bone has splintered into several pieces, that fracture is described as a) comminuted. A comminuted fracture may require open reduction and internal fixation.

Description : When x-ray demonstrates a fracture in which bone has splintered into several pieces, that fracture is described as a) comminuted. A comminuted fracture may require open reduction and internal fixation. b ... . An impacted fracture is one in which a bone fragment is driven into another bone fragment.

Last Answer : a) comminuted. A comminuted fracture may require open reduction and internal fixation.

Of the following neurotransmitters, which demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways? a) Serotonin The sources of serotonin are the brain stem, hypothalamus, and dorsal horn of the spinal cord.

Description : Of the following neurotransmitters, which demonstrates inhibitory action, helps control mood and sleep, and inhibits pain pathways? a) Serotonin The sources of serotonin are the brain ... d) Acetylcholine Acetylcholine is usually excitatory, but the parasympathetic effects are sometimes inhibitory.

Last Answer : a) Serotonin The sources of serotonin are the brain stem, hypothalamus, and dorsal horn of the spinal cord.

Which of the following community-acquired pneumonias demonstrates the highest occurrence during summer and fall? a) Legionnaires’ disease Legionnaires’ disease accounts for 15% of community-acquired pneumonias. b) Streptococcal (pneumococcal) pneumonia Streptococcal pneumonia demonstrates the highest occurrence in winter months. c) Mycoplasma pneumonia Mycoplasma pneumonia demonstrates the highest occurrence in fall and early winter. d) Viral pneumonia Viral pneumonia demonstrates the greatest incidence during winter months.

Description : Which of the following community-acquired pneumonias demonstrates the highest occurrence during summer and fall? a) Legionnaires' disease Legionnaires' disease accounts for 15% of community-acquired ... . d) Viral pneumonia Viral pneumonia demonstrates the greatest incidence during winter months.

Last Answer : a) Legionnaires’ disease Legionnaires’ disease accounts for 15% of community-acquired pneumonias.

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Last Answer : a) pigeon chest. Pigeon chest may occur with rickets, Marfan’s syndrome, or severe kyphoscoliosis.

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Description : Which of the following connective tissue disorders is characterized by insoluble collagen being formed and accumulating excessively in the tissues? a) Scleroderma Scleroderma occurs initially in the ... In polymyalgia rheumatic, immunoglobulin is deposited in the walls of inflamed temporal arteries.

Last Answer : a) Scleroderma Scleroderma occurs initially in the skin but also occurs in blood vessels, major organs, and body systems, potentially resulting in death.

Of the following common problems of the upper extremities, which results from entrapment of the median nerve at the wrist? a) Carpal tunnel syndrome Carpal tunnel syndrome is commonly due to repetitive hand activities.

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