Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
A. is caused by the lack of production of insulin by the pancreas."
Incorrect. This statement describes the cause of diabetes mellitus, not Addison's disease.
B. This caused be the overproduction of growth hormone by the pituitary gland."
Incorrect. Overproduction of growth hormone is associated with conditions like acromegaly or gigantism, not Addison's disease.
C. He is caused by the lack of production of aldosterone by the adrenal gland."
Correct. Addison's disease is caused by the lack of production of aldosterone by the adrenal gland.
D. It is caused by the overproduction of parathormone by the parathyroid gland
Incorrect. Overproduction of parathormone is associated with hyperparathyroidism, not Addison's disease.
This question is an excerpt from Nurse Dive's nursing test bank - RN ATI Medsurg Proctored Exam. Take the full exam now
Full Explanation
A. Incorrect. This statement describes the cause of diabetes mellitus, not Addison's disease.
B. Incorrect. Overproduction of growth hormone is associated with conditions like acromegaly or gigantism, not Addison's disease.
C. Correct. Addison's disease is caused by the lack of production of aldosterone by the adrenal gland.
D. Incorrect. Overproduction of parathormone is associated with hyperparathyroidism, not Addison's disease.
Similar Questions
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
A. Tachycardia
Tachycardia - This is an increased heart rate, which can occur in response to low blood sugar levels.
B. Moist clammy skin
Moist clammy skin - Sweating and clamminess are common symptoms of hypoglycemia.
C. Polydipsia
Polydipsia - This is excessive thirst, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels).
D. Blurred vision
Blurred vision - This can occur when the eyes are not receiving enough glucose due to low blood sugar levels.
E. Polyuria
Polyuria - This is excessive urination, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.
Full Explanation
A. Tachycardia - This is an increased heart rate, which can occur in response to low blood sugar levels.
B. Moist clammy skin - Sweating and clamminess are common symptoms of hypoglycemia.
C. Polydipsia - This is excessive thirst, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels).
D. Blurred vision - This can occur when the eyes are not receiving enough glucose due to low blood sugar levels.
E. Polyuria - This is excessive urination, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.
A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?
A. Semi-Fowler's with neck extended
Semi-Fowler's with neck extended: Keeping the neck extended can put strain on the surgical incision site, increasing the risk of complications. It's important to avoid excessive neck movement.
B. semi-fowler's with neck in a neutral position
Semi-Fowler's with neck in a neutral position: This position is optimal for clients post thyroidectomy. It helps reduce swelling and pressure on the surgical site while maintaining the neck in a neutral and supported position.
C. High Fowler's with neck extended
High Fowler's with neck extended: A high Fowler's position with the neck extended may increase the risk of strain on the surgical incision and should be avoided.
D. High Fowler's withzed in a neutral position
High Fowler's with neck in a neutral position: While a high Fowler's position can be comfortable for the client, it's important to ensure that the neck is in a neutral position to minimize strain on the surgical incision.
Full Explanation
A. Semi-Fowler's with neck extended: Keeping the neck extended can put strain on the surgical incision site, increasing the risk of complications. It's important to avoid excessive neck movement.
B. Semi-Fowler's with neck in a neutral position: This position is optimal for clients post-thyroidectomy. It helps reduce swelling and pressure on the surgical site while maintaining the neck in a neutral and supported position.
C. High Fowler's with neck extended: A high Fowler's position with the neck extended may increase the risk of strain on the surgical incision and should be avoided.
D. High Fowler's with the neck in a neutral position: While a high Fowler's position can be comfortable for the client, it's important to ensure that the neck is in a neutral position to minimize strain on the surgical incision.
The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
A. More rapid insulin release
Incorrect. Aging is associated with a decrease in insulin production and a reduction in the speed of insulin release, not an increase.
B. intolerance of fatty foods
Incorrect. Intolerance of fatty foods is not typically an age-related endocrine change. It may be related to other factors such as digestive issues.
C. Decreased sensitivity to insulin
Correct. Decreased sensitivity to insulin is a common age-related endocrine change, particularly in individuals with type 2 diabetes mellitus.
D. Lower and prolonged blood glucose levels
Incorrect. Lower and prolonged blood glucose levels are not an expected age-related endocrine change. Instead, insulin resistance tends to result in elevated blood glucose levels.
Full Explanation
A. Incorrect. Aging is associated with a decrease in insulin production and a reduction in the speed of insulin release, not an increase.
B. Incorrect. Intolerance of fatty foods is not typically an age-related endocrine change. It may be related to other factors such as digestive issues.
C. Correct. Decreased sensitivity to insulin is a common age-related endocrine change, particularly in individuals with type 2 diabetes mellitus.
D. Incorrect. Lower and prolonged blood glucose levels are not an expected age-related endocrine change. Instead, insulin resistance tends to result in elevated blood glucose levels.