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Thelma, a 39-year-old client, reports feeling fatigued and weak recently. On examining her, the nurse finds darkening areas of skin. A serum cortisol test indicates reduced levels. Which of the following conditions should the nurse suspect most in Thelma?


A) Addison's disease
B) Hirsutism
C) Cushing's syndrome
D) Hyperprolactinemia

E) All of the above
F) None of the above

Correct Answer

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Alice is a client with hypoparathyroidism. The nurse should advise Alice to take which of the following supplements? (Select all that apply.)


A) Calcium
B) Iron
C) Vitamin C
D) Vitamin D
E) Vitamin K

F) A) and D)
G) A) and E)

Correct Answer

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Eileen is a client who presents with central obesity, a moon-shaped face, and a fatty hump between the shoulders. Which condition should the nurse suspect most in Eileen?


A) Addison's disease
B) Hirsutism
C) Cushing's syndrome
D) Hyperprolactinemia

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following are risk factors associated with hypothyroidism? (Select all that apply.)


A) Tumor of the thyroid
B) Age older than 60 years
C) Male gender
D) Family history
E) Surgical removal of the thyroid

F) B) and E)
G) A) and B)

Correct Answer

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Trina, a 62-year-old client, has been diagnosed with hypothyroidism. Which of the following treatments should the nurse recommend for Trina?


A) Thyroidectomy
B) Levothyroxine
C) Methimazole
D) Prophylthiouracil

E) A) and D)
F) B) and D)

Correct Answer

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Which of the following are risk factors associated with type 2 diabetes? (Select all that apply.)


A) Age older than 45 years
B) Body mass index (BMI) greater than 20
C) Blood pressure higher than 120/80 mm Hg
D) Delivering a baby with a birth weight greater than 9 lb
E) Obstructive sleep apnea

F) None of the above
G) A) and E)

Correct Answer

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Ruth, a 32-year-old nulliparous client, reports secretion of milk from her breasts and having missed her last menstrual period. The nurse conducts a pregnancy test on Ruth, and the result is negative. What condition should the nurse suspect most in Ruth?


A) Hyperparathyroidism
B) Hyperthyroidism
C) Hyperglycemia
D) Hyperprolactinemia

E) A) and B)
F) A) and C)

Correct Answer

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A client tells the nurse that she is not feeling well and that she thinks she is having a "sugar low." What symptoms would tend to corroborate the client's self-diagnosis? (Select all that apply.)


A) Inability to concentrate
B) Hyperactivity
C) Slurred speech
D) Confusion
E) Fruity breath

F) C) and D)
G) B) and E)

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A, C, D

What percentage of American adults of 65 years and older have diabetes?


A) 15%
B) 20%
C) 25%
D) 30%

E) All of the above
F) A) and B)

Correct Answer

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A nurse is educating a client about complications associated with advanced type 2 diabetes. Which of the following should the nurse mention? (Select all that apply.)


A) Spina bifida
B) Cardiovascular disease
C) Stroke
D) Blindness
E) Death

F) C) and E)
G) A) and B)

Correct Answer

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A client's A1C test result is 6.1%. The nurse should recognize that this finding is indicative of which of the following?


A) Hypoglycemia
B) Normal glycemic status
C) Prediabetes
D) Diabetes

E) A) and B)
F) A) and C)

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C

Jen is a client who has just been diagnosed with hyperparathyroidism. Which of the following symptoms should the nurse expect to see in Jen? (Select all that apply.)


A) Bone fracture
B) Muscle cramps
C) Constipation
D) Cataract development
E) Depression

F) A) and C)
G) B) and D)

Correct Answer

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Pamela is a client with Graves' ophthalmopathy. Which of the following is the treatment of choice for this client?


A) Radioactive iodine
B) Chinese herbal medicine
C) Levothyroxine
D) Thyroidectomy

E) A) and B)
F) B) and C)

Correct Answer

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A nurse is assessing a client suspected of having metabolic syndrome. Which of the following findings, taken together, are indicative of metabolic syndrome? (Select all that apply.)


A) Increased high-density lipoprotein cholesterol level
B) Body mass index (BMI) of 35
C) Blood pressure of 147/94 mm Hg
D) Fasting blood glucose level of 211 mg/dL
E) Resting heart rate of 101 bpm

F) A) and B)
G) B) and E)

Correct Answer

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B, C, D

Which of the following characteristics would be most likely in a client who has just been diagnosed with type 1 diabetes, as opposed to type 2 diabetes?


A) Age of 14 years
B) Body mass index (BMI) of 31
C) Elevated blood insulin level
D) Blood glucose level of 88 mg/dL

E) A) and B)
F) A) and C)

Correct Answer

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