A client has an ACTH-secreting tumor. The nurse understands that which assessment findings would be consistent with this type of tumor?
1. Clubbing of the fingers and circumoral cyanosis
2. Extreme tachycardia and tremors
3. Weight gain and muscle atrophy
4. Exophthalmos and skin that is hot to the touch
Correct Answer: 3
Rationale 1: Clubbing of the fingers and circumoral cyanosis are not associated with an ACTH-secreting tumor.
Rationale 2: Extreme tachycardia and tremors are not associated with an ACTH-secreting tumor.
Rationale 3: Weight gain and muscle wasting are clinical manifestations seen in clients with hypersecretion of corticosteroids. This is consistent with an ACTH-secreting hormone.
Rationale 4: Exophthalmos and skin that is hot to the touch are not associated with an ACTH-secreting tumor.
Global Rationale: Weight gain and muscle wasting are clinical manifestations seen in clients with hypersecretion of corticosteroids. This is consistent with an ACTH-secreting hormone. Clubbing of the fingers, circumoral cyanosis, extreme tachycardia, tremors, exophthalmos and hot skin are not found in those with corticosteroid excess.
You might also like to view...
The nurse is aware that the most common sign of a vaginal hematoma is
a. excessive blood loss c. uterine atony b. severe perineal pain d. hypotension
Which of the following complications may occur if a woman develops PIH?
A) Mitral valve prolapse B) Placenta abruptio C) Macrosomia D) Gestational diabetes
The nurse recognizes a "Baby Boomer" when the client:
1. Acknowledges consistently that she is "working for all the overtime I can get." 2. Is uncomfortable when told she must turn off her cell phone. 3. Proudly wears the watch he earned as "employee of the month." 4. Plans to retire from the company for which she is working now. 5. Feels that "corporate America" doesn't value its employees.
While presenting a panel discussion to a group of parents about urinary tract infections (UTIs) in children, one of the parents asks the nurse, "Why would my daughter be more at risk than my son?" Which response by the nurse would be most accura
A) "Girls have a smaller bladder size than boys do." B) "A girl's urethra is closer to the rectal opening." C) "A girl's urethra is longer than a boy's urethra." D) "Her kidneys are less well protected."