The nurse is assessing a 9-year-old girl with a history of tuberculosis at age 6 years. She has been losing weight and has no appetite. The nurse suspects Addison disease based on which assessment findings?
A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and hypotension
D) Blurred vision and enuresis
Ans: C
Hyperpigmentation and hypotension would point to Addison disease. Arrested height and increased weight are typical of acquired hypothyroidism; this girl has lost weight. Thin, fragile skin and multiple bruises are indicative of Cushing syndrome. Blurred vision, headaches, and enuresis would be complaints of a child with diabetes mellitus.
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A resident is on aspiration precautions. Where will you find instructions about special feeding needs?
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