A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hor-mone (GH)
Which of the following would the nurse also expect to find?
a. Decreased IGF-1
b. Hypotension
c. Muscular atrophy
d. Height increases
ANS: C
With elevated levels of GH, there is resulting bony and soft tissue overgrowth; nerve entrapment occurs, leading to peripheral nerve damage manifested by weakness, muscular atrophy, foot drop, and sensory changes in the hands. IGF-1 increases, and there is an overgrowth of bone but not an increase in height or hypotension.
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