Of the following patient conditions, which patients would be at risk for experiencing a thyroid problem due to a decrease in thyroxine-binding globulin (TBG)? Select all that apply
A)
A 55-year-old male with cirrhosis due to alcohol abuse
B)
A 47-year-old female experiencing hot flashes and excess diaphoresis related to menopause
C)
A 75-year-old man receiving chronic glucocorticoid therapy to treat his severe chronic obstructive pulmonary disease (COPD)
D)
A 18-year-old female anorexia nervosa patient weighing 78 lb and has consumed no protein for the past 3 years
Ans:
A, C, D
Feedback:
A number of disease conditions and pharmacologic agents can decrease the amount of binding protein in the plasma or influence the binding of hormone. Glucocorticoid medications and systemic disease conditions such as protein malnutrition, nephritic syndrome, and cirrhosis decrease TBG concentrations.
You might also like to view...
When reviewing laboratory results for a child with hemophilia, the nurse anticipates finding an abnormal:
a. prothrombin time. b. bleeding time. c. platelet count. d. partial thromboplastin time.
An older patient with peripheral neuropathy has been taking magnesium supplements. The nurse realizes that which symptoms indicate hypermagnesemia?
1. hypotension, warmth, and sweating 2. nausea and vomiting 3. hyperreflexia 4. excessive urination
The cells of the heart that contain contractile filaments are called _____ cells
Fill in the blanks with correct word
A woman has a positive pregnancy test and comes to you with left lower quadrant pain. On bimanual examination, you feel a tender mass. Which of the following should you suspect?
A) Threatened abortion B) Appendicitis C) Ovarian cyst D) Tubal pregnancy