The nurse is assessing a 9-year-old girl who had tuberculosis when she was 6 years old, has been losing weight, and has no appetite. Which of the following assessment findings would be most indicative of Addison's disease?
A) Arrested height and increased weight
B) Thin, fragile skin and multiple bruises
C) Hyperpigmentation and low blood pressure
D) Blurred vision, headaches, and enuresis
C
Response:
Hyperpigmentation and low blood pressure would point to Addison's disease. Arrested height and increased weight is typical of acquired hypothyroidism; this girl has lost weight. Thin, fragile skin and multiple bruises are indicative of Cushing's syndrome. Blurred vision, headaches, and enuresis would be complaints of a child with diabetes mellitus.
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