Practice Quiz

NCLEX-RN

Category - Physiological

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Carina, a 50-year-old woman, is diagnosed with hyperpituitarism. When the nurse is performing assessment, which of the following questions is not an accurate method of eliciting information about the client’s medical history?
  1. “Did you have any changes in hat, ring or shoe size?”
  2. “Did you experience any visual disturbances?”
  3. “Did you experience any pain in the hands, feet or back?”
  4. “Do you have poor tolerance for stress, weakness, fatigue, or activity intolerance?”
Explanation
Answer: D - Asking the client if she has poor tolerance to stress, fatigue or weakness is more suitable when evaluating for Addison’s disease. Carina has acromegaly; therefore, the nurse should elicit information that reveals gradual changes in size over 7-10 years. Visual disturbances and pain in bony areas are common symptoms of acromegaly.
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