Question

16. A patient recently had his parathyroids removed. What other S&S might be present as a result of this situation? A positive Chvostek's sign might be elicited as a result of hypocalcemia. A negative Chvostek's sign might be elicited as a result of hypocalcemia. c. The patient might feel fatigued due to hypercalcemia. d. PTH and calcitonin would become competitors for calcium, resulting in a calcium-movement war. The nurse caring for a woman with Cushing's disease may expect assessment finding of all below EXCEPT: exophthalmos. hirsutism. truncal obesity. high blood pressure. b. 18. A patient presents with S&S of dehydration, weight loss, and a blood glucose of 50. A likely diagnosis is: Cushing's disease. hyperpituitarism. hypothyroidism. Addison's disease. b.

Answer 1

16.A Postive chvostek's  sign elicited as a result of hypocalcemia.After parathyroidectomy calcium level reduced hypocalcemia ocuur.chvostek's sign is positive in hypocalcemic state.It is the sign which exhibit muscle twitching in facial muscles by stimulating the facial nerve.

other options: for hypocalcemia negative chvostek's sign cannot occur.Hypercalcemia not occur.PTH level reduced after removal of glands.so cannot involve in calcium alterations.

17.Answer:Exophthalmos is the not the sign as a  result of pathophysiology of cushing's disesase.It is not present in all cases.But the other three symptoms are the important signs.

18.Answer:Addison's disesase

It cause adrenal insufficiency ,cortisol level gets reduced in this condition.Cortisol is essential to maintain blood pressure and glucose levels and other metabolic functions.Due to reduced cortisol the signs and symptoms such as weight loss,dehydration,low blood pressure and low glucose level occur.

The other three conditions have different manifestations.

19.Answer:SIADH

Syndrome of inappropriate antidiuretic hormone.Presence of antidiurteic hormone prevents the micturation.So polyuria as well as polydipsia not present in this condition.

But the other three it is a primary sign.