A woman comes to the clinic and states, I've been sick for so ...

[ARLKQ]

A woman comes to the clinic and states, I've been sick for so long My eyes have gotten so puffy, and my eyebrows and hair have become coarse and dry. The nurse will assess for other signs and symptoms of:
 
  a. Cachexia.
  b. Parkinson syndrome.
  c. Myxedema. d.
  Scleroderma.

Question 2

During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition?
 
  a. Rickets
  b. Dehydration
  c. Mental retardation
  d. Increased intracranial pressure

[kjo;oj]

Answer to Question 1

ANS: C
Myxedema (hypothyroidism) is a deficiency of thyroid hormone that, when severe, causes a nonpitting edema or myxedema. The patient will have a puffy edematous face, especially around the eyes (periorbital edema); coarse facial features; dry skin; and dry, coarse hair and eyebrows.

Answer to Question 2

ANS: B
Depressed and sunken fontanels occur with dehydration or malnutrition. Mental retardation and rickets have no effect on the fontanels. Increased intracranial pressure would cause tense or bulging and possibly pulsating fontanels.