The nurse is assessing the client and notes on physical exam that ...

[jho37]

The nurse is assessing the client and notes on physical exam that the client has an enlarged forehead and protruding jaw. The nurse suspects that the client is experiencing:
 
  1. gigantism.
  2. deficient ADH.
  3. acromegaly.
  4. hypopituitarism.

Question 2

A client having exophthalmos from hyperthyroidism is upset because the eyes are dry, look funny, and wants to know when these symptoms will go away with treatment. What should the nurse respond?
 
  1. The exophthalmos will not go away with treatment.
  2. Exophthalmos will recede in about 1 year.
  3. Surgery will be necessary to correct the eyes.
  4. Glasses will help the symptoms to subside.

[parshano]

Answer to Question 1

Answer: 3

1. Gigantism occurs when the pituitary gland over-secretes growth hormone during childhood and the long bones grow, producing an abnormally tall adult.
2. Deficient ADH produces SIADH and is secreted by the posterior pituitary gland.
3. Acromegaly is a hypersecretion of growth hormone in the adult. Since the epiphyseal plates of the bones close in adolescence, the adult client experiences a thickening and enlarging of bones and connective tissue.
4. Symptoms of hypopituitarism will depend on which hormone is under-producing and when in the lifecycle the alteration occurs. Acromegaly is hypersecretion of growth hormone.

Answer to Question 2

Answer: 1

1. Exophthalmos is a permanent change, and does not go away.
2. Exophthalmos will not recede over time.
3. Surgery may be done on the thyroid, but will not correct exophthalmos.
4. Glasses will correct vision problems only.

[jho37]

Wow, this really help

[Joy Chen]

Thanks for the timely response, appreciate it