Patho Patho #38

Question

When completing an assessment on a client, the nurse would consider which an abnormal finding related to the endocrine system?

Answers

  1. A blood pressure of 112/80.
    • Rationale:

      This answer choice is not correct because a blood pressure of 112/ 80 is within acceptable limits and does not represent an abnormal finding related to the endocrine system.

  2. A weight gain of 10 pounds over a 6 month period.
    • Rationale:

      This answer choice is not correct because a weight gain of 10 pounds over a 6 month time period may be attributed to a number of different causes, such as overeating or a sedentary lifestyle. A more sudden increase or decrease in weight would require further investigation for a possible endocrine-related disorder.

  3. Two soft, formed bowel movements daily.
    • Rationale:

      This answer choice is not correct because two, soft, formed bowel movements per day does not represent an abnormal finding.

  4. Poor growth and development.
    • Rationale:

      This answer is correct as poor growth and development could indicate growth hormone deficiency related to dysfunction of the anterior pituitary gland.

Overview

The focus of this question is asking the nurse to identify the abnormal finding during completion of assessment of the endocrine system. Poor growth and development could indicate a number of endocrine disorders related to the thyroid or pituitary glands. A deficiency in growth hormone could be the underlying etiology for this abnormal finding as well.

Explanation

Learning Outcomes

Hormones produced by the anterior pituitary gland as well as the thyroid gland play a role in growth and development in children. If one of these glands is not functioning properly or producing enough hormone, a child may not meet specified growth and development goals. Delayed growth and development should be investigated further for the underlying etiology.

Test Taking Tip

Even if you are unsure of the correct answer, the process of elimination may be used in this question to pinpoint the only abnormal finding among all four answer choices.

Video Rationale