Patho Patho #80

Question

Which is the most critical potential complication in a client diagnosed with acromegaly?

Answers

  1. Congestive heart failure.
    • Rationale:

      This answer is correct because acromegaly can result in congestive heart failure due to heart muscle hypertrophy caused by exposure to excessive growth hormone.

  2. Elevated blood glucose.
    • Rationale:

      This answer choice is not correct because, although acromegaly can lead to insulin resistance and hyperglycemia, congestive heart failure is a more serious potential complication than elevated glucose.

  3. Enlarged extremities.
    • Rationale:

      This answer choice is not correct because enlarged extremities is an expected outcome of acromegaly and is not a potential complication of the disorder.

  4. Type I diabetes.
    • Rationale:

      This answer choice is not correct because acromegaly may result in Type II diabetes mellitus as opposed to Type I diabetes. Type I diabetes is an autoimmune disorder in which beta cells do not produce insulin.

Overview

The focus of this question is asking the nurse to determine which potential complication of acromegaly is the highest priority. Acromegaly is caused by long term overproduction of growth hormone. Among some of the complications associated with exposure to excessive growth hormone is congestive heart failure due to hypertrophy of the heart muscle.

Explanation

Learning Outcomes

Acromegaly is an endocrine disorder caused by ectopic production of growth hormone. It causes abnormal facial features and growth of the hands and extremities. Serious potential complications include insulin resistance, atherosclerosis, and congestive heart failure.

Test Taking Tip

A-B-C- the most critical potential complication is congestive heart failure and is the most important cause of mortality in clients with acromegaly.

Video Rationale