A client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client's hypertension is caused by excessive hormone secretion from which of the following glands?

Correct Answer: A

Rationale: Primary hyperaldosteronism is a condition characterized by excessive production of aldosterone by the adrenal cortex. Aldosterone is a hormone produced by the adrenal glands that plays a key role in regulating blood pressure and electrolyte balance in the body. When there is an overproduction of aldosterone, it can lead to increased sodium retention and potassium excretion, resulting in hypertension. Therefore, in this case, the client's hypertension is caused by excessive hormone secretion from the adrenal cortex, making option A the correct answer.

Correct Answer: A

Rationale: Maintaining strict records of intake and output is the best way to assess the client's fluid balance in this situation. Severe burns can lead to fluid loss, which can result in dehydration and other complications. By carefully monitoring the amount of fluid the client is taking in (intake) and the amount of fluid being eliminated from the body (output), healthcare providers can assess the client's fluid balance and make necessary adjustments to prevent dehydration or fluid overload. This approach provides accurate and specific information to guide fluid management and ensure optimal recovery for the client with burns. Monitoring skin turgor, daily weight, and checking for edema are also important measures, but maintaining strict records of intake and output is the most direct and effective method for assessing fluid balance in a client with burns.

Correct Answer: D

Rationale: At this age, building a tower involves fine motor skills and symbolic thinking.

Correct Answer: D

Rationale: A brain abscess can be caused by direct invasion of the brain by microorganisms, spread of infection by other organs (such as the heart or lungs), or spread of infection from nearby sites (such as sinuses or the middle ear). In some cases, multiple mechanisms can contribute to the development of a brain abscess. Therefore, the correct answer is that a brain abscess can be caused by all of the above mechanisms.

Correct Answer: C

Rationale: Etoposide is known to be associated with secondary AML due to its potential to induce chromosomal abnormalities.