310 Elsevier Adaptive Quizzing Endocrine Alterations
Which gland is affected in aldosteronoma?
Adrenal cortex
Which hormone binds to the receptor site on the surface of a target cell?
Adrenaline
While obtaining the client's health history, which factor would the nurse identify that predisposes the client to type 2 diabetes? Having diabetes insipidus Eating low-cholesterol foods Being 20 pounds (9 kg) overweight Drinking a daily alcoholic beverage
Being 20 pounds (9 kg) overweight
Which catecholamine receptor is responsible for increased heart rate?
Beta-1 receptor
Why is blood glucose self-monitoring preferred over urine glucose testing?
Blood glucose monitoring is more accurate
Which skin condition would the nurse expect when performing a physical assessment on a client with a history of hypothyroidism?
Dry
A client newly diagnosed with type 1 diabetes asks why it is necessary to exercise on a regular basis. Which response is accurate?
Exercise improves the cellular uptake of glucose
Which symptom would the nurse identify when assessing a client with Graves disease? Exophthalmos Lethargy Constipation Weight gain
Exophthalmos
During a home visit to a client, the nurse identifies tremors of the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Which additional assessment would the nurse report immediately to the health care provider?
Fluttering in the chest
A client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complication?
Frequent yeast infections
Which intervention would the nurse implement for a client who has type 1 diabetes and has an elevated blood glucose?
Give supplemental doses of regular insulin
Which hormonal deficiency would increase the client's risk for fractures?
Growth hormone
The nurse is reviewing the medical records of several clients. Which client has a condition that is an autoimmune disorder? Addison disease Cushing syndrome Hashimoto disease Sheehan syndrome
Hashimoto disease
Which classic sign will a nurse find in a client with Addison disease?
Hyperpigmentation
Why is 15 g of a simple sugar administered when a client with diabetes experiences hypoglycemia?
Increases blood glucose levels
Which is the target tissue for the parathyroid hormone?
Intestines
The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe?
Isophane insulin neutral protamine hagedorn (NPH)
Which assessment finding in a client signifies a mild form of hypocalcemia? Severe muscle cramps Numbness around the mouth Hand spasms Seizures
Numbness around the mouth
Which infection control measures would the nurse provide a client regarding blood glucose monitoring? Select all that apply. One, some, or all responses may be correct.
Perform hand washing Clean site before fingerstick
Which is a secondary cause of adrenal insufficiency?
Pituitary tumors
Which hormone has both inhibiting and releasing action? Prolactin Somatotropin Somatostatin Gonadotropin
Prolactin
Which hormones are most commonly produced in excess with hyperpituitarism? Select all that apply. One, some, or all responses may be correct.
Prolactin, Growth Hormone
Which hormone is released from the pancreas? Oxytocin Prolactin Somatostatin Calcitonin
Somatostatin
Which action would be appropriate to implement when collecting a 24-hour urine test?
Start the time of the test after discarding the first voiding
To ensure a quality specimen and an accurate test result, which instruction would the nurse give a client who is scheduled to undergo urine endocrine testing?
Store the urine specimen in a cooler with ice
A nurse educator instructs a new nurse during orientation about the physiological processes of the endocrine system. Which statement made by the new nurse indicates effective learning?
The hormones of the endocrine system exert their action by 'lock and key' mechanism
Which neurological manifestation is associated with hyperthyroidism? Tremors Confusion Hearing loss Slowness of speech
Tremors
When teaching a client with type 2 diabetes, which statement by the nurse reflects accurate information about preparing for a serum glucose test?
"Do not ingest anything before the test."
In which order do the events of the positive feedback mechanism of estradiol chronologically occur?
1. Estradiol levels are increased during the menstrual cycle. 2. Follicle-stimulating hormone (FSH) production and release is increased 3. Estradiol levels are increased as a result of follicle-stimulating hormone 4. Death of follicle has occurred 5. Follicle-stimulating hormone levels in serum drop
The nurse administers vasopressin to a client and recalls that the medication is which type of hormone?
Antidiuretic hormone
Which medication can cause diabetes insipidus?
Demeclocycline
Which instruction would the nurse provide to a 6' 0", 160-pound client newly diagnosed with type 1 diabetes who wants to self-administer injections with an insulin pen? Select all that apply. One, some, or all responses may be correct.
Prime the needle with two units Use a 29-gauge insulin needle Give the injection at 45-degree angle Refrain from recapping the needle Dial the pen to deliver the unit dose
Which clinical manifestation would be expected in a client with hyposecretion of growth hormone? Lethargy Weight gain Decreased libido Reduced bone density
Reduced bone density
Before having surgery, a client with type 1 diabetes insulin requirements are elevated but well controlled. Which insulin requirements would the nurse anticipate for this client postoperatively? Increase sharply Remain elevated Fluctuate Decrease
Remain elevated
Which gland is an exocrine gland? Thyroid gland Salivary gland Pituitary gland Parathyroid gland
Salivary gland
Which client response is most important for the nurse in the postanesthesia care unit to monitor when caring for a client who had a thyroidectomy? Urinary retention Signs of restlessness Decreased blood pressure Signs of respiratory obstruction
Signs of respiratory obstruction
Which hormonal deficiency causes diabetes insipidus in a client?
Antidiuretic hormone (ADH)
Which term would the nurse use in a report to describe the absence of menstrual periods in a 35-year-old nonpregnant client?
Amenorrhea
Which exogenous conditions are responsible for increased cortisol secretion? Select all that apply. One, some, or all responses may be correct. Organ transplantation Carcinomas of the lung Cancer chemotherapy Adrenal adenomas Asthma
Asthma, Cancer chemotherapy, Organ transplantation
Which nursing intervention is appropriate during the first 24 hours after a thyroidectomy when the nurse is concerned about thyroid storm?
Check vital signs every 2 hours after they stabilize
A client presents with chief complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, there is truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. The symptoms described are suggestive of which disease?
Cushing disease
Which clinical manifestation is seen in a male client as a result of deficiency of gonadotropin?
Decreased fertility
Which physical symptoms would a client diagnosed with Cushing syndrome exhibit?
Hypertension and moon face
The nurse is performing an assessment and notes that the client has exophthalmos and complains of double vision. These assessment findings are consistent with which condition?
Hyperthyroidism
Which clinical manifestation occurs in a client with vasopressin deficiency?
Hypotension