endocrine

Which statement made by a client about thyroid hormone replacement therapy (HRT) indicates to the nurse that further teaching is needed? A "If I continue to lose weight, I may need an increased dose." B "I will have more energy with this medication." C "If I often am constipated and feel tired, I may need an increased dose."

A "If I continue to lose weight, I may need an increased dose."

Which trends in serum electrolyte values will the nurse expect to find in a client who has untreated hypoparathyroidism? A Below normal calcium levels; above normal phosphorus levels B Below normal calcium levels; below normal phosphorus levels C Above normal calcium levels; above normal phosphorus levels D Above normal calcium levels; below normal phosphorus levels

A Below normal calcium levels; above normal phosphorus levels

Which action immediately after a hypophysectomy will the nurse instruct a client to avoid to prevent harm? (Select all that apply.) A Bending at the waist B Talking C Deep breathing D Coughing E Wearing makeup F Using dental floss

A Bending at the waist D Coughing

Which signs, symptoms, or behaviors will the nurse expect to find when assessing a client who has just been diagnosed with hypothyroidism? (Select all that apply.) A Nonpitting edema of hands and feet B Warm, moist skin C Decreased deep tendon reflexes D Agitation and inability to sleep E Pulse rate below 60 beats/min

A Nonpitting edema of hands and feet C Decreased deep tendon reflexes E Pulse rate below 60 beats/min

Which statement made by the client alerts the nurse to the possibility of hypothyroidism? A "I seem to feel the heat more than other people." B "I am always tired, even when I get 10 or 12 hours of sleep." C "Food just doesn't taste good without a lot of salt." D "My grandmother had thyroid problems."

B "I am always tired, even when I get 10 or 12 hours of sleep."

Which statement made by the client who is going home after a transsphenoidal hypophysectomy indicates to the nurse correct understanding of actions to prevent complications from this treatment? A "While I am awake, I will be sure to cough and deep breathe at least every 2 hours." B "I will keep the cat food bowl on my counter so that I do not have to bend over." C "Whenever I am out-of-doors in the sunshine, I will wear dark glasses." D "If the dressing gets wet, I will wash the incision line and redress it immediately."

B "I will keep the cat food bowl on my counter so that I do not have to bend over."

Which precaution will the nurse include when providing instructions to the female client with hypothyroidism who is prescribed to take thyroid hormone replacement therapy (HRT)? A "Increase the amount of fiber in your diet to prevent the side effect of constipation." B "Stop this drug immediately if you discover you are pregnant." C "Avoid over-the-counter medications unless prescribed by your primary health care provider." D "If you miss a dose, double your next day's dose."

B "Stop this drug immediately if you discover you are pregnant."

With which client will the nurse be aware of an increased risk for hypoparathyroidism? A A 28-year-old woman with pregnancy-induced hypertension B A 35-year-old woman who had radiation therapy for Graves disease C A 50-year-old man starting on insulin therapy for type 2 diabetes mellitus D A 55-year-old man with moderate heart failure after myocardial infarction

B A 35-year-old woman who had radiation therapy for Graves disease

Which assessment finding in a client who had a parathyroidectomy yesterday indicates to the nurse that immediate action is needed? A Hypoactive bowel sounds B Apical pulse of 92 beats/min C Bilateral leg muscle twitching D Dry mouth

C Bilateral leg muscle twitching

Which type of drug therapy will the nurse prepare to teach about to a client who has mild hyperparathyroidism? A Antipyretics B Opioid analgesics C Furosemide diuretics D Calcium supplements

C Furosemide diuretics

What is the nurse's best response when family members of a client with hyperthyroidism express concern about the client's frequent mood swings? A "Do the client's mood swings make you feel angry?" B "The medications will make the mood swings disappear completely." C "Your family member is sick. You must be patient." D "Mood swings are common should diminish with treatment."

D "Mood swings are common should diminish with treatment."

Which action is most important for the nurse to take first after finding a client who has severe hypothyroidism to be unresponsive to attempts to waken her and have a heart rate of 46 beats/min? A Increasing the IV infusion rate B Initiating the Rapid Response Team C Assessing temperature D Applying oxygen by mask

D Applying oxygen by mask

For which assessment finding in a client who had a transsphenoidal hypophysectomy yesterday will the nurse notify the primary health care provider immediately? A Dry lips and oral mucosa on examination B Nasal drainage that tests negative for glucose C Urine specific gravity of 1.016 D Client report of a headache and stiff neck

D Client report of a headache and stiff neck

For which new-onset symptom or behavior will the nurse teach a client taking thyroid hormone replacement therapy (HRT) to report immediately to the primary health care provider? A Calf muscle cramping B Runny nose C Anorexia D Hand tremors

D Hand tremors

Which action does the postanesthesia care unit (PACU) nurse perform first when caring for a client who has just arrived after a total thyroidectomy? A Administering morphine for pain B Assessing the wound dressing for bleeding C Hyperextending the neck D Monitoring oxygen saturation

D Monitoring oxygen saturation