endocrine packet questions

Nurse is caring for a client undergoing evaluation of endocrine function, and laboratory findings indicate excessive levels of adrenaocortical hormones. This would correlate which disease ?

Cushing syndrome

Observation of a client revels thin extremities, but obese truncal area and a buffalo hump at the shoulder area with reports of weakened and disturbed sleep. The nurse interprets this data as indicating which disorder?

Cushing syndrome

A client experiences polydipsia and voiding large amounts of water like urine with a specific gravity of 1.003. What do these clinical manifestations indicate to the nurse?

DI

Which instructions should be included in the discharge teaching plan for a client after a thyroidectomy for Graves' disease ?

Have regular follow up care

A client is suspected of having hypothyroidism. Which diagnostic test would be most appropriate for the nurse to monitor ?

T4 and TSH

The nurse is caring for a client with hypothyroidism. Which medication will the nurse reinforce instructions?

Levothyroxine

A child is diagnosed with DI. Which characteristics will the nurse recognize in the heath history ?

Abrupt onset of polyuria, nocturia, and polydipsia

The nurse and a client have just discussed the clients recent diagnosis of hypothyroidism and it's causes and effects. Which statement indicates that the client needs further instruction?

"I just eat too much. That's why I'm depressed and overweight"

A client whose physical findings suggest a hyperpituitary condition undergoes an extensive diagnosis work up. Test results reveal pituitary tumor, which necessitates a transsphenoidal hypophysectomy. The evening before surgery, the nurse reviews preoperative and postoperative instructions given to the client earlier. Which post op instruction should the nurse emphasize ?

"You must avoid coughing, sneezing and blowing your nose

A female client who weighs 210 lbs and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of the following would the nurse suspect as a possible cause of the clients hyperglycemia?

Acromegaly

A client reports muscle weakness, anorexia, and darkening of skin. The nurse reviews laboratory data and notes findings of low serum sodium and high serum potassium levels. The nurse recognizes these s/s are associated with what condition?

Addison's disease

The nurse is developing a teaching plan for a client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with DI?

Antidiuretic hormone (adh)

A client arrives in the clinic with a possible parathyroid hormone deficiency (PTH). Which which electrolytes would the nurse anticipate to be abnormal ?

Calcium and phosphorus

The nurse is caring for a client with hypoparathyroidism. During data collection, the nurse taps the clients face 2 cm anterior to the earlobe. The nurse is attempting to elicit which of the following ?

Chvosteks sign

When collecting data on a child for possible DI, nurse should recognize which condition as a sign of this disorder?

Dehydration, polyuria, excessive thirst relieved by water

The nurse is obtaining data from a client diagnosed with DI. Which findings would correlate with this diagnosis?

Extreme polyuria, excessive thirst, low urine specific gravity

The nurse is caring for a client with hypothyroidism. Which client data would the nurse expect to collect ?

Fatigue, cold intolerance, weight gain, and constipation

The client with Addisons is admitted to a medical surgical unit. The nurse educator is discussing with a student why this client is at risk for development of hypoglycemia and asks the following question: "the 👇 adrenal cortical function of which substances leads to 👇 glucose availability?"

Glucocorticoids

The nurse reviewing the labs results on clients chart notes findings of increased serum phosphate levels and decreased serum calcium levels. These findings indicate which condition?

Hypoparathyroidism

Nurse is gathering data from a client with SIADH secretion. Which signs suggest that the client is experiencing complications?

Neck vein distention and pulmonary congestion

A nurse is caring for a client with SIADH secretion. The client becomes confused and develops crackles and dyspnea. Which is the priority action of the nurse ?

Notify the health care provider

A client is admitted for treatment of SIADHx which nursing intervention is appropriate?

Restricting fluids

A client with DI has had limited fluid over the past 12 hours. For which complications should the nurse monitor the client ?

Severe dehydration and hypernatremia

A client presents to the emergency department with weight gain, lethargy and goiter. When reviewing lab values, which major mineral would the nurse anticipate this client to be deficient?

Iodine

A client reports weight gain and fatigue. The nurse obtains data that reveal the following: BP - 120/74 mm hg, Pulse rate- 52 BPM and RR of 20 and temp of 98. Lab results show low T4 and T3 levels. The nurse determines these symptoms are associated with what condition?

Hypothyroidism

The nurse is collecting data on a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine. During the physical assessment, the nurse is most likely to detect which VS or symptom?

Blood pressure of 176/88 mm hg

The nurse is caring for a client. When providing report to the next shift, it's noted that the client has osteopenia and history of renal calculi. Which of the following disorders would the nurse suspect?

Hyperparathyroidism

The nurse reviews a clients chart osteopenia, and renal calculus. Which condition does the nurse conclude the client is diagnosed with?

Hyperparathyroidism

Nurse reviews laboratory data of a client. Data reveals 👆 blood and urine levels of T3 and T4. The nurse determines these values are associated with which condition?

Hyperthyroidism

A client presents with a buffalo jump at the shoulder area and an obese truncal area with thin extremities. Which test should the nurse anticipate?

Low dose dexamethasone suppression test

When caring for a client with a diagnosis of DI, which nursing intervention should be the nurses priority?

Maintain adequate fluid intake

Incoherent client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and lab findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and non pitting edema of the face and pretibial area. Knowing that, these findings suggest hypothyroidism, the nurse prepares to take emergency action to prevent the potential complication of?

Myxedema coma

A client with hyperthyroidism develops high fever, extreme tachycardia, and altered mental status. Which condition does the nurse suspect is developing ?

Thyroid storm

The nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will prescribe daily supplements of calcium and:

Vitamin D

The nurse is evaluating a client with hyperthyroidism. Which findings should the nurse anticipate correlate with the diagnosis?

Weight loss, nervousness, and tachycardia