Evolve Questions (Ch. 57)
Clients who have deficiencies of which hormones will the nurse assess for increased risk of life-threatening consequences? a. Prolactin and prolactin inhibiting hormone (PIH) b. Adrenocorticotrophicn hormone (ACTH) and thyroid-stimulating hormone (TSH) c. Growth hormone (GH) and melanocyte-stimulating hormone (MSH) d. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
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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
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For which change reported by a client taking bromocriptine therapy to manage hyperpituitarism will the nurse notify the primary health care provider immediately to prevent harm? a. Chest pain b. Constipation c. Headache d. Increased sleepiness
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For which client will the nurse question the prescription for long-term androgen therapy? a. A 40 year old who also has syndrome of inappropriate antidiuretic hormone (SIADH). b. A 52 year old with a history of prostate cancer treatment. c. A 30 year old who is taking antiviral therapy for HIV disease. d. A 66 year old with impotence that is resistant to standard erectile dysfunction therapy.
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Which primary health care provider order will the nurse perform first for a client with syndrome of inappropriate antidiuretic hormone (SIADH) who has a serum sodium level of 105 mEq/L (105 mmol/L)? a. Administering an infusion of 150 mL hypertonic saline over the next 3 hours b. Drawing blood for hemoglobin and hematocrit levels c. Measuring serial weights at the same daily with the client wearing the same amount of clothing d. Inserting an indwelling catheter and monitoring urine output
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Which question asked by a 48-year-old client with sleep apnea whose blood glucose level is elevated suggests to the nurse the possibility of a growth hormone excess? a. "Do you think if I lost weight my sleep apnea would improve?" b. "Why do I feel thirsty all the time?" c. "How can I make my skin less itchy?" d. "Does everyone's feet get bigger during menopause?"
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Which question is most relevant to ask a male client suspected to have a gonadotropin deficiency? a. "Are you experiencing any pain during sexual intercourse?" b. "Do you work with or have hobbies that involve exposure to chemicals?" c. "Have you gained or lost any weight recently?" d. "How often do you need to shave your face?"
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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."
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