LS1 Week 8 Chapter 52 Assessment and Management of Pt with Endocrine Disorders

Which assessment is done by the nurse when conduction a physical examination? a. Palpate the thyroid gland repeatedly b. Determine the client's abiity to participate in the assessment c. Examine outstretched hands for skin breaks d. Examine the shape and color of the nails.

d. Examine the shape and color of the nails

Which is a complication of hyperthyroidism? a. Acromegaly b. Addison crisis c. Myxedema coma d. Hypothyroidism

d. Hypothyroidism

A nurse is caring for a client suspected of having a pituitary tumor is causing panhypopituitarism. During assessment of the client, which clinical manifestation would the nurse expect to find? a. Hypertension b. Atrophy of gonads c. Tachycardia d. Carpopedal spasm

b. Atrophy of the gonads

The physician has ordered an outpatient dexamethasone suppression test to diagnose the cause of Cushing syndrome in a client who work at night, from 11:00 PM to 7:00 AM, and normally sleeps from 8:00 AM to 4:00 PM. The client has been given dexamethasone. To ensure the most reliable test results, the nurse arranges for the plasma cortisol concentration to be treated at which time? a. 5:00 PM b. 12:00 PM c. 8:00 PM d. 8:00 AM

a. 5:00 PM

Which disorder results from excessive secretion of somatotropin (growth hormone)? a. Acromegaly b. Dwarfism c. Cretinism d. Adrenogenital syndrom

a. Acromegaly

Which disorder is characterized by a group of sx produced by an excess of free circulating cortisol from the adrenal cortex? a. Cushing syndrome b. Hashimoto syndrome c. Graves disease d. Addison diseas

a. Cushing syndrome

Which manifestation comprise the typical triad seen in a client diagnosed with pheochromocytoma? Select all that apply. a. Headache b. Palpitations c. Diaphoresis d. Hyportension

a. Headache

Which mediation is the tx of choice for pregnant women diagnosed with hyperthyroidism? a. PTU b. Methimazole c. SSKI d. Potassiium iodide

a. PTU

Trousseau sign is elicited a. by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff. b. when the foot is dorsiflexed and ther e is pain in the calf c. by tapping sharply over the facial nerve just in fron of the parotid gland and anterior to the ear, causing spasm or twitching of the mouth, nose, and eye d. after making a clenched fist and opening the hand; the palm remains blanched when pressure is placed over the radial artery

a. by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff.

The nurse is completing discharge teaching with a client with hyperthyroidism who has been treated with radioactive iodine at an outpatient clinic. The nurse instructs the client to a. monitor for sx of hypothyroidism b. continue radioactive precaustions with all body secretions c. discontinue all antithyroid mediations d. watch for sx of hyperthyroidism to disapper within 1 week

a. monitor for sx of hypothyroidisn

Cardiac effects of hyperthroidism include a. palpitations b. decreased pulse pressure c. decreased systolic BP d. bradycardia

a. palpitations

Cardiac effects of hyperthyroidism include a. palpitations b. bradycardia c. decreased pulse pressure d. decreased systolic blood pressure

a. palpitations

The typical triad of manifestations seen in a client diagnosed with pheochromocytoma includes which conditions? Select all that apply. a. Hypotension b. Headache c. Diaphoresis d. Palpitations

b Headache

A client with a traumatic brain injury is producing an abnormally large volume of dilute urine. Which alteration to a hormone secreted by the posterior ptiuitary would the nurse expect to find? a. Increased antidiurectic hormone b. Deficient production of vasopressin c.. A deficient amount of somatostatin d. Increased oxytocin

b. Deficient production of vasopressin

Which condition may occur during the postoperative period in a client who underwent adrenalectomy because of sudden withdraw of excessive amounts of catecholamines? a. Hyperglycemia b. Hypoglycemia c. Hypertension d. Hyporefexia

b. Hypoglycemia

A client with hyperthyroid is concerned about changes in apperance. How can the nurse convey an understanding of the client's concern and promote effective coping strategies? a. Suggest that the cient wear cosmetics to cover any cnages in apperance b. Reassurance the client that their emotional reactions are a result of the disorder andy sx can be controlled with effective tx. c. Encourage the client to participate in outside activities to boost coping strategies d. Refer the client to professional counseling

b. Reassure the client that their emotional reactions are a result of the disorder and sypmptoms can be controlled with effective treatment

A client with sx of Cuhsing syndrome is admitted to the hospital for evaluation and treatment. The nurse is creating a plan of care for the client. Which is an appropriate nursing diagnosis? a. Activity intolerance r/t muschle cramps, cardiac dysrhythmias, and weakness b. Self care deficit r/t weakness, fatigue, muscle wasting, and altered sleep patterns c. Impaired nutrition: more than body requirements r/t polyphagia d. Insomnia r/t increased nighttime voiding

b. Self care deficit r/t weakness, fatigue, muscle wasting, and altered sleep patterns

When teaching a client dx with hypro thyroid about medical intervention, which is important for the nurse to communicate? a. TH may decrease blood glucose concentrations b. TH may increase the effect of digitalis preparation c. Normal dosage of sedative agents are prescribed d. Increased resorption occurs with TH

b. TH may increase the effect of digitalis prepartion

A client with thyroiditis has undergone surgery and is concerned about the barely visible scar. Which suggestion should the nurse give the client to cope with the condition? a. Undergo a skin graft b. Wear clothing that covers the neck c. Apply medicines to remove the scar d. Consider cosmetic surgery

b. Wear clothing that covers the neck

During an assessment of a client's functional health pattern, which question by the nurse directly addressess the client's thyroid fundtion? a. "Can you described the amount of stress in your life?" b. "Do you have to get up at night to empty your bladder" c. Do you experience fatigue even if you have slept a long time" d. Have you experienced any ha or sinus problems"

c. "Do you experience fatigue even if you have slept a long time"

A client visits the clinic to seek treatment for disturbed sleep cycles and depressed mood. Which glands and hormones help to regulate sleep cycles and mood? a. Parathyroid glands, parathormone b. Thymus gland, thymosin c. Adrenal cortex, corticosteroids d. Pineal gland, melatonin

d. Pineal gland, melatonin

After a thyroidectomy, the client develops a carpopedal spasm while the nurse is taking a BP reading on the left arm. Which action by the nurse is appropriate? a. Start administering oxygen at 2 LPM via a cannula b. Administer an oral calcium supplement as ordered c. Administer IV calcium gluconate as ordered d. Administer a sedative as ordered

c. Administer IV calcium gluconate as ordered

Which sx of thyroid disease is seen in older adults? a. Wt gain b Hyperactivity c. Atrial fibrillation d. Resentlessness

c. Atrial fibrillation

Which diagnostic test is done to determine a suspected pituitary tumor? a. Measuring blood hormone levels b. Radioimmunoassay c. Computed tomography d. Radiography of the abdomen

c. Computed tomography

Hypophysectomy is the treatment of choice for which endocrine disorder? a. Pheochromocytoma b. Hyperthyroidism c. Cushing syndrome d. Acromegaly

c. Cushing syndrome

Which is a clinical manifestation of diabetes insipidus? a. wt. gain b. Excessive activities c. Excessive thirst d. Low urine output

c. Excessinve thirst

Antithyroid medications are not generally recommend for elderly patients because of which side effect? a. Fatigue b. Wt. loss c. Granulocytopenia d. Mental confusion

c. Granulocytopenia

Which feature(s) indicates a carpopedal spasm in a client with hypoparathyroidism? a. Cardiac dysrhythmia b. Bulging forehead c. Hand flexing inward d. Moon face and buffalo hump

c. Hand flexing inward

Dilutional hyponatremia occurs in which disorder? a. Addison disease b Pheochromocytoma c. Syndrome of inapprpriate antidiuretic hormone secretion (SIADH) d. Diabetes inispidus (DI)

c. Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

A nurse is completeing an assessment of a client with suspected acromegaly. To assist in making the diagnosis, which question should the nurse ask? a. "Have you had a recent head injury" b. "Is there any family hx of acromegaly" c. "Do you experience skin breakouts" d. "Has your shoe size increased recently"

d. "Has your shoe size increased recently"

A client with Cushing syndrome is admitted to the hospital . During the initial assessment, the client tells the nurse ,"The worst thing about this disease is how awful I look. I want to cry every time I look in the mirror" which statement by the nurse is the best response? a. "I can show you how to change your style of dress so that the changes are note so noticeable" b. "I can refer you to a support group. Talking to somone may help you feel better" c. I do not thing you look bad and I am sure your family loves you very much" d. "If treated successfully, the major physical changes will disappear with time"

d. "If tx successfully, the major physical changes will disappear with time"

Long term use of antithyroid medication is not generally recommended for elderly clients because of which events? a. Renal disease and mental confusion b. Gastrointestinal complications and weight loss c. Cardiac arrhythmias and fatigue d. Agranulocytosis and hepatic injurty

d. Agranulocytosis and hepatic injury

While the nurse is recording the health hx of a client who is scheduled for a thyroid test, the client informs the nurse about an allergy to seafood. What is the nurse's most appropriate response? a. Inquire about frequent urination b. Palpate the thyroid gland c. Consult the institution's procedure manual d. Document the allergy and infrom the physician.

d. Document the allergy and infomr the physician

A client who is being tested for syndrom of inappropriate antidiuretic hormone secretion asks the nurse to explain the diagnosis. While explaining, the nurse states that excessive antidiuretic hormone is secreted from which gland a. Adrenal b. Thyroid c. Anterior pituitary d. Posterior pituitary

d. Posterior pituitary

ADH is secreted by which gland? a. Thyroid b. Adrenal c. Anterior pituitary d. Posterior pituitary

d. Posterior pituitary

Which hormone is secreted by the posterior pituitary? a. Corticosteroids b. Calcitonin c. Somatostatin d. Vasopressin

d. Vasopressin