NCLEX Endocrine
Which statement does the nurse know is true regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance? A. Increases bicarbonate and sodium excretion B. Enhances absorption of calcium and phosphorous C. Increases reabsorption of calcium and magnesium D. Increases net release of calcium into extracellular fluid
D. Increases net release of calcium into extracellular fluid
The nurse is counseling a client with type 1 diabetes about the client's favorite foods that are lowest in carbohydrates (CHO). Which food choice picked by the client determines that teaching was effective? A. Skim milk B. Apple juice C. Nonfat yogurt D. Fresh orange juice
A. Skim milk
You are performing discharge teaching with a patient who is going home on Synthroid. Which statement by the patient causes you to re-educate the patient about this medication? A. "I will take this medication at bedtime with a snack." B. "I will never stop taking the medication abruptly." C. "If I have palpitations, chest pain, intolerance to heat, or feel restless, I will notify the doctor." D. "I will not take this medication at the same time I take my Carafate."
A. "I will take this medication at bedtime with a snack."
A client who is scheduled to have surgery to remove an aldosterone-secreting adenoma asks the nurse what will happen if surgery is not performed. On what information should the nurse base a response? A. The tumor must be removed to prevent heart and kidney damage. B. Surgery will prevent the tumor from metastasizing to other organs. C. Radiation therapy can be just as effective as surgery if the tumor is small. D. Chemotherapy is as reliable as surgery for the treatment of adenomas of this type in some people.
A. The tumor must be removed to prevent heart and kidney damage.
Which drug will the nurse administer to trigger ovulation? A. Tolvaptan B. Clomiphene C. Conivaptan D. Metyrapone
B. Clomiphene
Which organ has only beta1-receptors? A. Liver B. Heart C. Bladder D. Pancreas
B. Heart
A physician orders a patient in thyroid storm to be started on Inderal. What in the patient's health history causes the nurse to question the doctor's order? A. History of mental illness B. History of asthma C. History of tachycardia D. History of cancer
B. History of asthma
A nurse is caring for a client with a diagnosis of Cushing syndrome. What is the most common cause of Cushing syndrome that the nurse should consider before assessing this client for physiologic responses? A. Pituitary hypoplasia B. Hyperplasia of the adrenal cortex C. Deprivation of adrenocortical hormones D. Insufficient adrenocorticotropic hormone (ACTH) production
B. Hyperplasia of the adrenal cortex
The thyroid hormones, T3 and T4, play many roles in the human body. Which of the following functions are performed by T3 and T4? Note: Select all that apply A. Storing calories B. Increasing the Heart Rate C. Stimulating the Sympathetic Nervous System D. Decreasing the body's temperature E. Regulating TSH produced by the anterior pituitary gland
B. Increasing the Heart Rate C. Stimulating the Sympathetic Nervous System E. Regulating TSH produced by the anterior pituitary gland
A patient taking IV Synthroid starts to complain of feeling hot and chest pain. On assessment, you find that the heart rate is 125 bpm and blood pressure is 200/103. You immediately notify the physician of the patient's condition and receive orders for lab work. Based on the patient's signs and symptoms, what is the MOST important lab result at this time to determine the cause of the patient's symptoms? A. Potassium level B. Thyroid levels C. Calcium level D. Sodium level
B. Thyroid levels
The nurse is caring for a client with diabetes mellitus. What is the primary fluid shift that occurs with this condition? A. Intravascular to interstitial because of glycosuria B. Interstitial to extracellular because of hypoproteinemia C. Intracellular to intravascular because of hyperosmolarity D. Intercellular to intravascular because of increased hydrostatic pressure
C. Intracellular to intravascular because of hyperosmolarity
Which of the following are NOT a cause of myxedema coma? A. Illness B. Sedatives C. Iodine Toxicity D. Thyroidectomy
C. Iodine Toxicity
A client complains of fatigue, hair loss, and weight gain. On assessment, the client is found to have anemia. Which therapy does the nurse anticipate in the client's prescription? A. Iodine B. Methimazole C. Levothyroxine D. Propylthiouracil
C. Levothyroxine
While obtaining the client's health history, which factor does the nurse identify that predisposes the client to type 2 diabetes? A. Having diabetes insipidus B. Eating low-cholesterol foods C. Being 20 pounds (9 kilograms) overweight D. Drinking a daily alcoholic beverage
C. Being 20 pounds (9 kilograms) overweight
Which type of drug-induced hormonal imbalance is likely to be observed in the client undergoing treatment with demeclocycline? A. Acromegaly B. Diabetes mellitus C. Diabetes insipidus D. Cushing's syndrome
C. Diabetes insipidus
A patient is admitted with complaints of palpations, excessive sweating, and unable to tolerate heat. In addition, the patient voices concern about how her appearance has changed over the past year. The patient presents with protruding eyeballs and pretibial myxedema on the legs and feet. Which of the following is the likely cause of the patient's signs and symptoms? A. Thyroiditis B. Deficiency of iodine consumption C. Grave's Disease D. Hypothyroidism
C. Grave's Disease
While a nurse is teaching a client with diabetes about food choices, the client states, "I do not like broccoli." Which food should the nurse suggest to substitute for broccoli? A. Peas B. Corn C. Green beans D. Mashed potato
C. Green beans
A nurse is caring for a client after radioactive iodine is administered for Graves disease. What information about the client's condition after therapy should the nurse consider when providing care? A. Not radioactive and can be handled as any other individual B. Highly radioactive and should be isolated as much as possible C. Mildly radioactive but should be treated with routine safety precautions D. Not radioactive but may still transmit some dangerous radiations and must be treated with precautions
C. Mildly radioactive but should be treated with routine safety precautions
A patient is being discharged home for treatment of hypothyroidism. Which medication is most commonly prescribed for this condition? A. Tapazole B. PTU (Propylthiouracil) C. Synthroid D. Inderal
C. Synthroid
A patient is prescribed Fosamax (Alendronate). The patient is about to be discharged and you observe the patient taking the medication. Which of the following findings requires you to re-educate the patient on how to take this medication? A. The patient takes the medication on an empty stomach. B. The patient takes the medication with water. C. The patient sits up for 10 minutes after taking the medication. D. The patient waits 30 minutes after taking Fosamax before taking the prescribed vitamins and antacids.
C. The patient sits up for 10 minutes after taking the medication.
Two clients with polydipsia and polyuria arrived at the hospital. Both were having similar symptoms but were diagnosed with different types of diabetes insipidus. Which assessment finding helped to differentiate the diagnosis? A. Urine output B. Specific gravity C. Urine osmolarity D. Serum osmolarity
C. Urine osmolarity
A client with type 2 diabetes is admitted to the ambulatory surgery unit for elective cataract surgery. Before surgery the client asks the nurse, "How will my diabetes be managed while I am here?" What is the best response by the nurse? A. "What did your surgeon tell you?" B. "Has the anesthesiologist talked to you yet?" Incorrect C. "Your surgeon will write your postoperative prescriptions." D. "I'm not quite certain I understand what you are asking."
D. "I'm not quite certain I understand what you are asking."
A patient is recovering from myxedema coma and will be discharged tomorrow. What will you include in their discharge teaching? A. Avoiding green leafy vegetables. B. Importance of taking Tapazole exactly as prescribed at the same time every day. C. Limiting foods with Iodine such as kelp, dairy, and eggs. D. Importance of taking Synthroid in the morning without any food.
D. Importance of taking Synthroid in the morning without any food.
A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch the nurse identifies that the client is diaphoretic and trembling. What is the nurse's most appropriate action? A. Administer insulin to the client B. Give the client lunch immediately C. Encourage the client to drink fluids D. Assess the client's blood glucose level
D. Assess the client's blood glucose level
While reviewing the laboratory reports of a client, the nurse finds that the client has low sodium levels. Which hormonal imbalance should the nurse suspect in the client? A. Epinephrine B. Glucagon C. Calcitonin D. Cortisol
D. Cortisol
A patient has an extremely high T3 and T4 level. Which of the following signs and symptoms DO NOT present with this condition? A. Weight loss B. Intolerance to heat C. Smooth skin D. Hair loss
D. Hair loss
A patient is admitted with thyroid storm. Which sign and symptoms are NOT present with this condition-SELECT ALL THAT APPLY? A. Temperature of 104.9'F B. Heart rate of 125 bpm C. Respirations of 42 D. Heart rate of 20 bpm E. Intolerance to cold F. Restless
D. Heart rate of 20 bpm E. Intolerance to cold
A patient is 6 hours post-opt from a thyroidectomy. The surgical site is clean, dry and intact with no excessive swelling noted. What position is best for this patient to be in? A. Fowler's B. Prone C. Trendelenburg D. Semi-Fowler's
D. Semi-Fowler's
When preparing a client for discharge after a thyroidectomy, the nurse teaches the signs of hypothyroidism. When teaching when to call the primary healthcare provider, what statement made by the client shows that teaching was effective? A. "I should call the primary healthcare provider for dry hair and an intolerance to cold." B. "I should call the primary healthcare provider for muscle cramping and sluggishness." C. "I should call the primary healthcare provider for fatigue and an increased pulse rate." D. "I should call the primary healthcare provider for tachycardia and an increase in weight."
A. "I should call the primary healthcare provider for dry hair and an intolerance to cold."
The nurse provides instructions to a client who is prescribed bromocriptine for hyperpituitarism. Which statement made by the client indicates effective learning? Select all that apply. A. "I should take the drug with a meal." B. "I should avoid the drug if I get pregnant." C. "I should check my blood pressure regularly." D. "I should monitor body temperature regularly." E. "I should report immediately if I experience chest pain."
A. "I should take the drug with a meal." B. "I should avoid the drug if I get pregnant." E. "I should report immediately if I experience chest pain."
A patient is being educated on how to take their anti-thyroid medication. Which of the following statements are INCORRECT? A. "I will continue taking aspirin daily." B. "I will take this medication at the same time every day." C. "It may take a while before I notice that the medication is helping my condition." D. "I will avoid foods containing high levels of iodine."
A. "I will continue taking aspirin daily."
A patient taking Tapazole reports feeling dizzy, intolerant to cold, and tired. On assessment, you note the patient's heart rate is 45 and blood pressure is 70/30. What is the most likely cause? A. Antithyroid toxicity B. Agranulocytosis C. Thyroid storm D. Bronchospasm
A. Antithyroid toxicity
A patient is recovering from a thyroidectomy. The patient starts to complain of tingling and numbness in the face, toes, and fingers. Which of the following findings below warrants attention? A. Ca+ level: 6 mg/dL B. Na+ level: 145 mg/dL C. K+ level: 3.5 mg/dL D. Phosphate level: 4.3 mg/dL
A. Ca+ level: 6 mg/dL
Which of the following foods below should a patient experiencing a thyroid storm avoid? Select all that apply: A. Shrimp B. Milk C. Hard boiled eggs D. Seaweed (Kelp) E. Broccoli F. Peas
A. Shrimp B. Milk C. Hard boiled eggs D. Seaweed (Kelp)
A client undergoes removal of a pituitary tumor through a transsphenoidal approach. What should the nurse implement postoperatively? A. Provide oral hygiene and include brushing the teeth B. Encourage the client to deep breathe and cough frequently C. Maintain the head of the bed at a 30-degree angle continuously D. Continue giving nothing by mouth until the nasal packing is removed
C. Maintain the head of the bed at a 30-degree angle continuously
A female client is undergoing treatment for infertility. After therapy with clomiphene the client comes for follow-up visits and no results are seen. What further treatment does the nurse anticipate administering? A. Estrogen B. Progesterone C. Human growth hormone D. Human chorionic gonadotropin
D. Human chorionic gonadotropin
After a surgical procedure for cancer of the pancreas with removal of the stomach, the head of the pancreas, the distal end of the duodenum, and the spleen, what symptom exhibited by the client requires immediate attention by the nurse? A. Jaundice B. Indigestion C. Weight loss D. Hyperglycemia
D. Hyperglycemia
A patient is receiving treatment for myxedema coma with IV Synthroid. Which of the following findings would require nursing intervention for this patient? A. Blood glucose 75 B. Sodium level of 138 C. A physician's order for Fentanyl 0.25 mcg every 2 hours for pain D. Temperature 98.9 'F
C. A physician's order for Fentanyl 0.25 mcg every 2 hours for pain
A client with small cell carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH). What signs should the nurse expect to observe? Select all that apply. A. Oliguria B. Seizures C. Vomiting D. Polydipsia E. Polyphagia
A. Oliguria B. Seizures C. Vomiting
Which hormone does the nurse state has both inhibiting and releasing action? A. Prolactin B. Somatostatin C. Somatotropin D. Gonadotropin
A. Prolactin
A patient who is in her first trimester of pregnancy is diagnosed with hyperthyroidism. Which medication do you suspect the patient will be started on? A. Propylthiouracil (PTU) B. Radioactive Iodine C. Tapazole D. Synthroid
A. Propylthiouracil (PTU)
The nurse is teaching a client who underwent bilateral adrenalectomy about self-management after discharge. Which statements given by the client indicate effective learning? Select all that apply. A. "I will monitor my weight once a week." B. "I will procure an influenza vaccination yearly." C. "I will call the health care provider if I gain 2 pounds in 1 week." D. "I will visit the hospital frequently for my lifelong hormonal therapy." E. "I will immediately notify my primary health care provider if I have fever."
B. "I will procure an influenza vaccination yearly." D. "I will visit the hospital frequently for my lifelong hormonal therapy." E. "I will immediately notify my primary health care provider if I have fever."
Which patient is most at risk for Thyroid Storm? A. A 60 year old female who reports not taking Synthroid regularly. B. A 45 year old male who has not been taking Tapazole as ordered and is experiencing diabetic ketoacidosis. C. A 6 year old with an allergy to iodine. D. A 25 year old female who is pregnant with her 4th child and is experiencing eczema.
B. A 45 year old male who has not been taking Tapazole as ordered and is experiencing diabetic ketoacidosis.
Which of the following patients are MOST at risk for hypoparathyroidism? A. A 75 year-old female who is diabetic and takes Os-Cal daily. B. A 59 year-old male with a Mg+ level of 0.9 mg/dL. C. A 85 year-old female complaining of flank pain and constipation. D. A 19 year-old male with a Ca+ level of 8.9 mg/dL.
B. A 59 year-old male with a Mg+ level of 0.9 mg/dL.
Which of the following patients are MOST at risk for developing myxedema coma? A. A 28 year old female who is prescribed Methimazole. B. A 75 year old female who is taking Lithium and reports missing several doses of Synthroid. C. A 69 year old male experiencing nausea and vomiting for 4 days. D. A 55 year old male with a history of diabetes and is insulin dependent.
B. A 75 year old female who is taking Lithium and reports missing several doses of Synthroid.
Fill in the blank regarding the negative feedback loop for thyroid hormone production: The ______________ produces TRH (Thyrotropin-Releasing Hormone) which causes the anterior pituitary gland to produce _______________ which in turn causes the thyroid gland to release _______ and _______. A. Thalamus, CRH (Corticotropin-releasing hormone) TSH (thyroid-stimulating hormone) and T4 B. Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4 C. Posterior pituitary gland, TSH (thyroid-stimulating hormone), T3 and T4 D. Hypothalamus, CRH (Corticotropin-releasing hormone), TSH (thyroid-stimulating hormone), T3 and TSH
B. Hypothalamus, TSH (thyroid-stimulating hormone), T3 and T4
A patient was recently discharged home for treatment of hypothyroidism and was ordered to take Synthroid for treatment. The patient is re-admitted with signs and symptoms of the following: heart rate 42, blood pressure 70/56, blood glucose 55, and body temperature of 96.8 'F. The patient is very fatigued and drowsy. The family reports the patient has not been taking Synthroid since being discharged home from the hospital. Which of the following conditions is this patient most likely experiencing? A. Thryoid Storm B. Myxedema Coma C. Iodism D. Toxic Nodular Goiter
B. Myxedema Coma
What will the nurse expect diagnostic studies of a client with Cushing syndrome to indicate? A. Moderately increased serum potassium levels B. Increased numbers of eosinophils in the blood C. High levels of 17-ketosteroids in a 24-hour urine test D. Normal to low levels of adrenocorticotropic hormone (ACTH)
C. High levels of 17-ketosteroids in a 24-hour urine test
All of the following are treatments for myxedema coma EXCEPT? A. Corticosteroids B. IV glucose C. Hypotonic IV solutions D. IV Synthroid
C. Hypotonic IV solutions
A patient is recovery from a parathyroidectomy. Which of the following findings causes concern and requires nursing intervention? A. The patient is in Semi-Fowler's position. B. The patient's calcium level is 8.9 mg/dL. C. The patient's voice is hoarse. D. The patient is drowsy but arouses to name.
C. The patient's voice is hoarse.
Lugol's solution helps block ________ of thyroid hormones in thyroid storm. Which of the following are a common side effect of this medication? A. the removal; tophi B. excretion; swollen lymph nodes C. release/ synthesis; taste changes D. movement; hypocalcemia
C. release/ synthesis; taste changes
The nurse is providing immediate postoperative care to a client who had a thyroidectomy. The nurse should monitor the client for which clinical manifestation? A. Urinary retention B. Signs of restlessness C. Decreased blood pressure D. Signs of respiratory obstruction
D. Signs of respiratory obstruction
A patient with hypothyroidism is having pain 6 on 1-10 scale in the right hip due to recent hip surgery. Which of the following medications are NOT appropriate for this patient? Select all that apply: A. Fentanyl B. Tylenol C. Morphine D. Dilaudid
A. Fentanyl C. Morphine D. Dilaudid
Signs and Symptoms of myxedema coma include all of the following EXCEPT? Select all that apply: A. Fever B. Bradycardia C. Sodium level less than 135 D. Blood glucose level greater than 350 E. Hypothermia
A. Fever D. Blood glucose level greater than 350
After reviewing the reports of a client, the nurse suspects hypofunctioning of the adrenal gland. Which findings are consistent with hypofunctioning of the adrenal gland? Select all that apply. A. Increased serum calcium B. Decreased serum cortisol C. Decreased serum sodium D. Decreased serum potassium E. Increased serum glucose
A. Increased serum calcium B. Decreased serum cortisol C. Decreased serum sodium
A client with cirrhosis of the liver and ascites is scheduled to have a paracentesis. What should the nurse do to prepare the client for the procedure? A. Instruct the client to void. B. Tell the client not to eat for four hours. C. Give the client an analgesic. D. Have the client turn to the lateral position.
A. Instruct the client to void.
A client with type 1 diabetes is transported via ambulance to the emergency department of the hospital. The client has dry, hot, flushed skin and a fruity odor to the breath and is having Kussmaul respirations. Which complication does the nurse suspect that the client is experiencing? A. Ketoacidosis B. Somogyi phenomenon C. Hypoglycemic reaction D. Hyperosmolar nonketotic coma
A. Ketoacidosis
The nurse is caring for a client diagnosed with Cushing syndrome. Which symptoms does the nurse expect the client to exhibit? A. Lability of mood B. Postural hypotension C. Increased skin thickness D. Ectomorphism with a moon face
A. Lability of mood
A nurse is monitoring for clinical manifestations of infection in a client with a diagnosis of Addison disease. Which body mechanism related to infectious processes does the nurse conclude is impaired as a result of this disease? A. Stress response B. Electrolyte balance C. Metabolic processes D. Respiratory function
A. Stress response
A physician orders Calcium Gluconate IV as treatment for a patient with hypoparathyroidism. The patient's calcium level is 5 mg/dL. Which of the following finding causes you to question this order? A. The patient is taking Digoxin. B. The patient complains of muscle cramping and numbness in the face. C. The patient is taking Aluminum Carbonate. D. The patient's phosphate level is 7 mg/dL.
A. The patient is taking Digoxin.
A patient hospitalized with hypoparathyroidism is about to order lunch. Which food selection is best for this patient based on their dietary needs at this time? A. Baked chicken, green beans, and boiled potatoes B. Broccoli salad, cottage cheese, and peaches C. Roast beef, carrots, and pinto beans D. Hamburger, fries, and sorbet
B. Broccoli salad, cottage cheese, and peaches
A patient is 6 hours post-op from thyroid surgery. The patient's calcium level is 5 and phosphate level is 4.2. What physical signs and symptoms would NOT present with these findings? (Select-all-that-apply) A. Bronchospasm B. Constipation C. Numbness and tingling in the face D. Positive Chvostek's Sign E. Absent Trousseau's Sign F. Hypertension
B. Constipation E. Absent Trousseau's Sign F. Hypertension
A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. What is the nurse's primary responsibility two days after surgery when preparing the client to eat dinner? A. Checking the client's serum glucose level B. Assisting the client out of bed into a chair C. Placing the client in the high-Fowler position D. Ensuring the client's residual limb is elevated
A. Checking the client's serum glucose level
A client has been on a hunger strike for 5 days. Which hormones are providing glucose as energy through catabolism? Select all that apply. A. Cortisol B. Prolactin C. Glucagon D. Calcitonin E. Aldosterone
A. Cortisol C. Glucagon
A patient is diagnosed with hyperparathyroidism. Which of the following signs and symptoms would you NOT find in this patient? Select all that apply: A. Calcium level 6 mg/dL B. Bone fracture C. Positive Trousseau's Sign D. Tingling and numbness of lips and fingers E. Calcium level of 15 mg/dL F. Phosphate level 1.2 G. Renal calculi
A. Calcium level 6 mg/dL C. Positive Trousseau's Sign D. Tingling and numbness of lips and fingers
The nurse is caring for a client with nephrogenic diabetes insipidus who is prescribed a low-sodium diet and chlorothiazide therapy. The client fails to respond to the therapy. Which alternative treatment should the nurse be prepared to administer? A. Furosemide B. Indomethacin C. Chlorpropamide D. Lysine vasopressin
B. Indomethacin
A nurse is assessing a client with a suspected pituitary tumor. Which assessment finding is consistent with a pituitary tumor? A. Tetany B. Seizures C. Lethargy D. Hyperreflexia
B. Seizures
Which of the following are not a treatment for Thyroid Storm? A. Propylthiouracil (PTU) B. Synthroid C. Inderal D. Glucocorticoids
B. Synthroid
A nurse is monitoring a client's laboratory results for a fasting plasma glucose level. Within which range of a fasting plasma glucose level does the nurse conclude that a client is considered to be diabetic? A. 40 to 60 mg/dL (2.2 to 3.3 mmol/L) B. 80 to 99 mg/dL (4.5 to 5.5 mmol/L) C. 100 to 125 mg/dL (5.6 to 6.9 mmol/L) D. 126 to 140 mg/dL (7.0 to 7.8 mmol/L)
D. 126 to 140 mg/dL (7.0 to 7.8 mmol/L)
This medication is used to treat hyperparathyroidism in patients with chronic renal failure. It works by mimicking the role of calcium in the blood and tricks the parathyroid gland into stop secreting PTH (parathyroid hormone). Which of the following medications does this describe below? A. Calcitonin B. Fosamax C. Lasix D. Sensipar
D. Sensipar
The blood reports of a client suggest hyperfunctioning of the adrenal glands. Which finding supports the diagnosis? A. Serum sodium of 130 mEq/L (130 mmol/L) B. Serum bicarbonate of 24 mEq/L (24 mmol/L) C. Blood urea nitrogen of 12 mg/dL (4.29 mmol/L) D. Serum potassium of 2.8 mEq/L (2.8 mmol/L)
D. Serum potassium of 2.8 mEq/L (2.8 mmol/L)
A nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. What interventions should the nurse include to decrease the risk of complications? Select all that apply. A. Examine the feet daily B. Wear well-fitting shoes C. Perform regular exercise D. Powder the feet after showering E. Visit the primary healthcare provider weekly F. Test bathwater with the toes before bathing
A. Examine the feet daily B. Wear well-fitting shoes C. Perform regular exercise
A client is taught how to recognize indications of a hypoglycemic reaction. Which signs and symptoms identified by the client indicate to the nurse that the teaching was effective? Select all that apply. A. Fatigue B. Nausea C. Weakness D. Nervousness E. Increased thirst F. Increased perspiration
A. Fatigue C. Weakness D. Nervousness F. Increased perspiration
The serum potassium level of a client who has diabetic ketoacidosis is 5.4 mEq/L (5.4 mmol/L). What would the nurse expect to see on the ECG tracing monitor? A. Abnormal P waves and depressed T waves B. Peaked T waves and widened QRS complexes C. Abnormal Q waves and prolonged ST segments D. Peaked P waves and an increased number of T waves
B. Peaked T waves and widened QRS complexes
You are providing discharge teaching to a patient who is prescribed calcium supplements with vitamin D for treatment of hypoparathyroidism. Which of the following statements by the patient warrants you to re-educate the patient on how they should take this medication? A. "I will also make sure I eat foods rich in calcium, such as dairy and green leafy vegetables while I'm taking this medication." B. "A side effect of this medication is constipation. Therefore, I should drink plenty of fluids." C. "I will take my calcium supplements in the morning when I take my Synthroid." D. All the statements above are correctly stated by the patient.
C. "I will take my calcium supplements in the morning when I take my Synthroid."
While hospitalized, a client with diabetes is observed picking at calluses on the feet. Which intervention should the nurse implement immediately? A. Warn the client of the danger of infection B. Suggest that the client wear white cotton socks C. Teach the client the importance of effective foot care D. Check the client's shoes for their fit in the area of the calluses
C. Teach the client the importance of effective foot care
A patient reports they do not eat enough iodine in their diet. What condition are they most susceptible to? A. Pheochromocytoma B. Hyperthyroidism C. Thyroid Storm D. Hypothyroidism
D. Hypothyroidism
Which of the following medication orders should a nurse question if ordered on a patient with thyroid storm? A. Propylthiouracil "PTU" for a 25 year old who is 8 weeks pregnant B. Aspirin as needed for a fever greater than 102.2 'F C. Inderal for a patient who reports having insomnia D. Tapazole for a 30 year old having complaints of a headache
B. Aspirin as needed for a fever greater than 102.2 'F
Which of the following signs and symptoms causes concern and requires nursing intervention for a patient who recently had a thyroidectomy? A. Heart rate of 120, blood pressure 220/102, temperature 103.2 'F B. Heart rate of 35, blood pressure 60/43, temperature 95.3 'F C. Soft hair, irritable, diarrhea D. Constipation, drowsiness, goiter
A. Heart rate of 120, blood pressure 220/102, temperature 103.2 'F
Which laboratory finding is a characteristic feature in a client with hypercortisolism? A. Serum sodium of 150 mEq/L (150 mmol/L) B. Serum chloride of 100 mEq/L (100 mmol/L) C. Serum potassium of 4.1 mEq/L (4.1 mmol/L) D. Serum bicarbonate of 25 mEq/L (25 mmol/L)
A. Serum sodium of 150 mEq/L (150 mmol/L)
Which of the following are treatment options for hyperthyroidism? Please select all that apply: A. Thyroidectomy B. Methimazole C. Liothyronine Sodium "Cytomel" D. Radioactive Iodine
A. Thyroidectomy B. Methimazole D. Radioactive Iodine
A nurse is caring for a client with hypoglycemia. Which nursing intervention would be appropriate in managing the client's condition? Select all that apply. A. Administering insulin B. Administering glucagon C. Administering IV glucose D. Administering oral hydrocortisone E. Administering somatostatin
B. Administering glucagon C. Administering IV glucose D. Administering oral hydrocortisone
What clinical indicators should a nurse assess when caring for a client with hyperthyroidism? Select all that apply. A. Dry skin B. Weight loss C. Tachycardia D. Restlessness E. Constipation F. Exophthalmos
B. Weight loss C. Tachycardia D. Restlessness F. Exophthalmos
A registered nurse is providing information to a group of student nurses regarding the actions of parathyroid hormone (PTH). Which statement made by the student nurse indicates a need for further teaching? Select all that apply. A. "It activates vitamin D in the kidneys." B. "Its secretion increases serum calcium levels." C. "It allows reabsorption of phosphorus in the kidney tubules." D. "It decreases serum calcium levels by increasing bone resorption." E. "It regulates calcium and phosphorous metabolism by acting on the gastrointestinal tract."
C. "It allows reabsorption of phosphorus in the kidney tubules." D. "It decreases serum calcium levels by increasing bone resorption."
The client is admitted to the hospital with a large goiter, and a thyroidectomy is performed. What should the nurse do during the first four hours after the surgery? Select all that apply. A. Ensure that the client lies flat B. Monitor vital signs every hour C. Monitor for stridor or dyspnea D. Monitor for the signs and symptoms of tetany E. Assess the sides and back of the client's neck for evidence of bleeding
C. Monitor for stridor or dyspnea E. Assess the sides and back of the client's neck for evidence of bleeding
Late in the postoperative period after resection of an aldosterone-secreting adenoma, what would the nurse expect the client's blood pressure to do? A. Gradually return to near normal levels B. Rise quickly above the preoperative level C. Fluctuate greatly during this entire period D. Drop very low, then increase rapidly to normal levels
A. Gradually return to near normal levels
