NDEE week 5

while reviewing the clients laboratory reports, the nurse finds that there is an elevation in the clients growth hormone levels. which key physical changes would the nurse expect to find if acromegaly is suspected? select all that apply

facial shape chest shape lip thickness length of hands

a client with diabetic ketoacidosis who is recieving intravenous fluids and insulin reports tingling and numbness of the fingers and toes, and shortness of breath. the nurse identifies a U wave on the cardiac monitor. which electrolyte imbalance is causing these clinical findings

hypokalemia

which surgery will a client undergo if the pituitary gland must be removed

hypophysectomy

which hormone has both inhibiting and releasing action

prolactin

which hormones are most commonly produced in excess with hyperpituitarism select all that apply

prolactin growth hormone

the nurse reviews the medical record of a client with a grade 2 goiter. which assessment finding is consistent with this type of goiter

it is asymmetrical

which hormonal imbalance would the nurse suspect in a client who has low serum sodium levels

aldosterone

identify the primary causes of adrenal insufficiency> select all that apply

hemorrhage tuberculosis AIDS

the nurse is educating a client about managing hypoglycemia unawareness. which information would the nurse provide

refrain from alternative testing sites

a deficiency in which hormone reduces the growth of axillae and pubic hair in female clients

adrenocorticotropic hormone

which complication is the nurses main priority during the early postoperative period after a subtotal thyroidectomy

airway obstruction

Which is the primary fluid shift that occurs with diabetes mellitus?

intracellular to intravascular because of hyperosmolarity

which interventions would the nurse include in the plan of care during the first 4 hours after a thyroidectomy? select all that apply

monitor for stridor or dyspnea assess the sides and back of the clients neck for evidence of bleeding

which intervention would be provided to a client who is scheduled to undergo surgery for hyperaldosteronism

administer spironolactone

which gland is affected in aldosteronoma

adrenal cortex

which hormone binds to the receptor site on the surface of a target cell

adrenaline

the nurse would observe a client for which side effect when administering androgen therapy

baldness

which hormone is released from the posterior pituitary gland?

oxytocin

which hormones are secreted by the posterior pituitary gland? select all that apply

oxytocin antidiuretic hormone

which glands secrete hormones that regulate metabolism of carbohydrates, proteins and fats? select all that apply

pancreas thyroid gland adrenal cortex

which carcinoma is the most common type of thyroid cancer and is most often found in younger women?

papillary carcinoma

which gland secretes melatonin?

pineal gland

which test would the nurse check to determine whether a transplanted kidney is functioning

serum creatinine level

which hormone is released from the pancreas

somatostatin

which hormone would the nurse identify as inhibiting insulin and glucagon secretion

somatostatin

when evaluating for nerve injury after a thyroidectomy, which action would the client be asked to do

speak

to ensure a quality specimen and an accurate test result, which instruction would the nurse give a client who is scheduled to undergo urine endocrine testing?

store the urine specimen in a home refrigerator

which condition would the nurse expect the client to develop if their parathyroid glands have become damaged during a thyroidectomy

tetany

which adverse effect can be seen in a female client with gonadotropin deficiency and who is undergoing hormone replacement therapy

thrombosis

which change in blood pressure would the nurse anticipate after a client has an aldoseteronoma surgically removed

gradually return to expected levels for an adult

which molecule excessively accumulates in the blood to precipitate the signs and symptoms associated with a diabetic coma

ketones as a result of rapid fat breakdown, causing acidosis

Which is the etiological factor of nephrogenic diabetes insidious (DI)?

lithium therapy

a deficiency in which hormone causes breast atrophy in female clients

luteinizing hormone

the nurse is teaching a client newly diagnosed with type 1 diabetes about self care. which is the primary long term goal

maintaining normoglycemia

which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone

malaise

glucose transportation into the cells through cell membranes takes place in which order

1. secretion of proinsulin by beta cells 2. storage of proinsulin in the pancreas 3. transformation of proinsulin into active insulin 4. attachment of insulin to cell receptors

which hormone is formed from cholesterol

cortisol

the nurse cares for a client with an abnormal cortisol level. the nurse recalls which information about cortisol

cortisol stimulates gluconeogenesis

which outcome would be expected after a client received treatment for Cushing disease

decreased blood glucose levels

which medication can cause diabetes insipidus

demeclocycline

which disorder is caused by the deficiency of antidiuretic hormone?

diabetes insipidus

which organ has only beta 1 receptors?

heart

which statement regarding calcitonin is correct

its actions are opposite to that of parathyroid hormone

which gland is an exocrine gland

salivary gland

which catecholamine receptor is responsible for increased heart rate?

beta 1 receptor

An adolescent complains of breast pain. which antigonadotropic her may alleviate breast pain by decreasing prolactin levels

bugleweed

which cells produce the thyrocalcitonin hormone

parafollicular cells

which hormone regulates blood levels of calcium

parathyroid hormone

which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels

pituitary cushing syndrome

which is a secondary cause of adrenal insufficiency?

pituitary tumors

which laboratory value may indicate hyper function of the adrenal gland in a client

potassium 2.9

which intervention would the nurse include in the plan of care for a client with addison disease?

protect from exertion

the nurse is caring for a client who is diagnosed with diabetes insidious and is on intranasal desmopressin acetate (DDAVP). the client develops an upper respiratory tract infection during a hospital stay. which alteration would the nurse anticipate in the clients prescription

reduced DDAVP dose via subcutaneous route

which action would the nurse include in the plan of care for a client undergoing a transsphenoidal hypophysectomy /select all that apply

1. assessing for clear nasal drainage 2. maintaining strict intake and output 3. increasing daily dietary fiber intake 4. elevating the head of the bed 30 degrees 5. instructing on the use of an incisive spirometer

in which order do the events of the positive feedback mechanism of estradiol chronologically occur

1. estradiol levels are increased during the menstrual cycle 2. follicle stimulating hormone (FSH) producten and release is increased 3. estradiol levels are increased as a result of follicle stimulating hormone 4. death of follicle has occurred 5. follicle stimulating hormone levels in serum drop

which intervention would be included in the plan of care for a client admitted to the hospital with primary hyperparathyroidism

ensure a large fluid intake

the nurse develops a teaching plan for a client with diabetes who has been diagnosed with lower extremity arterial disease. which measures would the nurse include to increase arterial blood flow to the extremities

exercises that promote muscular activity

a client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complication

frequent yeast infections

which questions would the nurse ask when assessing a client diagnosed with acromegaly? select all that apply

have you noticed any changes to your vision have you ever been told that you snore loudly have you noticed any changes to your bowel movements

which clinical feature is indicative of hypercortisolism

increased pigmentation

which metabolic manifestations are likely to be observed in a client with hypothyroidism? select all that apply

intolerance to cold decreased body temperature

which assessment finding indicates hyper secretion of adrenocorticotrophic hormone?

moon face

which procedure is preferred to find out the composition of a thyroid nodule and ascertain the need for further surgical intervention

needle biopsy

the nurse administers vasopressin to a client and recalls that the medication is which type of hormone?

antidiuretic hormone

which exogenous conditions are responsible for increased cortisol secretion? select all that apply

asthma cancer chemotherapy organ transplantation

which statement is accurate regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance

increases net release of calcium into extracellular fluid

in which order do the events of antidiuretic hormone (ADH) secretion stimulated by plasma osmolarity occur

1. extracellular fluid is decreased 2. plasma osmolarity is increased 3. osmoreceptors are activated 4. antidiuretic hormone is realsed 5. water is reabsorbed from renal tubules

which hormones are released by the hypothalamus? select all that apply

1. melanocyte-inhibiting hormone 2. corticotropin-releasing hormone 3. growth hormone-releasing hormone

the nurse educator is providing information about different insulin types. which type of insulin can be safely mixed with regular human insulin in the same syringe

isophane insulin neutral protamine hagedorn (NPH)

which clinical manifestation occurs in a client with vasopressin deficiency

hypotension

which instruction would the nurse provide to a 6'0" 160 pound client newly diagnosed with type 1 diabetes who wants to self administer injections with an insulin pen? select all that apply

1. prime the needle with two units 2. use a 29 gauge insulin needle 3. give the injection at 45 degree angle 4. refrain from recapping the needle 5. dial the pen to deliver the unit dose

which information would the nurse provide a client with diabetes mellitus regarding alcohol consumption

with or shortly after meals