Endocrine System Adaptive Quizzing N4

The nurse evaluates the statements of a client after teaching about hydrocortisone therapy. Which statement made by the client indicates effective learning?

"I should report if there is swelling in the hands or legs."

What should the nurse do when collecting a 24-hour urine specimen?

Check to verify whether a preservative is needed

A nurse is caring for a client newly admitted with a diagnosis of pheochromocytoma. Which clinical findings does the nurse expect when assessing this client? Select all that apply.

Headache Palpitations Diaphoresis

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?

Indomethacin

What is the cause of Sheehan's syndrome?

Postpartum hemorrhage

The nurse is assessing a client who reports frequent urination. Which inquiry made by the nurse will help determine diabetes insipidus?

"Are you on lithium carbonate therapy?"

The nurse should monitor for which client complication of hyperparathyroidism?

Bone pain

The nurse is reviewing the laboratory reports of four clients. Which client is likely to have hyperfunction of the adrenal gland?

Client 3

A nurse reviews the medication charts of four clients. Which medication prescription will cause the nurse to notify the primary healthcare provider?

Client A

A nurse is assessing a client with a diagnosis of hypoglycemia. What clinical manifestations support this diagnosis? Select all that apply.

Palpitations Diaphoresis Slurred speech

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.

"I should take the drug with a meal." "I should avoid the drug if I get pregnant." "I should report immediately if I experience chest pain."

The nurse teaches a client about cortisone therapy. Which statements made by the client indicate the need for further teaching? Select all that apply.

"I should take three tablets at a time." "I should take the tablet twice a week." "I should take the tablet on an empty stomach."

The nurse is giving discharge teaching to a client with diabetes who has had a hypophysectomy. Which statement made by the client indicates that further teaching is necessary?

"My insulin dose will need to be increased from now on."

The nurse is caring for a client who reports sweating, tachycardia, and tremors. The laboratory report of the client reveals serum cortisol below normal and a blood glucose level of 60 mg/dL. What is the primary care to be provided to the client?

Administer glucagon

A client with severe diabetes insipidus is receiving desmopressin acetate, which is administered intranasally in a metered spray. During the follow-up visits, the client reports chest tightness to the primary healthcare provider. Which intervention would effectively reduce complications in the client? Select all that apply.

Administration of desmopressin acetate orally Administration of desmopressin acetate subcutaneously

The registered nurse is caring for a client hospitalized with syndrome of inappropriate antidiuretic hormone. Which action performed by the nurse may result in a positive outcome of the treatment?

Changing the position of the client frequently

A nurse is reviewing laboratory test results from several clients. Which client requires a colonoscopy screening every 3 years based on the given data?

Client C

A client has been on a hunger strike for 5 days. Which hormones are providing glucose as energy through catabolism? Select all that apply.

Cortisol Glucagon

The laboratory reports of a client reveal selective hypopituitarism related to growth hormone (GH). What other findings does the nurse anticipate in the client? Select all that apply.

Decreased muscle strength Increased serum cholesterol

A client who has hypofunction of the adrenal gland is prescribed oral hydrocortisone. Which clinical finding indicates the need for dosage adjustment in the client? Select all that apply.

Fluid retention Rapid weight gain

The registered nurse is teaching the student nurse how to care for a client with hyperpituitarism who is being treated with bromocriptine mesylate. Which statement made by the student nurse indicates effective learning?

Low dose of the drug should be given while initiating therapy.

A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? Select all that apply .

Nausea and vomiting Increased weight Decreased serum sodium Decreased level of consciousness

Which important intervention should the nurse include in the plan of care for a client with Addison disease?

Protecting the client from exertion

What interventions should the nurse implement in caring for a client with diabetes insipidus (DI) following a head injury? Select all that apply.

Providing adequate fluids within easy reach Assessing for and reporting changes in neurological status Monitoring for constipation, weight loss, hypotension, and tachycardia

Which assessment finding is characteristic of a client with hypoparathyroidism?

Serum phosphorus of 5 mg/dL (1.61 mmol/L); serum magnesium of 0.9 mEq/L (0.9 mmol/L)

The nurse is caring for a client who is prescribed desmopressin acetate. What is the expected outcome in the client?

Urine output: 3 L/day

A client is admitted with a diagnosis of Cushing syndrome. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.

Weakness Hypertension Truncal obesity