Exam 3 - endocrine HESI

which clinical manifestation would the nurse anticipate when assessing a client with hypothyroidism? a. dry skin b. brittle hair c. weight loss d. resting tremors e. heat intolerance

a. dry skin b. brittle hair

which symptom would a client exhibit if having a thyrotoxic crisis? a. increased pulse deficit b. decreased blood pressure c. decreased heart rate d. increased temperature and pulse rate

d. increased temperature and pulse rate

which effect does increaswed parathyroid hormone have on bones and electrolytes? SATA a. increased bone breakdown b. increased serum calcium levels c. increased NA and phosphorus excretion d. increased absorption of calcium and phosphorus e. increased net release of calcium and phosphorus

a. increased bone breakdown b. increased serum calcium levels e. increased net release of calcium and phosphorus

a client reports unexplained weight gain and back pain from a compression fracture of the vertebrae. on assessment, the nurse notes truncal obesity with thin extremities, moon face, buffalo hump, thin hair, and adult acne. which disease is this? a. addison disease b. cushing disease c. multiple sclerosis d. kaposi sarcoma

b. cushing disease

which disorder is caused by a deficency of ADH? a. acromegaly b. diabetes insipidus c. cushing syndrome d. SIADH

b. diabetes insipidus

which finding would be expected in a client with a history of hypothyroidism? a. cold intolerance b. fatigue c. hemoglobin of 11.2 d. 15 pound weight gain e. heart rate 59 beats/min

a. cold intolerance b. fatigue c. hemoglobin of 11.2 d. 15 pound weight gain e. heart rate 59 beats/min

a client is diagnosed with parathyroid dysfunction. which serum calcium concentration dupports the diagnosis? a. 7.8 b. 8.9 c. 9.7 d. 10.2

a. 7.8 normal range is 8.6-10.2

a client is diagnosed with hyperthyroidism and is treated with I-131. before discharge the nurse teaches the client to observe for signs of therapy induced hyperthyroidism. which signs and symptoms would be included? a. Fatigue b. dry skin c. insomnia d. intolerance to heat e. progressive weight gain

a. Fatigue b. dry skin e. progressive weight gain

which clinical finding would the nurse expect to identify when assessing a female client with cushing syndrome? a. Histurism b. menorrhagia c. buffalo hump d. dependant edema e. migraine headaches

a. Histurism c. buffalo hump

the nurse is caring for a client with addison disease. which dietary instruction would the nurse provide? a. add extra salt to food b. consume high potassium food c. omit protein at each meal d. restrict the daily intake of fluids

a. add extra salt to food

which hormone is responsible for altered serum calcium concentrations? SATA a. calcitonin b. thyroxine c. glucorticoids d. growth hormone e. parathyroid hormone

a. calcitonin e. parathyroid hormone

when assessing a client with Graves disease, which clinical data would the nurswe expect to find in the client's history? a. diaphoresis b. menorrhagia c. dry, brittle hair d. sensitivity to cold

a. diaphoresis

which question would the nurse ask to determine if a client who reports frequent urination may be experiencing diabetes insipidus? a. do you have history of cancer? b. are you on fluoroquinolone therapy? c. are you on lithium carbonate therapy? d. do you have a history of lymphoma?

c. are you on lithium carbonate therapy?

a client with cushing syndrome asks why a low-sodium, high potassium diet has been prescribed. which response by the nurse is accurate? a. "the client will gain weight if sodium is limited" b. "an inadequate intake of potassium contributed to the disease" c. "this type of diet increased emotional stability" d. "excessive aldosterone and cortisone cause the retention of sodium and loss of potassium"

d. "excessive aldosterone and cortisone cause the retention of sodium and loss of potassium"

the nurse is caring for a client with the clinical manifestation of hypotension associated with a diagnosis of Addison disease. which hormone can be impaired in its production because of this disease? a. estrogen b. androgens c. cortisol d. aldosterone

d. aldosterone

which statement is accurate regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance? a. increases bicarb and sodium excretion b. enhances absorption of calcium and phosphorus 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

a client who had a subtaotal thyroidectomy asks how hypothyroidism may develop when the problem was hyperthyroidism. which would the nurse consider when formulating a response? a. hypothyroidism is a gradual slowing of the body's function b. a decrease is TSH will occur c. less thyroid tissue is available to supply thyroid hormone after surgery d. Atrophy of tissue remaining after surgery reduced secretion of thyroid hormones

c. less thyroid tissue is available to supply thyroid hormone after surgery

which instruction would be included in the discharge plan for a client status post total thyroidectomy? a. take thyroid replacement meds b. be aware of signs of dehydration c. avoid all OTC meds d. report signs of hypoglycemia

a. take thyroid replacement meds

which clinical manifestation exhibited by a client taking Synthroid for hypothyroidism for 3 months would cause a nurse to suspect that a decrease in dosage is needed? a. tremors b. bradycardia c. somnolence d. heat intolerance e. decreased blood pressure

a. tremors d. heat intolerance

which clinical finding would the nurse expect to see when assessing client with a primary brain tumor who has developed SIADH? a. vomiting b. hyperthermia c. bradycardia d. increased weight e. decreased serum sodium f. decreased level of consciousness

a. vomiting d. increased weight e. decreased serum sodium f. decreased level of consciousness

which metabolic manifestations are likely to be observed in a client with hypothyroidism? a. impaired memory b. intolerence to cold c. difficulty breathing d. decreased blood pressure e. decreased body temperature

b. intolerence to cold e. decreased body temperature

which clinical finding would the nurse expect when caring for a client with hyperthyroidism? a. lethargy b. tachycardia c. weight gain d. constipation e. exophthalmos

b. tachycardia e. exophthalmos

which clinical manifestation would the nurse expect to find upon assessment of a client with cushing syndrome? a. polyuria b. truncal obesity c. hypotension d. sleep disturbance e. thin arms and legs

b. truncal obesity d. sleep disturbance e. thin arms and legs

which manifestation would the nurse expect to find when assessing a client with hyperthyroidism? a. dry skin b. weight loss c. tachycardia d. restlessness e. constipation f. exophthalmos

b. weight loss c. tachycardia d. restlessness f. exophthalmos

which clinical findings correspond with the secretion of antidiuretic hormone (ADH)? a. edema b. polyuria c. bradycardia d. muscle cramps e. hyponatremia

d. muscle cramps e. hyponatremia

which interventions would the nurse implement when caring for a client with SIADH? a. provide frequent oral care b. institute fall risk precautions c. restrict fluids to 2 L per day d. place the client in high-flowler position e. monitor for and report neurological changes

a. provide frequent oral care b. institute fall risk precautions e. monitor for and report neurological changes

which manifestation in a client who has SIADH would the nurse expect to find upon assessment? a. preservation of salt b. retention of water c. decrease of vaspressin d. presense of pedal edema

b. retention of water