Nurs 401: Adrenal and Pituitary

Which drug decreases cortisol production? a. Mitotane b. Aminoglutethimide c. Cyproheptadine d. Hydrocortisone

b. Aminoglutethimide

A client who had just had an adrenalectomy is told about a death in the family and becomes very upset what concerns about the climate requires the nurses to notify the health care provider and enthusia and my suggestion will be required to ensure rest steroid replacement medication therapy will have to be reduced there is a decrease ability to handle stress despite steroid therapy feelings of exhaustion and lethargy may result from the emotional stress

there is a decrease ability to handle stress despite steroid therapy

After a head injury of client develops a deficiency of anti diuretic hormone ADH what should the nurse consider about the response to secrets of ADH before assessing this client? Serum osmolarity increases urine concentration decreases glomerular filtration decreases tubular reabsorption of water increases

tubular reabsorption of water increases

After surgical clipping off last cerebral aneurysm the client develops the syndrome of inappropriate secretion of antidiuretic hormone for which manifestation of excessive levels of antidiuretic hormone add should the nurse assess the client select all that apply. Polyurea weight gain hypotension hyponatremia decrease specific gravity

weight gain hyponatremia

A 30 year old female patient is prescribed bromocriptine mesylate (Parlodel). Which information does the nurse teach the patient? (Select all that apply.) a. Get up slowly from a lying position .b. Take medication on an empty stomach. c. Take daily for purposes of raising GH levels to reduce symptom of acromegaly .d. Begin therapy with a maintenance level dose .e. Report watery nasal discharge to the health care provider immediately f. If pregnancy occurs the drug is stopped immediately

.a. Get up slowly from a lying position e. Report watery nasal discharge to the health care provider immediately f. If pregnancy occurs the drug is stopped immediately

On nurses assessing of female climb with cushion syndrome what clinical findings can the nurse expect to identify select all letter apply Hirsutism Menorrhagia Buffalo hump dependent edema migraine headache

Hirsutism Buffalo hump

Which are physical findings of Cushing's disease? (Select all that apply.) a. "Moon-faced" appearance b. Decreased amount of body hair c. Truncal obesity d. Coarse facial features e. Thin, easily damaged skin f. Extremity muscle wasting

A - "Moon-faced" appearance C - Truncal obesity E - Thin, easily damaged skin F - Extremity muscle wasting

Which medication is used to treat DI? a. Desmopressin acetate b. Lithium (Eskalith) c. Vasopressin (Pitressin) d. Demeclocycline

A - Desmopressin acetate

Which statements about the etiology of hypopituitarism are correct? (Select all that apply.) a. Dysfunction can result from radiation treatment to the head or brain. b. Dysfunction can result from infection or a brain tumor .c. Infarction following systemic shock can result in hypopituitarism .d. Severe malnutrition and body fat depletion can depress pituitary gland function. e. There is always an underlying cause of hypopituitarism. f. Pituitary tumors are the most common cause of hypopituitarism

A - Dysfunction can result from radiation treatment to the head or brain. B - Dysfunction can result from infection or a brain tumor .C - Infarction following systemic shock can result in hypopituitarism. D - Severe malnutrition and body fat depletion can depress pituitary gland function.

A patient is recovering from a transsphenoidal hypophysectomy. What postoperative nursing interventions apply to this patient? (Select all that apply.) a. Encouraging the patient to perform deep-breathing exercises b. Vigorous coughing and deep-breathing exercises c. Instructing on the use of a soft-bristled toothbrush for brushing the teeth d. Strict monitoring of fluid balance e. Hourly neurologic checks for first 24 hours f. Instructing the patient to alert the nurse regarding postnasal drip

A - Encouraging the patient to perform deep-breathing exercises D - Strict monitoring of fluid balance E - Hourly neurologic checks for first 24 hours F - Instructing the patient to alert the nurse regarding postnasal drip

Which interventions are necessary for a patient with acute adrenal insufficiency (Addisonian crisis)? (Select all that apply.) a. IV infusion of normal saline b. IV infusion of 3% saline c. Hourly glucose monitoring d. Insulin administration e. IV potassium therapy f. Administer IV hydrocortisone sodium

A - IV infusion of normal saline C - Hourly glucose monitoring D - Insulin administration f. Administer IV hydrocortisone sodium

Which statements about DI are accurate? (Select all that apply.) a. It is caused by ADH deficiency .b. It is characterized by a decrease in urination. c. Urine output of greater than 4 L/24 hours is the first diagnostic indication. d. The water loss increases plasma osmolarity .e. Nephrogenic DI can be caused by lithium (Eskalith). f. Increased thirst is a mechanism of the body to attempt maintaining fluid balance

A - It is caused by ADH deficiency C - Urine output of greater than 4 L/24 hours is the first diagnostic indication D - The water loss increases plasma osmolarity f. Increased thirst is a mechanism of the body to attempt maintaining fluid balance

In caring for a patient with hyperpituitarism, which symptoms does the nurse expect the patient to report? (Select all that apply.) a. Joint pain b. Visual disturbances c. Changes in menstruation d. Increased libido e. Headache f. Fatigue

A - Joint pain B - Visual disturbances C - Changes in menstruation E - Headache F - Fatigue

The female patient with Cushing's syndrome expresses concern about the changes in her general appearance. What is the expected outcome for this patient? a. To verbalize an understanding that treatment will reverse many of the problems b. To ventilate about the frustration of these lifelong physical changes c. To verbalize ways to cope with the changes such as joining a support group or changing style of dress d. To achieve a personal desired level of sexual functioning

A - To verbalize an understanding that treatment will reverse many of the problems

Which medications are used in SIADH to promote water excretion without causing sodium loss? (Select all that apply.) a. Tolvaptan b. Demeclocycline c. Furosemide d. Conivaptan e. Spironolactone f. Hydrocholothiazide

A - Tolvaptan D - Conivaptan

The nurse is caring for the following patient with endocrine disorder which patient must the nurse assess first a 21-year-old patient with diabetes and syphilis who's hearing output overnight was 2000 ml A 55-year-old patient with syndrome of inappropriate and said diuretic hormone secretion SIADH who is demanding that the unlicensed assistant personnel refill his water pitcher A 65-year-old patient with Addison disease whose morning potassium level is 6.2 mEq/L (6.2 mmol/ L) a 48-year-old patient with cushions disease with a weight gain of 1.5 Lb (0.7 Kg) over the past four days

A 65-year-old patient with Addison disease whose morning potassium level is 6.2 mEq/L (6.2 mmol/ L)

A patient in the emergency department is diagnosed with possible pheochromocytoma. What is the priority nursing intervention for this patient? a. Monitor the patient's intake and output and urine specific gravity. b. Monitor blood pressure for severe hypertension .c. Monitor blood pressure for severe hypotension. d. Administer medication to increase cardiac output.

B - Monitor blood pressure for severe hypertension.

The nurse is performing an assessment of an adult patient with new-onset acromegaly. What does the nurse expect to find? a. Extremely long arms and legs' b. Thickened lips c. Changes in menses with infertility d. Rough, extremely dry skin

B - Thickened lips

Which statement about the pathophysiology of SIADH is correct? a. ADH secretion is inhibited in the presence of low plasma osmolality. b. Water retention results in dilutional hyponatremia and expanded extracellular fluid (ECF) volume. c. The glomerulus is unable to increase its filtration rate to reduce the excess plasma volume. d. Renin and aldosterone are released and help decrease the loss of urinary sodium.

B - Water retention results in dilutional hyponatremia and expanded extracellular fluid (ECF) volume.

A nurse is caring for a client who has adrenalectomy for what clinical response should the nurse monitor while steroid therapy is being regulated Hypotension Hyperglycemia sodium retention potassium excretion

Hypotension

A malfunctioning posterior pituitary gland can result in which disorders? (Select all that apply.) .aHypothyroidism b. Altered sexual function c. Diabetes insipidus (DI) d. Growth retardation e. Syndrome of inappropriate antidiuretichormone (SIADH) f. Virilization

C - Diabets insipidus E - Syndrome of inappropriate antidiuretic hormone (SIADH)

The action of antidiuretic hormone (ADH) influences normal kidney function by stimulating which mechanism? a. Glomerulus to control the filtration rate b. Proximal nephron tubules to reabsorb water c. Distal nephron tubules and collecting ducts to reabsorb water d. Constriction of glomerular capillaries to prevent loss of protein in urine

C - Distal nephron tubules and collecting ducts to reabsorb water

The assessment findings of a male patient with anterior pituitary tumor include reports of changes in secondary sex characteristics, such as episodes of impotence and decreased libido. The nurse explains to the patient that these findings are a result of overproduction of which hormone? a. Gonadotropins inhibiting prolactin (PRL) b. Thyroid hormone inhibiting PRL c. Prolactin (PRL) inhibiting secretion of gonadotropins d. Steroids inhibiting the production of sex hormones

C - Prolactin (PRL) inhibiting secretion of gonadotropins

a nurse is caring for client with a diagnosis of Cushing syndrome what is the most common cause of Cushing syndrome that the nurse should consider before assessing the patient for physiological responses Pituitary hyperplasia Hyperplasia of the adrenal cortex deprivation of adrenocorticotropic hormones Insufficient original cortical hormone productions

Hyperplasia of the adrenal cortex

When diagnosed with Cushing's syndrome, the manifestations are most likely related to an excess production of which hormone? a. Insulin from the pancreas b. ADH from posterior pituitary gland c. PRL from anterior pituitary gland d. Cortisol from the adrenal cortex

D - Cortisol from the adrenal cortex

When providing care for a patient with Addison disease the nurse should be alert for which laboratory value change Decreased hematocrit increase sodium level decrease potassium level decrease calcium levels

Decreased hematocrit

Fludrocortisone (Florinef) is prescribed for a client with adrenal insufficiency which responds to the medication should the nurse teach the client to report select all that apply Edema rapid weight gain fatigue in the afternoon unpredictable changes in mood increase frequency of urination

Edema rapid weight gain

A nurse is caring for a client with addition disease which information should the nurse include in a teaching plan as a means of encouraging this client to modify dietary intake increase amounts of potassium are needed to replace renal losses increase 14 is needed to heal the adrenal tissue and thus cure the disease supplemental vitamins are needed to supply energy and assist in regaining the lost weight Extra salt is needed to replace the amount being lost due to lack of sufficient aldosterone to conserve sodium

Extra salt is needed to replace the amount being lost due to lack of sufficient aldosterone to conserve sodium

A 24-year-old patient with diabetes insipidus makes all of these statements when the nurse is preparing the patient for discharge from the hospital which statement indicates to the nurse that the patient needs additional teaching I'll drink flows equal to amounts of my urine output I will weigh myself every day using the same scale I will wear my medical alert bracelet at all times I will gradually wean myself off the vasopressin

I will gradually wean myself off the vasopressin

Which clinical indicators can the nurse expect when assessing a client with caution syndrome select all that apply Lability of mood slow wound healing a decrease in the growth of hair ectomorph ISM with a moon face an increased resident to bruising

Lability of mood slow wound healing

A nurse is caring for a client with the clinical manifestation of hypo tension associated with a diagnosis of Addison disease which hormone is impaired in its production as a result of this disease estrogens androgens Glucocorticoids Mineralocorticoids

Mineralocorticoids

a nurse is caring for a male client with a diagnosis of Cushing syndrome which clinical manifestation does the nurse expect to identify select all that apply polyurea Obese trunk hypo tension sleep disturbances thin arms and legs

Obese trunk sleep disturbances thin arms and legs

A female patient is admitted to a diagnosis of primary hypofunction off the adrenal glands which nursing assessment findings support this diagnosis? Patchy areas of pigmented loss over the face decrease muscle strength greatly increased urine output scalp alopecia

Patchy areas of pigmented loss over the face

The nurse is preparing to discharge the patient with hyperpituitarism caused by a benign pituitary tumor who is prescribed the drug bromocriptine which key point should the nurse teach the patient about district select all that apply? Take this drug with a meal or snack to avoid gastrointestinal (GI) symptoms side effects of bromocriptine include severe fatigue and reflux after meals seek medical care if you experience chest pain or dizziness while taking this drug if the drug causes headaches you can take over the counter acetaminophen treatment starts with the high dose which is gradually lowered the purpose of bromocriptine is to shrink your pituitary to normal size

Take this drug with a meal or snack to avoid gastrointestinal (GI) symptoms seek medical care if you experience chest pain or dizziness while taking this drug if the drug causes headaches you can take over the counter acetaminophen the purpose of bromocriptine is to shrink your pituitary to normal size

Which actions prescribed by the health care provider for the patient with Addison disease should the nurse delegate to the experience unlicensed assistive personnel uap select all that apply Weigh the patient every morning obtain fingerstick glucose before each meal and at bedtime check vital signs every 2 hours monitor for cardiac dysrhythmias administer oral Prednisone 10MG every morning record intake and output

Weigh the patient every morning obtain fingerstick glucose before each meal and at bedtime check vital signs every 2 hours record intake and output

A hospitalized patient is prescribed desmopressin acetate metered dose spray as a replacement hormone for ADH. Which is an indication for another dose? (Select all that apply.) a. Excessive urination b. Specific gravity of 1.003 c. Dark, concentrated urine d. Edema in the legs e. Decreased urination f. Shortness of breath

a. Excessive urination b. Specific gravity of 1.003

In SIADH, as a result of water retention from excess ADH, which laboratory value does the nurse expect to find? (Select all that apply.) a. Increased sodium in urine b. Elevated serum sodium level c. Increased specific gravity d. Decreased serum osmolarity e. Decreased urine specific gravity f. Decreased serum sodium level

a. Increased sodium in urine c. Increased specific gravity d. Decreased serum osmolarity f. Decreased serum sodium level

Which patient is at risk for developing secondary adrenal insufficiency? a. Patient who suddenly stops taking high-dose steroid therapy b. Patient who tapers the dosages of steroid therapy c. Patient deficient in ADH d. Patient with an adrenal tumor causing excessive secretion of ACTH

a. Patient who suddenly stops taking high-dose steroid therapy

The nurse should instruct a patient who is taking hydrocortisone to report which symptoms to the health care provider for possible dose adjustment? (Select all that apply.) a. Rapid weight gain b.Changes in blood pressure c. Fluid retention d. Gastrointestinal irritation e. Urinary incontinence f. Round face

a. Rapid weight gain c. Fluid retention f. Round face

Which patient care tasks could the nurse delegate to the unlicensed assistive personnel (UAP) in the care of a patient with acute adrenal insufficiency that is immobile? Select all that apply a. Turn the patient every 1-2 hour b.Apply skin lubricants c. Assess lung sounds every 2-4 hours d. Provide mouthcare every 2 hours while awake e. Record accurate intake and output. f. Teach the patient to cough and deep breathe

a. Turn the patient every 1-2 hour b.Apply skin lubricants .d. Provide mouthcare every 2 hours while awake e. Record accurate intake and output.

After a hypophysectomy, focused assesment and monitoring by the nurse include which factors? (Select all that apply.) a. cognition and mental status b. Maintaining bedrest with bedside commode c. Possible leakage of CSF d. 24-hour intake of fluids and urine output e. 24-hour diet recall f. Headaches or visual disturbances

a. cognition and mental status c. Possible leakage of CSF d. 24-hour intake of fluids and urine output f. Headaches or visual disturbances

A client is scheduled for adrenalectomy which nursing intervention should the nurse anticipate will be ordered for this client administer Iv steroids provide a high protein diet collect a 24 hour urine withhold all medication for 48 hours

administer Iv steroids

A female patient has been prescribed hormone replacement therapy. What does the nurse instruct the patient to do regarding this therapy?Select all that apply a. Report any recurrence of symptoms, such as decreased libido, between injections .b. Avoid smoking because of the increased risk for cardiovascular complications c. Treat leg pain, especially in the calves, with gentle muscle stretching. d. Take measures to reduce risk for hypertension and thrombosis. e. Monitor blood pressure at least weekly for potential hypotension. f. Regular follow up visits with the health care provider is essential

b. Avoid smoking because of the increased risk for cardiovascular complications d. Take measures to reduce risk for hypertension and thrombosis. f. Regular follow up visits with the health care provider is essential

While caring for a postoperative patient following a transsphenoidal hypophysectomy, the nurse observes nasal drainage that is clear with yellow color at the edge. This "halo sign" is in- dicative of which condition? a. Worsening neurologic status of the patient b. Drainage of CSF from the patient's nose c. Onset of postoperative infection d. An expected finding following this surgery

b. Drainage of CSF from the patient's nose

Which intervention applies to a patient with pheochromocytoma? a. Assist to sit in a chair for blood pressure monitoring .b. Instruct not to smoke, drink coffee, or change positions suddenly. c. Encourage to maintain an active exercise schedule including activity such as running .d. Encourage one glass of red wine nightly to promote rest.

b. Instruct not to smoke, drink coffee, or change positions suddenly.

Which are the causes of secondary adrenal insufficeincy? Select all that apply a. Tuberculosis b. Pituitary tumors c. Adrenalectomy d. Hypophysecctomy e. Metastatic cancer f. High dose pituitary radiation

b. Pituitary tumors d.Hypophysecctomy f. High dose pituitary radiation

Which type of IV fluid does the nurse use to treat a patient with SIADH when the serum sodium level is very low? a. D51/2 normal saline b. D5W c. 3% normal saline d. Normal saline

c. 3% normal saline

The patient with hypercortisolism asks the nurse why she is prescribed the drug ranitidine. What is the nurse's best response? a. The drug inhibits the gastric proton pump and prevents the formation of hyrdochloric acid in your stomach b. Gastrointestinal bleeding is common complication in patient with hydrocortisolism. c. Ranitidine blocks the H2 receptors site to decrease formation of hydrochloric acid and prevent GI bleeding d. This drug buffers stomach acids and protects the gastrointestinal mucosa

c. Ranitidine blocks the H2 receptors site to decrease formation of hydrochloric acid and prevent GI bleeding

what should the nurse do when collecting a 24 hours urine specimen check to verify if a preservative is needed away the client before starting the collection discard the last Voyager specimen of the 24 hour. Assisted client intake and output for the previous 24 hour.

check to verify if a preservative is needed

A client is scheduled for a bilateral agenda adrenal ectomy before surgery series are administered to the client what does the nurse determine is the reason for this steroid foster accumulation often fly collision in the liver increase the inflammatory action to promote scar formation facilitate urinary next creation of salt and water following surgery compensate for sudden lack of these hormones following surgery

compensate for sudden lack of these hormones following surgery

A nurse is caring for two clients newly diagnosed with diabetes one client has type one diabetes and the other client has type 2 diabetes the nurse determines that the main difference between newly diagnosed type one and type 2 diabetes is that in type 1 diabetes Onset of the diseases is slow excessive weight is a contributing factor complications are not present at the time of diagnosis treatment involves diet exercise and oral medications

complications are not present at the time of diagnosis

Assessment finding for a patient with cushions disease include all of the following for which finding would the nurse notify the health care provider immediately? Purple strain present on the abdomen and thighs weight gain of 1 LB (0.5 kg)previous day dependent edema rated as plus one in the ankles and calves crackles bilaterally in the lower lobes of the lungs

crackles bilaterally in the lower lobes of the lungs

The nurse determines that the administration of hydrocortisone for Addisonian crisis is effective when which assessment is made?a. Increased urine output b. No signs of pitting edema c. Weight gain d. Lethargy improving; patient alert and oriented

d. Lethargy improving; patient alert and oriented

Which diuretic is ordered by the health care provider to treat hyperaldosteronism? a. Furosemide b. Ethacrynic acid c. Bumetanide d. Spironolactone

d. Spironolactone

The nurse is teaching a patient being discharged after bilateral adrenalectomy. What medication information does the nurse emphasize in the teaching plan?a. The dosage of steroid replacement drugs will be consistent throughout the patient's lifetime. b. The steroid drugs should be taken in the evening so as not to interfere with sleep. c. The patient should take the drugs on an empty stomach .d. The patient should learn how to give himself an intramuscular injection of hydrocortisone.

d. The patient should learn how to give himself an intramuscular injection of hydrocortisone.

The nurse is caring for a 25-year-old patient admitted to the acute care unit with an extra short thirst and dilute excessive straw-colored union output (up to 15 liter per day) what does the nurse suspect type 2 diabetes diabetes insipidus cushions disease Addison disease

diabetes insipidus

a health care provider orders a low sodium high potassium diet for a client with Cushing syndrome which explanation should the nurse provide as to why the client needs to follow this diet the use of salt probably contributed to the disease excess weight will be gained if sodium is not limited the loss of excess sodium and potassium in the urine requires less renal stimulation excess aldosterone and cortisone cause retention of sodium and loss of potassium

excess aldosterone and cortisone cause retention of sodium and loss of potassium

A nurse is assessing a client with a diagnosis of diabetes insipidus for which science indicative of diabetes insipidus should the nurse assess the client select all that apply excess thirst increase blood glucose dry mucous membrane increase blood pressure decrease serum osmolarity decrease urine specific gravity

excess thirst dry mucous membrane decrease urine specific gravity

a patient with add renal insufficiency is to be discharged and we will take Prednisone 10 milligram oral each day which instruction would the nurse be sure to teach the patient excessive weight gain or swelling should be reported to the health care provider changing position rapidly may change hypertension and dizziness a diet with food low in sodium may be beneficial to prevent side effects signs of hypoglycemia may occur while taking this drug

excessive weight gain or swelling should be reported to the health care provider

A nurse is caring for a newly admitted client with a diagnosis of cushion syndrome why should the nurse monitor this client for clinical indication of diabetes melllitus Cortical hormones stimulate rapid weight loss tissue catabolism results in a negative nitrogen balance glucocorticosteroids accelerate the process of gluconeogenesis excessive adrenal cortical Tropic hormone secretion damages pancreatic tissue

glucocorticosteroids accelerate the process of gluconeogenesis

A client is diagnosed with cushions syndrome which clinical manifestation does the nurse expect to increase in a client with caution syndrome urine output glucose level serum potassium immune response

glucose level

The nurse admits off patient whose assessment reveals prominent brow ridge large hands and feet and large lips and nose which pituitary hormone does the nurse suspect is elevated Thyroid-stimulating hormones growth hormone Adrenocorticotropic hormone Vasopressin anti diuretic hormone

growth hormone

a nurse is caring for a client who is scheduled for a bilateral adrenalectomy .which medication should the nurse expect to be prescribed for the client on the day of surgery and is the immediate postoperative. Methimazole Peachtree extract regular insulin hydrocortisone succinate

hydrocortisone succinate

A client with a tentative diagnosis of Cushing syndrome has an increased cortisol level for what response should the nurse assess this client hypovolemia hyperkalemia hypoglycemia hypernatremia

hypernatremia

A client is admitted with a head injury. The nurse identifies that the client's retention catheter is draining a large amount of clear colorless urine what does the nurse identify as the most likely cause Increase serum glucose deficit renal perfusion inadequate ADH secretions Excess amount of IV fluid

inadequate ADH secretions

A nurse is caring for a client who has a hypophysectomy for which complications specific to the surgery should the nurses assess the client for early clinical manifestation? Urinary retention respiratory distress bleeding at the suture line increase intracranial pressure

increase intracranial pressure

The nurse is preparing or care plan for a patient with the cushions disease. which abnormal laboratory values would the nurse expect select all that apply increase serum calcium levels increase salivary cortisol levels increase urinary cortisol levels decrease serum glucose level decrease sodium level increase serum cortisol level

increase salivary cortisol levels increase urinary cortisol levels increase serum cortisol level

The nurse is caring for a patient with syndrome off inappropriate with the diuretic hormone secretion SIADH which patient care action should the nurse delegate to the experience on license assistive personal select all that apply monitor and record strict input and output Provide the patient with ice chips and when requested remind the patient about his or her fluid restriction weigh the patient every morning using the same scale report a weight gain of 2.2 LB (1kg) to the nurse provide mouth care allowing the patient to swallow the rinse

monitor and record strict input and output remind the patient about his or her fluid restriction weigh the patient every morning using the same scale report a weight gain of 2.2 LB (1kg) to the nurse

A patient with pheochromocytoma underwent surgery to remove his agile plans which nursing interventions should the nurse delegate to an unlicensed assisted personnel revising the nursing care plan to indicate the strategies to provide a calm and restful environment postoperatively instructing the patient to avoid smoking and drinking caffeine containing beverages assessing the patient skin and mucous membranes for signs of adequate hydration monitoring lying and standing blood pressure every four hours with the cough place on the same arm

monitoring lying and standing blood pressure every four hours with the cough place on the same arm

The LPN LVN who is assigned to care for a patient with Cushing disease ask the iron why the patient has bruising and petechiae or cross her abdomen what is the irons best response patients with Cushing disease often have bleeding disorder patient with Cushing disease have very fragile capillaries please ask the patient if she slipped or fell during the night thin and delicate skin can result in development of bruising

patient with Cushing disease have very fragile capillaries

The nurse is caring for a patient who had just undergone hypophysectomy hyperpituitarism which postoperative finding requires immediate intervention presence of glucose in the nasal drainage presence of nasal packing in the nares Urine output of 40 to 50 ml/ hr patient reports of thirst

presence of glucose in the nasal drainage

Which is an important intervention that the nurse should include in the plan of care that is specific for a client with Addison disease Encouraging the client to exercise protecting the client from exertion restricting the clients fluid intake monitoring the climb for hypokalemia

protecting the client from exertion

A client is admited to our medical unit with the diagnosis of Addison disease the client is emaciated and reported muscular weakness and fatigue which disturbed body processes does the nurse determine is the root cause of this client clinical manifestation fluid balance electrolytelevels protein anabolism masculinizing hormone

protein anabolism

Which information from the clients history does the nurse identify as a risk factor for developing osteoporosis receives long term steroid therapy has a history of hyperthyroidism engages strenuous physical activity consumes high doses of the hormone estrogen

receives long term steroid therapy

A patient is hospitalized with adrenal cortical insufficiency which nursing activities should the nurse delegate to unlicensed assistive personnel uap reminding the patient to change position slowly accessing the patient for muscle weakness teaching the patient how to collect a 24 hour urine sample revising the patients nursing plan of care

reminding the patient to change position slowly

A client who has a cromley and insulin dependent diabetes undergrowth or hypophysectomy the nurse identifies that further teaching about the hypophysectomy is necessary when the client states I know I will be sterile for the rest of my life require larger doses of insulin than I did preoperatively have to take cortisone or a similar drug for the rest of my life have to take thyroxine or a similar medication for the rest of my life

require larger doses of insulin than I did preoperatively

a health care provider writes an order addressing the needs of a client with Addison disease which outcome does the nurse conclude is the main focus of treatment for this client decrease in eosinophils increase in lymphoid tissue restoration of electrolyte balance improvement of carbohydrate metabolism

restoration of electrolyte balance

Which prescribe order for a patient with diabetes insipidus (DI) would the nurse be sure to questions monitor and record accurate intake and output check urine specific gravity restrict fluids for 6 hours weigh the patient every morning

restrict fluids for 6 hours

A nurse is monitoring for clinical manifestation of infection in a client with a diagnosis of Addison disease which body mechanism related to infectious process does the nurse conclude is impaired as a result of this disease stress response electrolyte balance metabolic processes respiratory function

stress response