Nursing Assessment and Care of Patients with Endocrine Disorders > Level- 4: Confident - NUPN 1510

Which of the following is shown here? 1. Exophthalmos 2. Goiter 3. Buffalo hump 4. Moon face

Option 2: A goiter is shown here.

Which of the following questions should the nurse ask when taking a history of a client with suspected hypothyroidism? Select all that apply. 1. "Have you experienced any weight loss?" 2. "Are you experiencing pins and needles in the extremities?" 3. "Does anyone in your family have thyroid disease?" 4. "Have you noticed a change in your mood or memory?" 5. "Have you noticed a change in your energy level?"

3, 4, 5

The nurse is caring for a client with hypothyroidism. Which clinical manifestations should the nurse expect to find? Select all that apply. 1. Tachycardia 2. Weight loss 3. Intolerance to heat 4. Mental dullness 5. Dry skin and hair

4, 5

The nurse is caring for a client who underwent a thyroidectomy. Which interventions should the nurse implement? 1. Check the back of the neck for pooling of blood 2. Monitor vital signs every hour initially 3. Instruct the client to avoid speaking 4. Monitor the client for signs of hypokalemia

Option 1: The back of the neck should be assessed for pooling of blood.

The nurse is caring for a client with diabetes insipidus (DI). Which intervention should the nurse implement? 1. Administer vasopressin as ordered 2. Restrict fluids 3. Administer 0.9% normal saline 4. Monitor for a significant increase in blood pressure

Option 1: Vasopressin is the treatment for DI.

The nurse is caring for a client with Cushing syndrome. Which clinical manifestation can the nurse expect to find upon assessment? 1. Bronze hyperpigmentation 2. Severe, pounding headache 3. Moon-shaped face 4. Exophthalmos

Option 3: This is seen in clients with Cushing syndrome.

The nurse is providing education for a client receiving fludrocortisone. Which statement indicates an understanding of the teaching? 1. "I need to return to have my calcium level checked." 2. "I should weigh myself every other week." 3. "I need to take this medication on an empty stomach." 4. "I should not quit taking the medication until my doctor tells me to."

Option 4: This statement is accurate; the medication should not be discontinued abruptly.

The nurse is caring for a client with pheochromocytoma. Which prominent characteristic should the nurse expect to find in this client? 1. Mild headache 2. Bradycardia 3. Dry skin 4. Unstable hypertension

Option 4: Unstable hypertension is the classic sign of pheochromocytoma.

The nurse is caring for a client with diabetes insipidus (DI). Which clinical manifestations can the nurse expect to find? 1. Nocturia 2. Polydipsia 3. High serum osmolality 4. Increased specific gravity 5. Dark, concentrated urine

1, 2, 3

The nurse is caring for a client with acromegaly. Which clinical manifestations would the nurse expect to find? Select all that apply. 1. Thick tongue 2. Fleshy appearance 3. Enlargement of facial features 4. Small hands 5. Displaced teeth

1, 2, 3, 5

Which of the following are causes of growth hormone (GH) deficiency? Select all that apply. 1. Tumors 2. Surgery 3. Heredity 4. Trauma to the thyroid gland 5. Malnutrition

1, 2, 3, 5

The nurse is caring for a group of clients. Which client does the nurse identify as high risk for developing syndrome of inappropriate antidiuretic hormone (SIADH)? 1. Lung cancer 2. Grave's disease 3. Antibiotic use 4. Diabetes Mellitus

Option 1: A client with lung cancer is at high risk for developing SIADH.

The nurse is reviewing lab values for a client with hypothyroidism. Which finding can the nurse expect to see? 1. Elevated thyroid-stimulating hormone (TSH) level 2. Decreased growth hormone (GH) level 3. Decreased cortisol level 4. Elevated blood glucose level

Option 1: An elevated TSH is found in clients with hypothyroidism.

The nurse is caring for a client with Grave's disease. Which prominent feature will the nurse document? 1. Moon face 2. Exophthalmos 3. Hyperpigmentation of skin 4. Weight gain

Option 2: Bulging eyes are the prominent feature in clients with Grave's disease.

The nurse is caring for a client with hypothyroidism who develops edema of the face, hands, and feet. The nurse knows these symptoms are typically seen in which condition? 1. Thyroid storm 2. Myxedema coma 3. Pheochromocytoma 4. Cushing syndrome

Option 2: Myxedema coma occurs in advanced disease and causes edema of the feet, hands, and face.

Which hormone causes contractions of the myometrium to bring about delivery of a newborn and placenta? 1. Growth hormone 2. Oxytocin 3. Thyroid-stimulating hormone 4. Calcitonin

Option 2: Oxytocin is a hormone that causes contractions for the myometrium to bring about delivery of a newborn and placenta.

The nurse is assessing a client with a goiter. Which assessment finding should the nurse report to the health-care provider? 1. Swelling at the neck 2. Stridor 3. Full sensation at the neck 4. Coughing

Option 2: Stridor is a sign that the airway is obstructed.

The nurse is caring for a client with hypoparathyroidism. Which clinical manifestation should the nurse expect to find? 1. Dyspnea 2. Tetany 3. Dry skin 4. Increased cardiac output

Option 2: The client will exhibit tetany with hypoparathyroidism.

A client is taking levothyroxine for treatment of hypothyroidism. How will the nurse know that treatment has been effective? 1. The client's heart rate is lower 2. The client reports constipation 3. The client reports an increase in energy 4. The client reports intolerance to cold

Option 3: An increase in energy is an indication that the medication is working.

The nurse is caring for a client with lung cancer who is reporting muscle spasms and twitching. This is typically seen in clients with which condition? 1. Hyperparathyroidism 2. Addison's disease 3. Syndrome of inappropriate antidiuretic hormone (SIADH) 4. Pheochromocytoma

Option 3: Muscle spasms and twitching are associated with SIADH.

The nurse is teaching a client with diarrhea secondary to hyperthyroidism about food choices. Which food choice made by the client indicates teaching has been effective? 1. Broccoli 2. Cheese 3. Rice 4. Fish

Option 3: Rice is part of the Bananas, Rice, Applesauce, Toast (BRAT) diet and should be consumed to reduce diarrhea.

Which of the following is the nurse's role in assisting the health-care provider (HCP) in performing a thyroid exam? 1. Tell the client to take a deep breath and hold it in 2. Position the client in left side-lying position 3. Instruct the client to swallow water upon palpation 4. The nurse should palpate the thyroid

Option 3: The client should be given a sip of water and told to swallow upon palpation.

The nurse is caring for a group of clients. Which client does the nurse identify as highest risk for developing Cushing syndrome? 1. A client with hyperthyroidism who takes radioactive iodine 2. A client with Type I diabetes who takes insulin 3. A client with chronic obstructive pulmonary disease (COPD) who takes prednisone 4. A client with pheochromocytoma taking a beta blocker

Option 3: This client is taking corticosteroids, which places them at risk for Cushing syndrome.

The nurse is teaching a client with hypoparathyroidism about following a diet high in calcium. Which food choice selected by the client indicates an understanding of the teaching? 1. Red meat 2. Carrots 3. Yogurt 4. Bread

Option 3: Yogurt is high in calcium and a good food choice.

The nurse is caring for a client with thyrotoxic crisis. Which intervention should the nurse implement first? 1. Place the client flat in the bed 2. Apply a warming blanket 3. Administer aspirin as ordered 4. Administer propranolol as ordered

Option 4: A beta-adrenergic blocker is administered for tachycardia and symptom control.

The nurse is caring for a client with dilutional hyponatremia. Which clinical manifestation can the nurse expect to find upon assessment? 1. Hypotension 2. Thready pulse 3. Constipation 4. Headache

Option 4: A headache is common in clients with dilutional hyponatremia.

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which intervention should the nurse implement? 1. Restrict sodium intake 2. Encourage fluid intake 3. Administer 0.9% normal saline 4. Monitor sodium level

Option 4: The sodium level should be monitored closely in a client with SIADH.

The nurse is caring for a group of clients. Which client should the nurse see first? 1. A client who underwent an adrenalectomy and has a blood pressure of 100/80 2. A client who just finished radioactive iodine therapy for hyperthyroidism and reports feeling isolated 3. A client who underwent a hypophysectomy and reports a small amount of blood in the nose 4. A client who underwent a thyroidectomy and is complaining of tingling around the mouth

Option 4: This is indicative of hypocalcemia, and this client should be seen first.