quiz 7 nugent adrenal and pituitary

a nurse is assessing a female client with Cushing syndrome. which clinical findings can the nurse expect to identify? SATA a. Hirsutism b. menorrhagia c. buffalo hump d. dependent edema e. migraine headaches

a. Hirsutism c. buffalo hump

a client is scheduled for an adrenalectomy. which nursing intervention should the nurse anticipate will be ordered for this client? a. administer IV steroids b. provide a high protein diet c. collect a 24 hour urine specimen d. withhold all meds for 48 hours

a. administer IV steroids

what should the nurse do when collecting a 24 hour urine specimen? a. check to verify if a preservative is needed b. weigh the client before starting the collection c. discard the last voided specimen of the 24 hour period d. assess the client's intake and output for the previous 24 hour period

a. check to verify if a preservative is needed

A nurse is assessing a client with a dx of diabetes insipidus. for which signs indicative of diabetes insipidus should the nurse assess the client? SATA a. excessive thirst b. increased blood glucose c. dry mucous membranes d. increased blood pressure e. decreased serum osmolarity f. decreased urine specific gravity

a. excessive thirst c. dry mucous membranes f. decreased urine specific gravity

a client is diagnosed with cushing syndrome. which clinical manifestation does the nurse expect to increase in a client with cushing syndrome? a. urine output b. glucose level c. serum potassium d. immune reponse

b. glucose level

a nurse is caring for a client with a diagnosis of cushing syndrome. what is the most common cause of cushing syndrome that the nurse should consider before assessing this client for physiological responses? a. pituitary hypoplasia b. hyperplasia of the adrenal cortex c. deprivation of adrenocorticol hormone d. insufficient adrenocortocotropic hormone production

b. hyperplasia of the adrenal cortex

a client is scheduled for a bilateral adrenalectomy. before surgery, steroids are administered to the client. what does the nurse determine is the reason for the steroids? a. foster accumulation of glycogen in the liver b. increase the inflammatory action to promote scar formation c. facilitate urinary excretion of salt and water following surgery d. compensate for sudden lack of these hormones following surgery

d. compensate for sudden lack of these hormones following surgery

a nurse is caring for a client who is scheduled for a bilateral adrenalectomy. which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postop period? a. methimazole b. pituitary extract c. regular insulin d. hydrocortisone succinate (solu-cortef)

d. hydrocortisone succinate (solu-cortef)

which clinical indicators can the nurse expect when assessing a client with cushing syndrome? SATA a. lability of mood b. slow wound healing c. a decrease in the growth of hair d. ectomorphism with a moon face e. an increased resistance to bruising

a. lability of mood b. slow wound healing

which information from the client's history does the nurse identify as a risk factor for developing osteoporosis? a. receives long term steroid therapy b. has a history of hypoparathyroidism c. engages in strenuous physical activity d. consumes high doses of the hormone estrogen

a. receives long term steroid therapy

a nurse is caring for a male client with a diagnosis of cushing syndrome. which clinical manifestations does the nurse expect to identify? SATA a. polyuria b. obese trunk c. hypotension d. sleep disturbance e. thin arms and legs

b. obese trunk d. sleep disturbance e. thin arms and legs

a client who has acromegaly and insulin-dependent diabetes undergoes a hypophysectomy. the nurse identifies that further teaching about the hypophysectomy is necessary when the client states, "I know i will: a. be sterile for the rest of my life b. require larger doses of insulin than i did preoperatively c. have to take cortisone or a similar drug for the rest of my life d. have to take thyroxine or a similar med for the rest of my life

b. require larger doses of insulin than i did preoperatively

after surgical clipping of a cerebral aneurysm, the client develops the syndrome of inappropriate secreation of antidiuretic hormone. for which manifestations of excessive levels of ADH should the nurse assess the client? SATA a. polyuria b. weight gain c. hypotension d. hyponatremia e. decreased specific gravity

b. weight gain d. hyponatremia

a nurse is caring for two clients newly diagnosed with diabetes. one client has type I diabetes and the other has type II. the nurse determines that the main difference between newly diagnosed type I and type II diabetes is that in type I diabetes, a. onset of the disease is slow b. excessive weight gain is a contributing factor c. complications are not present at the time of diagnosis d. treatment involves diet, exercise, and oral meds

c. complications are not present at the time of diagnosis

a nurse is caring for a newly admitted client with a diagnosis of Cushing syndrome. why should the nurse monitor this client for clinical indicators of diabetes mellitus? a. cortical hormones stimulate rapid weight loss b. tissue catabolism results in a negative nitrogen balance c. glucocorticoids accelerate the process of gluconeogenesis d. excessive adrenocorticotropic hormone secretion damages pancreatic tissue

c. glucocorticoids accelerate the process of gluconeogenesis

a client is admitted with a head injury. the nurse identifies that the client's urinary retention catheter is draining large amounts of clear, colorless urine. what does the nurse identify as the most likely cause? a. increased serum glucose b. deficient renal perfusion c. inadequate ADH secretion d. excess amounts of IV fluids

c. inadequate ADH secretion

after a head injury, a client develops a deficiency of ADH. what should the nurse consider about the response to secretion of ADH before assessing this client? a. serum osmolarity increases b. urine concentration decreases c. glomerular filtration decreases d. tubular reabsorption of water increases

d. tubular reabsorption of water increases

a nurse is caring for a client who had a hypophysectomy. for which complication specific to this surgery should the nurse assess the client for early clinical manifestations? a. urinary retention b. respiratory distress c. bleeding at the suture line d. increased intracranial pressure

d. increased intracranial pressure.