CMSRN 4

A 16 year old male patient complains he has "not hit his growth spurt yet." The patient's mother admits, "We've been relieved that he's not shown any interest in dating yet." The nurse suspects the patient may have: A. Hyposecretion by the Posterior Pituitary Gland B. A secondary disorder of the Anterior Pituitary Gland C. Hypersecretion of hormones from the testes D. A tertiary disorder of the Adrenal Medulla

B. A secondary disorder of the Anterior Pituitary Gland

Matthew Kelly, age 48, is admitted to the medical - surgical unit with a 2 week history of fatigue. assessment reveals 2+ pitting edema to the lower extremities, heart rate 116, BP 210/105. Initial lab results include serum sodium 150 mEq/L and serum potassium 2.8 mEq/L The nurse correctly identifies Mr. Kelly's endocrine abnormality as a disorder of which organ? A. Posterior Pituitary B. Adrenal Medulla C. Anterior Pituitary D. Adrenal Cortex

B. Adrenal Medulla

The nurse caring for a patient with diabetes insipidus. The primary care provider has ordered intravenous fluid replacement. The nurse recognizes with of the following as an appropriate solution for this purpose? A. Hypertonic saline B. Dextrose 5% in water C. 0.9% saline D. Dextrose 5% in LR

B. Dextrose 5% in waer

The nurse recognizes the potential for secondary diabetes in a patient with a diagnosis of: A. Addison's Disease B. Hyperthyroidism C. Hypopituitarism D. Hashimoto's Thyroiditis

B. Hyperthyroidism

A patient with acromegaly asks the nurse about the cause of this disorder. The nurse's response is based on knowledge acromegaly develops due to pathology of which gland? A. Thyroid B. Pituitary C. Pineal D. Adrenal

B. Pituitary

The nurse should assess the patient with SIADH for which of the following? A. Sudden weight loss B. Increased serum sodium C. High urine specific gravity D. High urine output

C. High urine specific gravity

Gladys Burns, age 54, is admitted to the medical - surgical unit with a diagnosis of hypoparathyroidism. She was found unresponsive in a homeless shelter. Ms. Burns has a 20 year history of alcoholism. Assessment by the nurse reveals muscle contraction of the fingers and a positive Chvostek's sign. The nurse identifies which electrolyte disorder as contributing to the assessment findings for Ms. Burns? A. Hypernatremia B. Hypomagnesemia C. Hypocalcemia D. Hyperkalemia

C. Hypocalcemia

Gladys Burns, age 54, is admitted to the medical - surgical unit with a diagnosis of hypoparathyroidism. She was found unresponsive in a homeless shelter. Ms. Burns has a 20 year history of alcoholism. Assessment by the nurse reveals muscle contraction of the fingers and a positive Chvostek's sign. The nurse identifies which of the following as a possible cause of hypoparathyroidism? A. Neck trauma or radiation B. Chronic renal failure C. Hypomagnesemia D. Parathyroid adenoma

C. Hypomagnesemia

The nurse is caring for a patient diagnosed with SIADH. The nurse recognizes electrolyte abnormalities in this patient may present as: A. Double Vision B. Bradycardia C. Tachypnea D. Abdominal Cramps

D. Abdominal Cramps

Fluids Replacement Pearls

Hypotonic - Hydrates cells to intravascular first .45 NS .33 NS D5W Hypertonic - From the cell D5W 1/2 NS D5 NS D5 LR Isotonic - Intravascular NS LR