EAQ- Endocrine

A nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of the feet. Which statement made by the client shows that teaching was effective?

"I should control my blood glucose with diet, exercise, and medication."

Arrange the series of reactions that occurs when plasma volume and osmolarity are disturbed.

1. Change in posture 2. Conversion of angiotensinogen to angiotensin I 3. Formation of active form of angiotensin 4. Increased reabsorption of water and sodium 5. Increased blood volume

A client suspected to have hyperpituitarism is sent by the primary healthcare provider to undergo a suppression test. Which laboratory value would indicate a positive result?

6 ng/mL

A client has undergone nasal hypophysectomy surgery. During post-operative care, which finding indicates cerebrospinal leakage?

A yellow edge around nasal discharge

Which hormonal deficiency causes diabetes insipidus in a client?

ADH deficiency causes diabetes insipidus.

Which exogenous conditions are responsible for increased cortisol secretion?

Asthma Cancer chemotherapy Organ transplantation

Which hormone secretion does the nurse state is an example of a positive feedback mechanism? Insulin Estradiol Parathormone Catecholamines

Estradiol

A nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. What interventions should the nurse include to decrease the risk of complications? Select all that apply.

Examine the feet daily Wear well-fitting shoes Perform regular exercise

A nurse is caring for a client with Addison disease. Which information should the nurse include in a teaching plan to encourage this client to modify dietary intake?

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

The clinical findings of a client with diabetes mellitus show decreased glucose tolerance. Which complication is anticipated in the client?

Frequent yeast infections (think: too much sugar feeds yeast)

How does the nurse arrange the events of the positive feedback mechanism of estradiol chronologically?

In the positive feedback mechanism of estradiol, 1.) the level of estradiol is increased during the menstrual cycle. 2.) This results in increased production and release of FSH. 3.) FSH further increases the level of estradiol till 4.) the death of the follicle. 5) This death results in a drop of serum FSH.

A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the most likely cause?

Inadequate antidiuretic hormone (ADH) secretion

Which is the target tissue for the parathyroid gland?

Intestines

Which metabolic manifestations are likely to be observed in a client with hypothyroidism? Select all that apply.

Intolerance to cold Decreased blood pressure Decreased body temperature

Which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone?

Malaise and lethargy

Which hormones are secreted by the posterior pituitary gland?

Oxytocin Antidiuretic hormone

A nurse teaches nursing students about the functions of Part A and Part B. Which information indicates successful learning?

Part A is the parathyroid gland and part B is the thyroid gland. Parathormone is secreted by the parathyroid gland and calcitonin is secreted by the thyroid gland; these hormones regulate calcium and phosphorus levels in the blood (Rational)

A client with malignant hot nodules of the thyroid gland has a thyroidectomy. What is the nurse's priority action immediately postoperative?

Place in low-Fowler position to limit edema of the neck

In order to ensure a quality specimen and an accurate test result, which instruction should the nurse give a client who is scheduled to undergo urine endocrine testing?

Store the urine specimen in a cooler with ice.

Which hormonal deficiency causes breast atrophy in female clients?

Which hormonal deficiency causes breast atrophy in female clients?

Which neurologic manifestation in a client is associated with hyperthyroidism?

Exophthalmos

During a home visit to a client, the nurse identifies tremors of the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Of the additional assessment findings, which one should the nurse report to the practitioner? Increased appetite Recent weight loss Feelings of warmth Fluttering in the chest

Fluttering in the chest