Endocrine adaptive quizzing

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.

Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. What intervention should the nurse implement?

Give supplemental doses of regular insulin

A nurse is caring for a client with Addison's disease. Upon assessment, which classic sign will the nurse find?

Hyperpigmentation

After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). What manifestations are exhibited with excessive levels of antidiuretic hormone?

Hyponatremia and decreased urine output

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 statement does the nurse know is true regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance?

Increases net release of calcium into extracellular fluid

Which procedure is preferred to find out the composition of a thyroid nodule and ascertain the need for further surgical intervention in a client?

Needle biopsy

Which assessment finding in a client signifies a mild form of hypocalcemia?

Numbness around the mouth

Which hormones are secreted by the posterior pituitary gland? Select all that apply.

Oxytocin; antidiuretic hormone

Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats? Select all that apply.

Pancreas Thyroid gland Adrenal cortex

The laboratory report of a client reveals increased serum cholesterol levels. Which other finding indicates growth hormone deficiency in the client?

Pathological fractures

Melatonin

Pineal gland

Which laboratory value may indicate hyperfunction of the adrenal gland in a client?

Potassium: 2.9 mEq/L

Which hormone does the nurse state has both inhibiting and releasing action?

Prolactin

A client with type 1 diabetes is admitted to the hospital for major surgery. Before surgery, the client's insulin requirements are elevated but well controlled. What insulin requirements will the nurse anticipate for this client postoperatively?

Remain elevated

Which condition is characterized by hemorrhage after a pregnant female delivers

Sheehan's syndrome

Which hormone is released from the pancreas?

Somatostatin

A nurse working in the diabetes clinic is evaluating a client's success with managing the medical regimen. What is the best indication that a client with type 1 diabetes is successfully managing the disease?

Stabilization of the serum glucose

A client who has had a subtotal thyroidectomy does not understand how hypothyroidism can develop when the problem was initially hyperthyroidism. On what fact should the nurse base her response?

There may not be enough thyroid tissue to supply adequate thyroid hormone.

When assessing the laboratory values of a client with type 2 diabetes, what would the nurse expect the results to reveal?

Urine negative for ketones and glucose in the blood

Which statement does the nurse know is true regarding a grade 2 goiter?

A goiter is usually asymmetrical.

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

A yellow edge around nasal discharge

A nurse is caring for a client who has just returned from the postanesthesia care unit after having a thyroidectomy. Which action has priority during the first 24 hours after surgery when the nurse is concerned about thyroid storm?

Checking vital signs every two hours after they stabilize

Which drug can cause diabetes insipidus?

Demeclocycline

Which type of drug-induced hormonal imbalance is likely to be observed in the client undergoing treatment with demeclocycline?

Diabetes insipidus

A client reports their lips feel thicker, as well as joint pain and coarse facial features. What should the nurse suspect as the cause of the anterior pituitary hyperfunction?

Excessive secretion of growth hormone

Which hormone does the nurse state binds to the receptor site on the surface of a target cell?

adrenaline

A nurse is assessing a client with Cushing syndrome. Which signs should the nurse expect the client to exhibit? Select all that apply.

hirsutism; round face; buffalo hump

A nurse is caring for a client with endocrine problems. Which lab finding will alert the nurse that aldosterone will be released?

hyponatremia

The nurse is caring for a client with a diagnosis of diabetic ketoacidosis. Which arterial blood gas results are associated with this diagnosis?

pH: 7.28; PCO2: 28; HCO3: 18