ENDOCRINE-EAQ #3

Which nursing intervention is appropriate during the first 24 hours after a thyroidectomy when the nurse is concerned about thyroid storm? 1. Perform range-of-motion exercises. 2. Humidify the room air continuously. 3. Assess for hoarseness every 2 hours. 4. Check vital signs every 2 hours after they stabilize.

4. Check vital signs every 2 hours after they stabilize.

Why would the nurse monitor a client with a diagnosis of Cushing syndrome for symptoms of diabetes mellitus? 1. Cortical hormones stimulate rapid weight loss. 2. Tissue catabolism results in a negative nitrogen balance. 3. Glucocorticoids accelerate the process of gluconeogenesis. 4. Excessive adrenocorticotropic hormone (ACTH) secretion damages pancreatic tissue.

3. Glucocorticoids accelerate the process of gluconeogenesis.

The nurse is reviewing the medical records of several clients. Which client has a condition that is an autoimmune disorder? 1. Addison disease 2. Cushing syndrome 3. Hashimoto disease 4. Sheehan syndrome

3. Hashimoto disease

Which blood glucose levels would the nurse identify as hypoglycemia? 1. 68 mg/dL (3.8 mmol/L) 2. 78 mg/dL (4.3 mmol/L) 3. 88 mg/dL (4.9 mmol/L) 4. 98 mg/dL (5.4 mmol/L)

1. 68 mg/dL (3.8 mmol/L)

Why is 15 g of a simple sugar administered when a client with diabetes experiences hypoglycemia? 1. Inhibits glycogenesis 2. Stimulates release of insulin 3. Increases blood glucose levels 4. Provides more storage of glucose

3. Increases blood glucose levels (A simple sugar provides glucose to the blood for rapid action.)

A deficiency in which hormone causes breast atrophy in female clients? 1. Growth hormone 2. Luteinizing hormone 3. Thyroid-stimulating hormone 4. Adrenocorticotropic hormone

1. Growth hormone

A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch, the nurse identifies that the client is diaphoretic and trembling. Which intervention is appropriate? 1. Administer insulin to the client. 2. Give the client lunch immediately. 3. Encourage the client to drink fluids. 4. Assess the client's blood glucose level.

4. Assess the client's blood glucose level.

The nurse is assessing a client admitted with diabetic ketoacidosis. Which statement made by the client indicates a need for further education on sick day management? 1 "I will stop taking my insulin when I am ill because I am not eating." 2 "I will check my urine for ketones when my blood sugar is over 250." 3 "I will alternate drinking Gatorade and water throughout the day while ill." 4 "I will continue all my insulin including my glargine when I am sick."

1 "I will stop taking my insulin when I am ill because I am not eating."

A client experiences a decreased potassium level. The nurse recalls that hypokalemia inhibits the synthesis of which hormone? 1 Aldosterone 2 Somatostatin 3 Norepinephrine 4 Androstenedione

1 Aldosterone

Which exogenous conditions are responsible for increased cortisol secretion? Select all that apply. One, some, or all responses may be correct. 1. Asthma 2. Adrenal adenomas 3. Cancer chemotherapy 4. Organ transplantation 5. Carcinomas of the lung

1. Asthma 3. Cancer chemotherapy 4. Organ transplantation

Which catecholamine receptor is responsible for increased heart rate? 1. Beta-1 receptor 2. Beta-2 receptor 3. Alpha-1 receptor 4. Alpha-2 receptor

1. Beta-1 receptor

Why is blood glucose self-monitoring preferred over urine glucose testing? 1. Blood glucose monitoring is more accurate. 2. Blood glucose monitoring is easier to perform. 3. Blood glucose monitoring is done by the client. 4. Blood glucose monitoring is not influenced by medications.

1. Blood glucose monitoring is more accurate.

The nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. Which interventions would the nurse include to decrease the risk of complications? Select all that apply. One, some, or all responses may be correct. 1. Examine the feet daily. 2. Wear well-fitting shoes. 3. Perform regular exercise. 4. Powder the feet after showering. 5. Visit the primary health care provider weekly. 6. Test bathwater with the toes before bathing.

1. Examine the feet daily. 2. Wear well-fitting shoes. 3. Perform regular exercise.

A client reports their lips feel thicker, and they have joint pain and coarse facial features. The nurse would suspect an excessive secretion of which hormone? 1. Growth hormone 2. Prolactin hormone 3. Thyroid-stimulating hormone 4. Adrenocorticotropic hormone

1. Growth hormone. (Thickened lips, joint pain, and coarse facial features are the symptoms of acromegaly, which is caused by pituitary gland hyperfunction leading to excessive secretion of growth hormone.)

Which hormonal deficiency would increase the client's risk for fractures? 1. Growth hormone 2. Follicle-stimulating hormone 3. Thyroid-stimulating hormone 4. Adrenocorticotropic hormone

1. Growth hormone. Growth hormone deficiency causes decrease in bone density, thereby increasing the risk of fractures.

Identify the primary causes of adrenal insufficiency. Select all that apply. One, some, or all responses may be correct. 1. Hemorrhage 2. Tuberculosis 3. Pituitary tumors 4. Postpartum pituitary necrosis 5. Acquired immunodeficiency syndrome (AIDS)

1. Hemorrhage 2. Tuberculosis 5. Acquired immunodeficiency syndrome (AIDS)

Which is the target tissue for the parathyroid hormone? 1. Intestines 2. All body cells 3. Mammary glands 4. Sympathetic effectors

1. Intestines

Which hormone is released from the posterior pituitary gland? 1. Oxytocin 2. Prolactin 3. Growth hormone 4. Luteinizing hormone

1. Oxytocin (& vesopressin)

Which gland secretes melatonin? 1. Pineal gland 2. Thyroid gland 3. Adrenal gland 4. Parathyroid gland

1. Pineal gland

Which assessment in a female client suggests an abnormal endocrine finding? 1 Facial hair 2 Protruding eyes 3 Pulse of 90 beats per minute 4 Blood pressure of 120/80 mm Hg

2 Protruding eyes

A client is diagnosed with primary hypofunction of the adrenal gland. Which clinical manifestation is likely to be observed? 1 Edema at extremities 2 Uneven patches of pigment loss 3 Reddish-purple stretch marks on the abdomen 4 "Buffalo hump" between shoulders on the back

2 - Vitiligo is manifested by the presence of large patchy areas of pigment loss. This is mainly caused by primary hypofunction of the adrenal gland.

The nurse reviews the medical record of a client with a suspected pituitary tumor and expects which assessment finding? 1 Tetany 2 Seizures 3 Lethargy 4 Hyperreflexia

2 Seizures are common in clients who have pituitary tumors. Tetany is associated with severe hypocalcemia; that condition can be caused by hypoparathyroidism.

To ensure a quality specimen and an accurate test result, which instruction would the nurse give a client who is scheduled to undergo urine endocrine testing? 1. "Start the urine collection when the bladder is full." 2. "Store the urine specimen in a cooler with ice." 3. "Store the urine specimen in a home refrigerator." 4. "Save the urine specimen that begins the collection."

2. "Store the urine specimen in a cooler with ice."

The nurse cares for a client with an abnormal cortisol level. The nurse recalls which information about cortisol? 1. Cortisol metabolizes free fatty acids. 2. Cortisol stimulates gluconeogenesis. 3. Cortisol stimulates protein synthesis. 4. Cortisol levels decline in stressful conditions.

2. Cortisol stimulates gluconeogenesis.

Which disorder is caused by the deficiency of antidiuretic hormone? 1. Acromegaly 2. Diabetes insipidus 3. Cushing syndrome 4. Syndrome of inappropriate antidiuretic hormone

2. Diabetes insipidus

Which metabolic manifestations are likely to be observed in a client with hypothyroidism? Select all that apply. One, some, or all responses may be correct. 1. Impaired memory 2. Intolerance to cold 3. Difficulty breathing 4. Decreased blood pressure 5. Decreased body temperature

2. Intolerance to cold 5. Decreased body temperature (Cold intolerance and decreased body temperature are the metabolic manifestations observed in a client with hypothyroidism.)

When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report which clinical manifestation? 1. Nervousness 2. Polyuria 3. Nocturia 4. Diaphoresis

2. Polyuria

One week after beginning antithyroid medication for the treatment of hyperthyroidism, a client reports diarrhea, abdominal pain, and a fever. The client is admitted with a diagnosis of thyrotoxic crisis. Which intervention is appropriate to implement for this client? 1. Limit fluid intake. 2. Reduce body temperature and heart rate. 3. Observe for an exaggerated response to sedatives. 4. Treat the associated hyperglycemia and ketoacidosis.

2. Reduce body temperature and heart rate. Immediate treatment in this emergency focuses on reduction of oxygen demands and thus cardiac workload to prevent cardiac decompensation. Clients with thyrotoxic crisis are more apt to develop hypoglycemia from the high metabolic rate.

Which physical symptoms would a client diagnosed with Cushing syndrome exhibit? 1. Fever and tachycardia 2. Lethargy and constipation 3. Hypertension and moon face 4. Hyperactivity and exophthalmos

3. Hypertension and moon face

The nurse is performing an assessment and notes that the client has exophthalmos and complains of double vision. These assessment findings are consistent with which condition? 1. Glaucoma 2. Hypertension 3. Hyperthyroidism 4. Sinus infection

3. Hyperthyroidism

Which outcome is the main focus of treatment for a client with Addison disease? 1 Decrease in eosinophils 2 Increase in lymphoid tissue 3 Restoration of electrolyte balance 4 Improvement of carbohydrate metabolism

3 Restoration of electrolyte balance. (Addison disease is the lack of mineralocorticoids, which causes hyponatremia, hypovolemia, and hyperkalemia. Dietary modification and administration of cortical hormones are aimed at correcting these electrolyte imbalances, which can be life threatening.)

A nurse educator instructs a new nurse during orientation about the physiological processes of the endocrine system. Which statement made by the new nurse indicates effective learning? 1. "The endocrine system comprises glands with narrow ducts." 2. "The endocrine system comprises salivary and lacrimal glands." 3. "The hormones of the endocrine system exert their action by 'lock and key' mechanism." 4. "The hormones secreted by endocrine system exert their action on all tissues they contact."

3. "The hormones of the endocrine system exert their action by 'lock and key' mechanism." (The endocrine glands secrete hormones that exert their action on the target tissues by the "lock and key" mechanism. The hormones recognize and adhere only to specific receptor sites on the target tissue, like a correct key alone can open its specific lock.)

Which situation in a client with hyperthyroidism may precipitate thyroid crisis (thyroid storm)? 1. Increased iodine in the blood 2. Removal of the parathyroid glands 3. High levels of the hormone triiodothyronine 4. Rebound increase in metabolism after anesthesia

3. High levels of the hormone triiodothyronine (Thyroid trauma, thyroid surgery, or physiological stress in a client with hyperthyroidism may lead to a release of abnormally high levels of thyroid hormones. High levels of the hormone triiodothyronine (T3) intensify all the signs and symptoms of hyperthyroidism (thyroid storm or crisis), such as increased temperature, pulse, and respirations, restlessness, vomiting, and often death.)

Which information about a client's condition would the nurse consider when providing care to a client who just received radioactive iodine for Graves disease? 1. Not radioactive and can be handled as any other individual 2. Highly radioactive and should be isolated as much as possible 3. Mildly radioactive and should be treated with routine safety precautions 4. Not radioactive but may still transmit some dangerous radiations and must be treated with precautions

3. Mildly radioactive and should be treated with routine safety precautions. (An individual treated for a thyroid problem by intake of radioactive iodine (131I) becomes mildly radioactive, particularly in the region of the thyroid gland, which preferentially absorbs the iodine. Such clients should be treated with routine safety precautions for 48 hours (e.g., avoid prolonged contact or near-contact with others, flush toilet twice after using because radioactive iodine is excreted via the urine, and thoroughly wash hands after toileting). Because radioactive iodine is internalized, the client becomes the source of radioactivity. The amount of radioactive iodine used is not enough to cause high radioactivity.)

Which infection control measures would the nurse provide a client regarding blood glucose monitoring? Select all that apply. One, some, or all responses may be correct. 1. Wear gloves. 2. Reuse lancets. 3. Perform hand washing. 4. Clean site before fingerstick. 5. Share blood glucose monitor.

3. Perform hand washing. 4. Clean site before fingerstick.

Which symptom would the nurse assess in a client with a diagnosis of Addison disease? 1 Pyrexia 2 Hypertension 3 Hirsutism 4 Hypoglycemia

4 Hypoglycemia

After a surgical procedure for cancer of the pancreas with removal of the stomach, the head of the pancreas, the distal end of the duodenum, and the spleen, which symptom exhibited by the client requires immediate attention by the nurse? 1. Jaundice 2. Indigestion 3. Weight loss 4. Hyperglycemia

4. Hyperglycemia (When the head of the pancreas is removed, the client has a greatly reduced number of insulin-producing cells, and hyperglycemia will occur; immediate treatment is necessary.)

Which classic sign will a nurse find in a client with Addison disease? 1. Ecchymosis 2. Hyperreflexia 3. Exophthalmos 4. Hyperpigmentation

4. Hyperpigmentation

The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe? 1. Insulin glargine 2. Insulin detemir 3. Insulin lispro mix 75/25 4. Isophane insulin neutral protamine hagedorn (NPH)

4. Isophane insulin neutral protamine hagedorn (NPH)

Which information would the nurse provide to a client taking dulaglutide? 1. Give with insulin. 2. Administer medication orally. 3. Works without exercise. 4. Perform self-injection weekly.

4. Perform self-injection weekly.

Which clinical manifestation would be expected in a client with hyposecretion of growth hormone? 1. Lethargy 2. Weight gain 3. Decreased libido 4. Reduced bone density

4. Reduced bone density (Growth hormone deficiency changes tissue growth patterns, resulting in increasing bone destructive activity and reduced bone density.)

Which client response is most important for the nurse in the postanesthesia care unit to monitor when caring for a client who had a thyroidectomy? 1. Urinary retention 2. Signs of restlessness 3. Decreased blood pressure 4. Signs of respiratory obstruction

4. Signs of respiratory obstruction.

Which hormone is released from the pancreas? 1. Oxytocin 2. Prolactin 3. Calcitonin 4. Somatostatin

4. Somatostatin

Which instruction would the nurse emphasize when preparing a client for an emergency splenectomy? 1. The poor prognosis a. associated with a splenectomy 2. The expectation that postoperative bleeding will occur 3. The high risk associated with the procedure in light of the client's other injuries 4. The presence of abdominal drains for several days after the surgery

4. The presence of abdominal drains for several days after the surgery. The presence of abdominal drains for several days after the surgeryDrains usually are inserted into the splenic bed to facilitate removal of fluid that may lead to abscess formation. Splenectomy has a low mortality rate (5%) except when multiple injuries are present (15% to 40%). Bleeding occurs more commonly with splenic repair than with removal.

Glucose transportation into the cells through cell membranes takes place in which order? 1. Attachment of insulin to receptors 2. Secretion of proinsulin by beta cells 3. Storage of proinsulin in the pancreas 4. Transformation of proinsulin into active insulin

4. Transformation of proinsulin into active insulin (Proinsulin is a prohormone that is secreted by beta cells and is stored in the beta cells of islets of Langerhans of the pancreas.)

Which results would be expected when assessing the laboratory values of a client with type 2 diabetes? 1. Ketones in the blood but not in the urine 2. Glucose in the urine but not in the blood 3. Urine and blood positive for glucose and ketones 4. Urine negative for ketones and positive glucose in the blood

4. Urine negative for ketones and positive glucose in the blood. (The reason for the lack of ketonuria in type 2 diabetes is unknown. One theory is that extremely high hyperglycemia and hyperosmolarity levels block the formation of ketones, stimulating lipogenesis rather than lipolysis.)

A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration supports the diagnosis? 1 7.8 mg/dL 2 8.9 mg/dL 3 9.7 mg/dL 4 10.2 mg/dL

7.8 mg/dLRationaleThe normal serum calcium concentration ranges from 8.6 to 10.2 mg/dL. A serum calcium concentration below 8.6 mg/dL indicates hypocalcemia and a serum calcium concentration above 10.2 mg/dL indicates hypercalcemia. Parathyroid hormone maintains calcium balance in the body. Hypocalcemia reflects hypoparathyroidism and hypercalcemia suggests hyperparathyroidism. The serum calcium concentration of 7.8 mg/dL is below the normal range and indicates hypocalcemia. Therefore, the client may have hypoparathyroidism, which is a parathyroid dysfunction.

Which clinical finding would the nurse expect to increase in a client with Cushing syndrome? 1. Urine output 2. Glucose level 3. Serum potassium 4. Fever

B. Glucose levelRATIONALE:As a result of increased cortisol levels, glucose metabolism is altered, which may contribute to an increase in blood glucose levels.

In which order do the events of antidiuretic hormone (ADH) secretion stimulated by plasma osmolarity occur? 1. Extracellular fluid is decreased. 2.Plasma osmolarity is increased. 3.Osmoreceptors are activated. 4.Antidiuretic hormone (ADH) is released. 5.Water is reabsorbed from renal tubules.

Decrease in extracellular fluid increases the plasma osmolarity. This increased plasma osmolarity activates the osmoreceptors. These osmoreceptors stimulate the release of ADH. The water is reabsorbed from the renal tubules and urine becomes more concentrated when ADH is released.

The nurse provides postoperative care to a client who has undergone a hypophysectomy. Which action would the nurse take if there is a yellowish discharge at the dressing site? 1 Change the dressing. 2 Remove the discharge with alcohol swabs. 3 Inform the primary health care provider. 4 Reinforce the dressing to prevent leakage.

Inform primary HCPIn order to reduce the risk of further complications, the nurse should inform the primary healthcare provider. Leakage of cerebrospinal fluid (CSF) may occur due to hypophysectomy. A yellowish discharge at the dressing site indicates the leakage of CSF.

Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats? Select all that apply. One, some, or all responses may be correct. 1. Pancreas 2. Thyroid gland 3. Adrenal cortex 4. Adrenal medulla 5. Parathyroid gland

1. Pancreas 2. Thyroid gland 3. Adrenal cortex (The pancreas secretes insulin and glucagon, which affects the body's metabolism of carbohydrates, proteins, and fats. The thyroid gland secretes thyroid hormones T3 and T4 that regulate carbohydrates, proteins, and fat metabolism. Cortisol is a glucocorticoid secreted by the adrenal cortex that affects carbohydrates, proteins, and fat metabolism.)

Which hormones are most commonly produced in excess with hyperpituitarism? Select all that apply. One, some, or all responses may be correct. 1. Prolactin 2. Growth hormone 3. Luteinizing hormone 4. Antidiuretic hormone 5. Melanocyte-stimulating hormone

1. Prolactin 2. Growth hormone (The most common hormones produced in excess with hyperpituitarism are prolactin and growth hormone. Excessive stimulation of luteinizing hormone and antidiuretic hormone is also associated with hyperpituitarism, but less commonly than prolactin and growth hormone.)

The nurse cares for a client with an abnormal cortisol level. The nurse recalls which information about cortisol? 1. Cortisol metabolizes free fatty acids. 2. Cortisol stimulates gluconeogenesis. 3. Cortisol stimulates protein synthesis. 4. Cortisol levels decline in stressful conditions

2. Cortisol stimulates gluconeogenesis. Cortisol maintains the blood glucose concentration by stimulating the liver for gluconeogenesis.

A client presents with chief complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, there is truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. The symptoms described are suggestive of which disease? 1. Addison disease 2. Cushing disease 3. Multiple sclerosis 4. Kaposi sarcoma

2. Cushing disease

Which is a secondary cause of adrenal insufficiency? 1. Hemorrhage 2. Tuberculosis 3. Pituitary tumors 4. Metastatic cancer

3. Pituitary tumors. ( Adrenal insufficiency is also called Addison disease. Secondary causes of adrenal insufficiency include pituitary tumors. Primary causes, which are responsible for adrenal insufficiency, include hemorrhage, tuberculosis, and metastatic cancer.)

A client with Cushing syndrome asks why a low-sodium, high-potassium diet has been prescribed. Which response by the nurse is accurate? 1 "The client will gain excessive weight if sodium is limited." 2 "An inadequate intake of potassium contributed to the disease." 3 "This type of diet increases emotional stability." 4 "Excessive aldosterone and cortisone cause the retention of sodium and loss of potassium."

4 "Excessive aldosterone and cortisone cause the retention of sodium and loss of potassium."

Which action would be appropriate to implement when collecting a 24-hour urine test? 1. Start the time of the test after discarding the first voiding. 2. Discard the last voiding in the 24-hour period for the test. 3. Insert a urinary retention catheter to promote the collection of urine. 4. Strain the urine after each voiding before adding the urine to the container.

1. Start the time of the test after discarding the first voiding. (The first voiding is discarded because that urine was in the bladder before the test began and should not be included.)

Which instruction would be included in the discharge plan for a client status post-total thyroidectomy? 1. Take thyroid replacement medications as prescribed. 2. Be aware of signs and symptoms of dehydration. 3. Avoid all over-the-counter medications. 4. Report signs of hypoglycemia.

1. Take thyroid replacement medications as prescribed.

The nurse is educating a client about managing hypoglycemia unawareness. Which information would the nurse provide? 1. Refrain from alternative testing sites. 2. Use any available meter to monitor levels. 3. Initiate continuous blood glucose monitoring. 4. Calibrate the meter before managing hypoglycemia.

1. Refrain from alternative testing sites. (When the client is managing hypoglycemia, the same site should be used to obtain blood glucose levels. This provides consistent readings because blood glucose levels are changing rapidly.)

Which adverse effect can be seen in a female client with gonadotropin deficiency and who is undergoing hormone replacement therapy? 1. Thrombosis 2. Hypotension 3. Dehydration 4. Increased thirst

1. Thrombosis (A female client with gonadotropin deficiency is treated by replacement therapy of combined hormones, namely estrogen and progesterone. The side effect of this therapy is the increased risk of thrombosis or formation of blood clots in deep veins.)

Which element excessively accumulates in the blood to precipitate the signs and symptoms associated with a diabetic coma? 1. Sodium bicarbonate, causing alkalosis 2. Ketones as a result of rapid fat breakdown, causing acidosis 3. Nitrogen from protein catabolism, causing ammonia intoxication 4. Glucose from rapid carbohydrate metabolism, causing drowsiness

2. Ketones as a result of rapid fat breakdown, causing acidosis

the 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? 1 "I should massage my feet and legs with oil or lotion." 2 "I should apply heat intermittently to my feet and legs." 3 "I should eat foods high in protein and carbohydrate kilocalories." 4 "I should control my blood glucose with diet, exercise, and medication."

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

A client with type 2 diabetes has been receiving insulin in the hospital while being treated for sepsis. The client's infection is resolving and the primary health care provider writes a prescription to discontinue the 7:00 AM dose of insulin and to administer glyburide 5 mg twice daily. After administering the glyburide at 8:30 AM, the nurse sees that the insulin had already been administered at 7:00 AM. Which initial action would the nurse take? 1 Measure the vital signs. 2 Notify the primary health care provider. 3 Administer 15 G of fast acting carbohydrates 4 Check blood glucose for hypoglycemia.

4 Check blood glucose for hypoglycemia.

Which clinical manifestation is observed in a client with adrenal insufficiency? 1 Fatigue 2 Salt craving 3 Weight loss 4 Hyponatremia

4 Hyponatremia. (Hyponatremia is a decrease in serum sodium levels, which is the cardiovascular manifestation of adrenal insufficiency.)

A client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complication? 1. . ystitis 2. Thin and dry skin 3. Decreased bone density 4. Frequent yeast infections

4. Frequent yeast infections (Decreased glucose tolerance may cause frequent yeast infections, but it is not associated with the risk of cystitis, thin and dry skin, and decreased bone density. The risk of cystitis, thin and dry skin, and decreased bone density are due to decreased ovarian production of estrogen.)

When teaching a client with type 2 diabetes, which statement by the nurse reflects accurate information about preparing for a serum glucose test? 1. "Eat your usual breakfast." 2. "Have clear liquids for breakfast." 3. "Take your medication before the test." 4. "Do not ingest anything before the test."

4. "Do not ingest anything before the test."

Which gland is affected in aldosteronoma? 1. Kidney cortex 2. Thyroid gland 3. Pituitary gland 4. Adrenal cortex

4. Adrenal cortex. (An aldosteronoma is an aldosterone-secreting adenoma of the adrenal cortex.)

A deficiency in which hormone reduces the growth of axillae and pubic hair in female clients? 1. Growth hormone 2. Antidiuretic hormone 3. Thyroid-stimulating hormone 4. Adrenocorticotropic hormone

4. Adrenocorticotropic hormone An adrenocorticotropic hormone deficiency causes a reduced growth of axillae and pubic hair in women

Which hormone would the nurse identify as inhibiting insulin and glucagon secretion? 1. . mylin 2. Somatostatin 3. Triiodothyronine (T3) 4. Pancreatic polypeptide

2. Somatostatin

Which hormone would the nurse identify as inhibiting insulin and glucagon secretion? 1. Amylin 2. Somatostatin 3. Triiodothyronine (T3) 4. Pancreatic polypeptide

2. Somatostatin

Which term would the nurse use in a report to describe the absence of menstrual periods in a 35-year-old nonpregnant client? 1. Rhinorrhea 2. Menopause 3. Amenorrhea 4. Dyspareunia

3. Amenorrhea

The nurse administers vasopressin to a client and recalls that the medication is which type of hormone? 1. Growth hormone 2. Luteinizing hormone 3. Antidiuretic hormone 4. Thyroid-stimulating hormone

3. Antidiuretic hormone

Which are neurological manifestations of hyperthyroidism? Select all that apply. One, some, or all responses may be correct. 1. Fatigue 2. Diaphoresis 3. Blurred vision 4. Exophthalmos 5. Shallow respirations

3. Blurred vision 4. Exophthalmos