Endocrine EAQ

What will the nurse expect diagnostic studies of a client with Cushing syndrome to indicate?

High levels of 17-ketosteroids in a 24-hour urine test

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 (Antidiuretic hormone (ADH) causes water retention, resulting in a decreased urine output and dilution of serum electrolytes.)

A nurse is providing postoperative care for a client one hour after an adrenalectomy. Maintenance steroid therapy has not begun yet. The nurse should monitor the client for which complication?

Hypotension

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

A client with type 1 diabetes is transported via ambulance to the emergency department of the hospital. The client has dry, hot, flushed skin and a fruity odor to the breath and is having Kussmaul respirations. Which complication does the nurse suspect that the client is experiencing?

Ketoacidosis

Which does the nurse state is a secondary cause of adrenal insufficiency? Adrenal Insufficiency is a.k.a Addison's Disease

Pituitary tumors

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

Prolactin (Prolactin secreted by the hypothalamus has both inhibiting and releasing action. Somatostatin inhibits the secretion of growth hormone. Somatotropin and gonadotropin are releasing hormones)

Which gland does the nurse state is an exocrine gland?

Salivary Gland

A nurse observes that a client's urine has a sweet fruity odor. Which information is most important to evaluate when performing a further client assessment?

Serum Glucose Level

Which condition is characterized by hemorrhage after a pregnant female delivers?

Sheehan's syndrome

A client, visiting the health center, reports feeling nervous, irritable, and extremely tired. The client says to the nurse, "Although I eat a lot of food, I have frequent bouts of diarrhea and am losing weight." The nurse observes a fine hand tremor, an exaggerated reaction to external stimuli, and a wide-eyed expression. What laboratory tests may be prescribed to determine the cause of these signs and symptoms?

T3, T4, and thyroid-stimulating hormone (TSH)

After reviewing the client's laboratory reports, the physician concludes that the client has primary hypofunction of the adrenal gland. Which clinical manifestation is likely to be observed in that client?

Uneven patches of pigment loss

Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats?

-Pancreas -Thyroid gland -Adrenal cortex

Which hormonal deficiency causes diabetes insipidus in a client?

Antidiuretic hormone (ADH)

What are the neurologic manifestations of hyperthyroidism?

-blurred vision -exophthalmos

Which catecholamine receptor is responsible for increased heart rate?

Beta 1 Receptor

Which statement is true regarding cortisol?

Cortisol stimulates gluconeogenesis

When preparing a client for discharge after a thyroidectomy, the nurse teaches the signs of hypothyroidism. When teaching when to call the primary healthcare provider, what statement made by the client shows that teaching was effective?

"I should call the primary healthcare provider for dry hair and an intolerance to cold."

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."

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

Adrenaline (Water-soluble hormones have receptors on the surface of a target cell. Adrenaline is a water-soluble hormone)

How does the nurse chronologically arrange the events of antidiuretic hormone (ADH) secretion stimulated by plasma osmolarity?

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.

The nurse is caring for the client posttranssphenoidal hypophysectomy. When assessing the client, the nurse observes clear drainage from the nares. What could be the cause of this drainage?

A cerebral spinal fluid leak from an opening to the brain.

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

A goiter is usually asymmetrical.

The nurse is providing care to a client being treated for bacterial cystitis. What is the goal before discharge for this client?

Achieve relief of symptoms and maintain kidney function

What is the most probable cause for Conn's syndrome in an adult client?

Adrenal adenoma

Which drug would be effective for the treatment of pituitary Cushing's syndrome?

Cyproheptadine

Which disease is caused by the deficiency of antidiuretic hormone?

Diabetes insipidus

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

Diabetes insipidus

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

Estradiol

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

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

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

Frequent yeast infections

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

Hyponatremia

What does the nurse state as the etiological factor of nephrogenic diabetes insipidus (DI)?

Lithium therapy

A client undergoes removal of a pituitary tumor through a transsphenoidal approach. What should the nurse implement postoperatively?

Maintain the head of the bed at a 30-degree angle continuously

Which hormone regulates blood levels of calcium?

Parathormone

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

Potassium: 2.9 mEq/L