Endocrine Hesi Questions

the nurse is assessing a client who reports frequent urination. Which inquiry made by the nurse will help determine Diabetes Insipidus

"Are you on lithium carbonate therapy?" lithium is know to interfere with normal kidney function

which concentration of a client's serum calcium levels will stimulate the release of parathyroid hormone

8.5 mg/dL

A nurse is caring for a client with hypothyroidism. Which clinical manifestations should the nurse anticipate when assessing this client?

Dry skin Brittle hair

A client is diagnoses with hyperthyroidism and is treated. Before discharge the nurse teaching the client to observe for signs and symptoms of therapy induced hypothyroidism. Which s/s should be included in the teaching

Fatigue dry skin progressive weight gain

A nurse is assessing the female client with Cushing Syndrome. Which clinical findings can the nurse expect to identify

Hirsutism buffalo hump dependent edema

A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration in the client would support the diagnosis

Normal calcium (8.5-10.2) 7.8

what clinical indicators should a nurse assess when caring for a client with hyperthyroidism?

weight loss tachycardia restlessness exophthalmos (bulging eyes)

which exogenous conditions are responsible for increased cortisol secretions

asthma cancer chemo organ transplant

a nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit

cool skin constipation periorbital edema (myxedema) decreased appetite

which treatment intervention should be provided to a client diagnosed with Cushing syndrome

decreased blood glucose levels

the nurse is providing care for a client with small-cell carcinoma of the lung who develops the syndrome of inappropriate secretion of ADH. What clinical findings correspond with the secretion of ADH

edema (fluid retention) hyponatremia (there is so much water so it seems like there is less sodium)

A client with Cushing syndrome asks why a low sodium, high potassium diet has been prescribed. What is the best response by the nurse

excessive aldosterone and cortisone causes the retention of sodium and loss of potassium

the nurse is planning discharge instructions for a client who had a thyroidectomy. What signs and symptoms will the client exhibit with surgically induced hypothyroidism?

fatigue dry skin

the nurse is assessing a client with a "moon-shaped" face and thinner arms and legs. Which other assessment findings would the nurse suspect to be present in the client?

gastric ulcers pain in bones muscle weakness

a nurse is caring for a client admitted to the hospital with a diagnosis of Addison disease. The nurse should assess the client for what signs related to the disorder

hypoglycemia and hypotension

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

increase net release of calcium into extracellular fluid

what is the effect of parathyroid hormone on the bones

increased bone breakdown increased serum calcium levels increased net release of calcium and phosphorus

which metabolic manifestations are likely to be observed in a client with hypothyroidism

intolerance to cold and decreased body temperature

A client who had a subtotal thyroidectomy asks how hypothyroidism may develop when the problem with hyperthyroidism. What should the nurse consider when formulating a response?

less thyroid tissue is available to supply thyroid hormone after surgery

what interventions should the nurse implement when caring for a client with SIADH

providing frequent oral care instituting fall risk precautions monitoring for and reporting neurological changes

the nurse is assessing a client who has SIADH

retention of water

which clinical findings should the nurse assess when caring for a client with hyperthyroidism

tachycardia exophthalmos

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects a that a decrease in dosage is needed when the client exhibits which clinical manifestations

tremors heat intolerance

A nurse is caring for a client with a diagnosis of Cushing Syndrome. Which clinical manifestations does the nurse expect to identify

truncal obesity sleep disturbances thin arms and legs