Endocrine System

A client is taking glyburide (DiaBeta), 1.25 mg P.O. daily, to treat type 2 diabetes. Which statement indicates the need for further client teaching about managing this disease? "I avoid exposure to the sun as much as possible." "I always carry hard candy to eat in case my blood sugar level drops." "I skip lunch when I don't feel hungry." "I always wear my medical identification bracelet."

"I skip lunch when I don't feel hungry."

A nurse is caring for a client who was recently diagnosed with hyperparathyroidism. Which statement by the client indicates the need for additional discharge teaching? "I'll schedule a follow-up visit with my physician as soon as I get home." "I will increase my fluid and calcium intake." "I'll call my physician if I notice tingling around my lips." "I will take my pain medications according to the schedule we developed."

"I will increase my fluid and calcium intake."

A patient is ordered desmopressin (DDAVP) for the treatment of diabetes insipidus. What therapeutic response does the nurse anticipate the patient will experience? A decrease in blood glucose levels A decrease in appetite A decrease in urine output A decrease in blood pressure

A decrease in urine output

What statement made by the client indicates he requires further instruction by the nurse is required about taking corticosteroid therapy for adrenal insufficiency? "I will take the corticosteroid medication until my adrenal glands begin to work." "I will get plenty of rest and avoid exposure to infection." "I will seek medical attention for dosage readjustments whenever I am under stress." "I will not omit any of the doses of my medication."

"I will take the corticosteroid medication until my adrenal glands begin to work."

A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1 diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk about her son's condition. The nurse's best response is: "Everything will be just fine. I'll be back in a minute and then we can talk." "I can't talk now. I have to give your son his insulin as soon as possible." "If you'll wait in your son's room, the physician will talk with you as soon as he's free." "I'm going to give your son some insulin. Then I'll be happy to talk with you."

"I'm going to give your son some insulin. Then I'll be happy to talk with you."

A medical nurse is caring for a client with type 1 diabetes. The client's medication administration record includes the administration of regular insulin three times daily. Knowing that the client's lunch tray will arrive at 11:45 AM, when should the nurse administer the client's insulin? 11:15 AM 11:45 AM 11:50 AM 10:45 AM

11:15 AM

A client with syndrome of inappropriate antidiuretic hormone (SIADH) is severely hyponatremic. What IV fluids would the nurse anticipate administering to this client? 3% hypertonic sodium chloride solution 5% dextrose in water Lactated Ringer's solution 0.9% sodium chloride solution

3% hypertonic sodium chloride solution

A health care provider prescribes short-acting insulin for a patient, instructing the patient to take the insulin 20 to 30 minutes before a meal. The nurse explains to the patient that Humulin-R taken at 6:30 AM will reach peak effectiveness by: 10:30 AM. 8:30 AM. 2:30 PM. 12:30 PM.

8:30 AM.

Which of the following can be performed to determine a client's general status and rule out disorders? A complete blood count and chemistry profile A complete blood count Radiographs of the chest or abdomen Chemistry profile

A complete blood count and chemistry profile

A female client with hyperglycemia who weighs 210 lb (95 kg) tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that the client has large hands and a hoarse voice. Which disorder would the nurse suspect as a possible cause of the client's hyperglycemia? Hypothyroidism Deficient growth hormone Acromegaly Type 1 diabetes mellitus

Acromegaly

A diabetic nurse is working for the summer at a camp for adolescents with diabetes. When providing information on the prevention and management of hypoglycemia, what action should the nurse promote? Always carry a form of fast-acting sugar. Eat a meal or snack every 8 hours. Check blood sugar at least every 24 hours. Perform exercise prior to eating whenever possible.

Always carry a form of fast-acting sugar.

What should the nurse teach a client on corticosteroid therapy in order to reduce the client's risk of adrenal insufficiency? Take up to 1 extra dose per day during times of stress. Skip up to 2 doses in cases of illness involving nausea. Always have enough medication on hand to avoid running out. Take the medication late in the day to mimic the body's natural rhythms.

Always have enough medication on hand to avoid running out.

The nurse is caring for a client with hyperparathyroidism. What level of activity would the nurse expect to promote? Out of bed (OOB) to the chair twice a day Bed rest with bathroom privileges Complete bed rest Ambulation and activity as tolerated

Ambulation and activity as tolerated

A client has received a diagnosis of type 2 diabetes. The diabetes nurse has made contact with the client and will implement a program of health education. What is the nurse's priority action? Assess the client's readiness to learn. Identify the client's body mass index. Ensure that the client understands the basic pathophysiology of diabetes. Teach the client "survival skills" for diabetes.

Assess the client's readiness to learn.

A nurse is caring for a client suspected of having a pituitary tumor that is causing panhypopituitarism. During assessment of the client, which clinical manifestation would the nurse expect to find? Tachycardia Hypertension Atrophy of the gonads Carpopedal spasm

Atrophy of the gonads

Which clinical characteristic is associated with type 2 diabetes (previously referred to as non-insulin-dependent diabetes mellitus)? Clients demonstrate islet cell antibodies Blood glucose can be controlled through diet and exercise Client is usually thin at diagnosis Client is prone to ketosis

Blood glucose can be controlled through diet and exercise

A client is admitted with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which laboratory finding should the nurse expect in this client? Arterial pH 7.25 Plasma bicarbonate 12 mEq/L Blood urea nitrogen (BUN) 15 mg/dl Blood glucose level 1,100 mg/dl

Blood glucose level 1,100 mg/dl

Which clinical manifestation of type 2 diabetes occurs if glucose levels are very high? Blurred vision Hyperactivity Oliguria Increased energy

Blurred vision

The nurse is assessing a client diagnosed with Graves disease. What physical characteristics of Graves disease would the nurse expect to find? Bulging eyes Moon face Hair loss Fatigue

Bulging eyes

When high levels of plasma calcium occur, the nurse is aware that the following hormone will be secreted: Calcitonin Phosphorus Parathyroid Thyroxine

Calcitonin

Which hormone would the nurse identify as important in decreasing serum calcium levels? Gastrin Calcitonin Thyroid hormone Melatonin

Calcitonin

When a client's gallbladder has decreased ability to release bile when he is having a high fat content meal, what hormone is not released to stimulate contractions of the gallbladder? Erythropoietin Angiotensin Gastrin Cholecystokinin

Cholecystokinin

Which diagnostic test is done to determine a suspected pituitary tumor? Radiography of the abdomen Radioimmunoassay Measuring blood hormone levels Computed tomography

Computed tomography

What interventions can the nurse encourage the client with diabetes insipidus to do in order to control thirst and compensate for urine loss? Come to the clinic for IV fluid therapy daily. Limit the fluid intake at night. Weigh daily. Consume adequate amounts of fluid.

Consume adequate amounts of fluid.

A client with diabetes mellitus is receiving an oral antidiabetic agent. The nurse observes for which condition when caring for this client? Blurred vision Polydipsia Polyuria Hypoglycemia

Hypoglycemia

Which combination of adverse effects should a nurse monitor for when administering IV insulin to a client with diabetic ketoacidosis? Hyperkalemia and hyperglycemia Hypokalemia and hypoglycemia Hypernatremia and hypercalcemia Hypocalcemia and hyperkalemia

Hypokalemia and hypoglycemia

Which disorder is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex? Hashimoto disease Graves disease Cushing syndrome Addison disease

Cushing syndrome

The actions of parathyroid hormone (PTH) are increased in the presence of which vitamin? D E C B

D

A client with hypofunction of the adrenal cortex has been admitted to the medical unit. What would the nurse most likely find when assessing this client? Decreased blood pressure Jaundice Increased body temperature Copious urine output

Decreased blood pressure

A client sustained a head injury when falling off of a ladder. While in the hospital, the client begins voiding large amounts of clear urine and states he is very thirsty. The client states that he feels weak, and he has had an 8-lb weight loss since admission. What should the client be tested for? Pituitary tumor Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Diabetes insipidus (DI) Hypothyroidism

Diabetes insipidus (DI)

A diabetes nurse educator is teaching a group of clients with type 1 diabetes about "sick day rules." What guideline applies to periods of illness in a diabetic client? Do not eliminate insulin when nauseated and vomiting. Report elevated glucose levels greater than 150 mg/dL (8.3 mmol/L). Reduce food intake and insulin doses in times of illness. Eat three substantial meals a day, if possible.

Do not eliminate insulin when nauseated and vomiting.

Which information should be included in the teaching plan for a client receiving glargine, which is "peakless" basal insulin? Glargine is rapidly absorbed and has a fast onset of action. Draw up the drug first, then add regular insulin. Do not mix with other insulins. Administer the total daily dosage in 2 doses.

Do not mix with other insulins.

While the nurse is recording the health history of a client who is scheduled for a thyroid test, the client informs the nurse about an allergy to seafood. What is the nurse's most appropriate response? Palpate the thyroid gland Consult the institution's procedure manual Document the allergy and inform the physician Inquire about frequent urination

Document the allergy and inform the physician

The nurse providing care for a client with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk? Provide constant supervision. Encourage the use of assistive devices. Encourage bed rest whenever possible. Establish falls-prevention measures.

Establish falls-prevention measures

What skin findings should a nurse pay particular attention to in a client with a history of endocrine problems? Rashes Susceptibility to sunburn Skin breaks that heal quickly Excessive hair growth or loss

Excessive hair growth or loss

Which is a clinical manifestation of diabetes insipidus? Excessive activities Excessive thirst Low urine output Weight gain

Excessive thirst

A client is being seen in the clinic to receive the results of the lab work to determine thyroid levels. The nurse observes the client's eyes appear to be bulging, and there is swelling around the eyes. What does the nurse know that the correct documentation of this finding is? Bulging eyes Periorbital swelling Retinal detachment Exophthalmos

Exophthalmos

A nurse should perform which intervention for a client with Cushing's syndrome? Suggest a high-carbohydrate, low-protein diet. Explain that the client's physical changes are a result of excessive corticosteroids. Explain the rationale for increasing salt and fluid intake in times of illness, increased stress, and very hot weather. Offer clothing or bedding that's cool and comfortable.

Explain that the client's physical changes are a result of excessive corticosteroids.

A nurse practitioner ordered blood work for a 65-year-old man who is hypertensive and obese. Which of the following results is consistent with a diagnosis of prediabetes? Two-hour postload glucose equal to 160 mg/dL Casual plasma glucose concentration of 140 mg/dL Fasting plasma glucose of 116 mg/dL Fasting plasma glucose of 128 mg/dL

Fasting plasma glucose of 128 mg/dL

A health care provider suspects that a thyroid nodule may be malignant. The nurse knows to prepare information for the patient based on the usual test that will be ordered to establish a diagnosis. What is that test? Free T4 analysis Serum immunoassay for TSH Ultrasound of the thyroid gland Fine-needle biopsy of the thyroid gland

Fine-needle biopsy of the thyroid gland

Margaret Lawson, a 52-year grocery clerk, has been experiencing a decrease in serum calcium. She has undergone diagnostics and her physician proposes her calcium level fluctuation is due to altered parathyroid function. What is the typical number of parathyroid glands? Two One Four Three

Four

A client is having chronic pain from arthritis. What type of hormone is released in response to the stress of this pain that suppresses inflammation and helps the body withstand stress? Glucocorticoids Mineralocorticoids Estrogen Testosterone

Glucocorticoids

A woman with a progressively enlarging neck comes into the clinic. She mentions that she has been in a foreign country for the previous 3 months and that she didn't eat much while she was there because she didn't like the food. She also mentions that she becomes dizzy when lifting her arms to do normal household chores or when dressing. What endocrine condition should the nurse expect the health care provider to diagnose? Cushing's syndrome Diabetes mellitus Goiter Diabetes insipidus

Goiter

A middle-aged female client complains of anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following: thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine 253 ng/dl. A 6-hour radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, the nurse should suspect: Hashimoto's thyroiditis. multinodular goiter. thyroiditis. Graves' disease.

Graves' disease.

Which of the following aspects is an evidence for carpopedal spasm in a client with hypoparathyroidism? Moon face and buffalo hump Cardiac dysrhythmia Bulging forehead Hand flexing inward

Hand flexing inward

The physician has ordered a fluid deprivation test for a client suspected of having diabetes insipidus. During the test, the nurse should prioritize what assessments? Heart rate and blood pressure Color, warmth, movement, and sensation of extremities Breath sounds and bowel sounds Temperature and oxygen saturation

Heart rate and blood pressure

A nurse caring for a client with diabetes insipidus is reviewing laboratory results. What is an expected urinalysis finding? Glucose in the urine Albumin in the urine Leukocytes in the urine Highly dilute urine

Highly dilute urine

An older adult female client has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse should suspect which disorder? Hyperparathyroidism Hypoparathyroidism Diabetes insipidus Diabetes mellitus

Hyperparathyroidism

Wallace Guterman, a 36-year-old construction manager, is being seen by a physician in the primary care group where you practice nursing. He presents with a huge lower jaw, bulging forehead, large hands and feet and frequent headaches. What could be causing his symptoms? Panhyperpituitarism Panhypopituitarism Hyperpituitarism Hypopituitarism

Hyperpituitarism

The nurse is assessing a client in the clinic who appears restless, excitable, and agitated. The nurse observes that the client has exophthalmos and neck swelling. What diagnosis do these clinical manifestations correlate with? Syndrome of inappropriate antidiuretic hormone secretion (SIADH) Hyperthyroidism Diabetes insipidus (DI) Hypothyroidism

Hyperthyroidism

On the third day after a partial thyroidectomy, a client exhibits muscle twitching and hyperirritability of the nervous system. When questioned, the client reports numbness and tingling of the mouth and fingertips. Suspecting a life-threatening electrolyte disturbance, the nurse notifies the surgeon immediately. Which electrolyte disturbance most commonly follows thyroid surgery? Hypocalcemia Hyperkalemia Hyponatremia Hypermagnesemia

Hypocalcemia

A client with acromegaly has been given the option of a surgical approach or a medical approach. The client decides to have a surgical procedure to remove the pituitary gland. What does the nurse understand this surgical procedure is called? Hysteroscopy Ablation Thyroidectomy Hypophysectomy

Hypophysectomy

The pharmacology instructor is diagramming the nervous and endocrine systems. What organ would the instructor diagram as the connector between the nervous and endocrine systems? Hypothalamus Pineal gland Pituitary gland Thyroid gland

Hypothalamus

A nurse explains to a client that she will administer his first insulin dose in his abdomen. How does absorption at the abdominal site compare with absorption at other sites? Insulin is absorbed more rapidly at abdominal injection sites than at other sites. Insulin is absorbed unpredictably at all injection sites. Insulin is absorbed rapidly regardless of the injection site. Insulin is absorbed more slowly at abdominal injection sites than at other sites.

Insulin is absorbed more rapidly at abdominal injection sites than at other sites.

NPH is an example of which type of insulin? Short-acting Rapid-acting Intermediate-acting Long-acting

Intermediate-acting

The nurse assesses a patient who has an obvious goiter. What type of deficiency does the nurse recognize is most likely the cause of this? Thyrotropin Iodine Calcitonin Thyroxine

Iodine

Which type of insulin acts most quickly? NPH Lispro Glargine Regular

Lispro

Wendy Corcoran, a 34-year-old teacher, is being seen at the primary care group where you practice nursing. She is undergoing diagnostics for an alteration in thyroid function. What physiologic function is affected by her altered thyroid function? Fluid, electrolyte balance Sleeping, wake cycles Metabolic rate Growth

Metabolic rate

A nurse educator been invited to local seniors center to discuss health-maintaining strategies for older adults. The nurse addresses the subject of diabetes mellitus, its symptoms, and consequences. What should the educator teach the participants about type 1 diabetes? New cases of diabetes will be split roughly evenly between type 1 and type 2. The participants are unlikely to develop a new onset of type 1 diabetes. Type 1 diabetes always develops before the age of 20. New cases of diabetes are highly uncommon in older adults.

New cases of diabetes are highly uncommon in older adults.

The pharmacology instructor is discussing the endocrine system with a class of pre-nursing students. What would the instructor tell the students is considered to be a hormone? Acetylcholine Norepinephrine Serotonin Nucleic acid

Norepinephrine

After teaching a group of students about Simmonds' disease, the instructor determines that additional instruction is necessary when the students identify which hormone as being involved? Adrenocorticotropic hormone Growth hormone Oxytocin Luteinizing hormone

Oxytocin

A client has a dysfunction in one of his glands that is causing a decrease in the level of calcium in the blood. What gland should be evaluated for dysfunction? Adrenal gland Parathyroid gland Thymus gland Thyroid gland

Parathyroid gland

A client visits the clinic to seek treatment for disturbed sleep cycles and depressed mood. Which glands and hormones help to regulate sleep cycles and mood? Parathyroid glands, parathormone Thymus gland, thymosin Adrenal cortex, corticosteroids Pineal gland, melatonin

Pineal gland, melatonin

A 36-year-old mother of six has been recently diagnosed with type 2 diabetes. She reports increased hunger and food consumption while continuing to lose weight. What is the term used to describe this condition? Polydipsia Anorexia Polyuria Polyphagia

Polyphagia

The nurse is caring for a client with hypoparathyroidism. When the nurse taps the client's facial nerve, the client's mouth twitches and the jaw tightens. What is this response documented as related to the low calcium levels? Positive Trousseau's sign Positive Chvostek's sign Positive Babinski's sign Positive paresthesias

Positive Chvostek's sign

A nurse is teaching a diabetic support group about the causes of type 1 diabetes. The teaching is determined to be effective when the group is able to attribute which factor as a cause of type 1 diabetes? Rare ketosis Presence of autoantibodies against islet cells Altered glucose metabolism Obesity

Presence of autoantibodies against islet cells

A client with acromegaly is admitted to the hospital with complaints of partial blindness that began suddenly. What does the nurse suspect is occurring with this client? Corneal abrasions Glaucoma Pressure on the optic nerve Retinal detachment

Pressure on the optic nerve

The nurse is interviewing a client being admitted for hypertension. The client states that he has been taking a daily dose of anabolic steroids, which the nurse knows are derivatives of adrenal androgens. What use does the nurse suspect the client is taking the steroids for? Promote development of muscle mass Treatment of his hypertension Asthma Treatment of excess fluid accumulation

Promote development of muscle mass

What is the only insulin that can be given intravenously? NPH Regular Lantus Ultralente

Regular

A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? Restricting fluids Encouraging increased oral intake Administering glucose-containing I.V. fluids as ordered Infusing IV fluids rapidly as ordered

Restricting fluids

A client is transferred to a rehabilitation center after being treated in the hospital for a stroke. Because the client has a history of Cushing's syndrome (hypercortisolism) and chronic obstructive pulmonary disease, the nurse formulates a nursing diagnosis of: Ineffective health maintenance related to frequent hypoglycemic episodes secondary to Cushing's syndrome. Risk for imbalanced fluid volume related to excessive sodium loss. Decreased cardiac output related to hypotension secondary to Cushing's syndrome. Risk for impaired skin integrity related to tissue catabolism secondary to cortisol hypersecretion.

Risk for imbalanced fluid volume related to excessive sodium loss.

A client with diabetes mellitus has a prescription for 5 units of U-100 regular insulin and 25 units of U-100 isophane insulin suspension (NPH) to be taken before breakfast. At about 4:30 p.m., the client experiences headache, sweating, tremor, pallor, and nervousness. What is the most probable cause of these signs and symptoms? Serum calcium level of 10.2 mg/dl Serum glucose level of 52 mg/dl Serum calcium level of 8.9 mg/dl Serum glucose level of 450 mg/dl

Serum glucose level of 52 mg/dl

The nurse assesses the laboratory values for a patient with SIADH. Which of the following are consistent with this diagnosis? Select all that apply. Serum sodium of 143 mEq/L Serum osmolality of 270 mOsm/kg Urine sodium of 30 mEq/L Urine osmolality of 1,500 mOsm/kg

Serum osmolality of 270 mOsm/kg Urine sodium of 30 mEq/L Urine osmolality of 1,500 mOsm/kg

A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease? Serum sodium level of 134 mEq/L Serum potassium level of 5.8 mEq/L Blood urea nitrogen (BUN) level of 12 mg/dl Blood glucose level of 90 mg/dl

Serum potassium level of 5.8 mEq/L

A client has been taking prednisone for several weeks after experiencing a hypersensitivity reaction. To prevent adrenal insufficiency, the nurse should ensure that the client knows to do what action? Take the drug concurrent with levothyroxine. Take each dose of prednisone with a dose of calcium chloride. Slowly taper down the dose of prednisone, as prescribed. Gradually replace the prednisone with an over-the-counter (OTC) alternative.

Slowly taper down the dose of prednisone, as prescribed.

A client has a decreased level of thyroid hormone being excreted. What will the feedback loop do to maintain the level of thyroid hormone required to maintain homeostatic stability? Stimulate more hormones using the positive feedback system Produce a new hormone to try and regulate the thyroid function Stimulate more hormones using the negative feedback system The feedback loop will be unable to perform in response to low levels of thyroid hormone.

Stimulate more hormones using the negative feedback system

The nurse is teaching a client that the body needs iodine for the thyroid to function. What food would be the best source of iodine for the body? Table salt Red meat Eggs Shellfish

Table salt

The nurse is caring for a patient with hyperthyroidism who suddenly develops symptoms related to thyroid storm. What symptoms does the nurse recognize that are indicative of this emergency? Oxygen saturation of 96% Heart rate of 62 Blood pressure 90/58 mm Hg Temperature of 102ºF

Temperature of 102ºF

A nurse is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which complication? Tetany Thyroid storm Hemorrhage Laryngeal nerve damage

Tetany

Which may be a potential cause of hypoglycemia in the client diagnosed with diabetes mellitus? The client has eaten but has not taken or received insulin. The client has not complied with the prescribed treatment regimen. The client has not eaten but continues to take insulin or oral antidiabetic medications. The client has not been exercising.

The client has not eaten but continues to take insulin or oral antidiabetic medications.

A client is prescribed corticosteroid therapy. What would be priority information for the nurse to give the client who is prescribed long-term corticosteroid therapy? The client is at an increased risk for developing infection. The client may experience short-term changes in cognition. The client is at a decreased risk for development of thrombophlebitis and thromboembolism. The client's diet should be low protein with ample fat.

The client is at an increased risk for developing infection.

A client who is frightened of needles has been told that he will have to have an intravenous (IV) line inserted. The client's blood pressure and pulse rate increase, and the nurse observes the pupils dilating. What does the nurse recognize has occurred with this client? The client is showing the fight-or-flight response. The client is developing an infection. The client is in a hypertensive crisis. The client is having a response to dehydration.

The client is showing the fight-or-flight response.

A client with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurse's most plausible conclusion based on this assessment finding? The client's insulin levels are inadequate. The client should withhold his next scheduled dose of insulin. The client should promptly eat some protein and carbohydrates. The client would benefit from a dose of metformin.

The client's insulin levels are inadequate.

A client is scheduled for a diagnostic test to measure blood hormone levels. The nurse expects that this test will determine which of the following? The concentration of a substance in plasma The client's blood sugar level The functioning of endocrine glands Details about the size of the organ and its location

The functioning of endocrine glands

Which group of clients should not receive potassium iodide? Those who are pregnant Those who are allergic to seafood Those who are allergic to corticosteroids Those taking medications such as cough medicines

Those who are allergic to seafood

Chance Opferman, a 16-year-old high school sophomore, is being seen by a pediatric endocrinologist within the group where you practice nursing. He has had an alteration in the production of T lymphocytes and is undergoing diagnostics. What gland aids in the development of T lymphocytes? Parathyroid gland Thyroid gland Thymus gland Pineal gland

Thymus gland

A client is having problems with parathyroid hormone. What vitamin would the nurse suspect as potentially contributing to the client's problem? Vitamin C Vitamin A Vitamin K Vitamin D

Vitamin D

A patient with thyroiditis has undergone surgery and is concerned about the barely visible scar. Which of the following suggestions should the nurse give the patient to cope with the condition? Consider cosmetic surgery. Wear clothing that covers the neck. Undergo a skin graft. Apply medicines to remove scar.

Wear clothing that covers the neck.

The nurse practitioner who assesses a patient with hyperthyroidism would expect the patient to report which of the following conditions? Weight loss Hair loss Fatigue Dyspnea

Weight loss

When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect: bradycardia. a blood pressure of 176/88 mm Hg. a blood pressure of 130/70 mm Hg. a blood glucose level of 130 mg/dl.

a blood pressure of 176/88 mm Hg.

A client reports difficulty falling asleep on a nightly basis. The physician suspects a lack of melatonin. What endocrine gland secretes melatonin? thyroid gland pineal gland thymus gland parathyroid gland

pineal gland

A young client has a significant height deficit and is to be evaluated for diagnostic purposes. What could be the cause of this client's disorder? thyroid disorder pituitary disorder parathyroid disorder adrenal disorder

pituitary disorder

During a client education session, the nurse describes the mechanism of hormone level maintenance. What causes most hormones to be secreted? decrease in hormonal levels hormonal overproduction hormonal underproduction increase in hormonal levels

decrease in hormonal levels

A nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse expects to find: weight gain in arms and legs. hypotension. deposits of adipose tissue in the trunk and dorsocervical area. thick, coarse skin.

deposits of adipose tissue in the trunk and dorsocervical area.

When instructing a client diagnosed with hyperparathyroidism about diet, the nurse should stress the importance of: restricting fluids. restricting potassium. encouraging fluids. restricting sodium.

encouraging fluids.

A client is undergoing diagnostics for an alteration in thyroid function. What physiologic function is affected by altered thyroid function? growth sleep/wake cycles metabolic rate fluid/electrolyte balance

metabolic rate

Cardiac effects of hyperthyroidism include decreased systolic BP. bradycardia. palpitations. decreased pulse pressure.

palpitations.

Which organ is both an exocrine and an endocrine gland? ovaries pancreas thymus gland pineal gland

pancreas

During a follow-up visit to the physician, a client with hyperparathyroidism asks the nurse to explain the physiology of the parathyroid glands. The nurse states that these glands produce parathyroid hormone (PTH). PTH maintains the balance between calcium and: potassium. sodium. magnesium. phosphorus.

phosphorus.

A nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should: cut the toenails by rounding edges. walk barefoot at least once each day. use commercial preparations to remove corns. wash and inspect the feet daily.

wash and inspect the feet daily.