Exam 4 endocrine and reproductive proctored assessment

34) a nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I'm never had a pelvis exam before." Which of the following Is an appropriate therapeutic response by the nurse?

"Tell me more about your concerns"

46) a nurse is reinforcing teaching about the frequency of breast self examination (BSE) with a young adult client. Which of the following statements by the client indicates an understanding of the teaching?

"The best day to perform BSE is 7 days after the menstrual cycle begins"

12) A nurse is reinforcing teaching with a client who has a hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

"Tremors, nervousness, and insomnia can indicate that your dose is to high"

39) a nurse is reinforcing teaching to a client who is preparing for a pelvic examination with papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

"You will need to empty your bladder just before the exam"

51) a nurse is reinforcing teaching with a 55 year old client who is experiencing menopause and is prescribed estrogen/progestin therapy (EPT). The nurse should tell the client that which of the following is a benefit of estrogen/progestin therapy in women who are postmenopausal.

Estrogen prevents fractures from osteoporosis

6) a nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?

Fiber

8) a nurse is assisting with the plan of care for a client who has a subtotal thyroidectomy. In which following positions should the nurse plan to place the client?

Fowler's position

5) a nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Frequent mood changes

23) a nurse is caring for a client after a thyroidectomy. For which signs of thyroid storm should the client be monitored?

Increased heart rate Increased temperature

3) a nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?

Increased urine output

17) a nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Moon face

1) a nurse is caring for a client who has syndrome of inappropriate antidiuretic hormones (SIADH) and a sodium level of 123 mEq/L. Which of the following actions should the nurse take?

Restrict oral fluids to 800 to 1,000 mL/day

31) on the third postoperative day after a subtotal thyroidectomy for a tumor, a client complains of a "funny, jittery feeling". On the basis of this statement, the nurse's best action is to:

Test for chvostek's and trousseau's signs and notify the healthcare provider of the complaints

20) a nurse is caring for a client who just had a thyroidectomy. For which client response should the nurse assess the client when concerned about an accidental removal of the parathyroid glands during surgery ?

Tetany

10) a nurse in a clinic is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following findings should the nurse expect?

Weight gain.

32) when assessing a client with Graves' disease, the nurse expects to identify:

Weight loss, exopthalmos, and restlessness

49) a nurse is reinforcing breast self examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching?

" I can stand in the shower to perform the examination" " it is important to press my breast firmly to detect lumps" " since I no longer have periods, I can do the exam at any time of the month" " I will make sure to feel for changes in my underarm area"

40) a nurse is reinforcing teaching to a client who is at high risk for breast cancer and is prescribed tamoxifen citrate for prophylaxis. Which of the following statements should the nurse make regarding adverse effects of the medication?

" hot flashes are a common side effect of this drug"

31) based on a clients recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

"Do you sleep well at night?"

36) A nurse is reinforcing teaching with a newly licensed nurse about the administration of depot medroxyprogesterone. Which of the following instructions should the nurse include in the teaching?

"Give the medication intramuscularly"

41) a nurse manger in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?

"Human papillomavirus can lead can lead to cancer of the cervix"

48) a nurse is providing discharge teaching to a client following a right mastectomy. Which of the following statements should indicate to the nurse that the client has a healthy body image?

"The incision looks like it's healing"

38) a nurse in a providers office is collecting data from a client who had ovarian cancer. Which of the following manifestations should the nurse expect?

Abdominal bloating

4) A nurse is contributing to the plan of care for a client who has diabetes insipidus. Which of the following interventions should the nurse include?

Administer desmopressin

45) a nurse is assisting with the cage of a client who is returning to the medical unit from the PACU following an abdominal hysterectomy. Which of the following data should the nurse collect first?

Airway patency

9) a nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

Airway patency

30) a client had a thyroidectomy. The nurse monitors for thyroid if crisis, which is evidence by:

An increased temperature and pulse rate

43) a nurse is reinforcing teaching with a client who asks which diagnostic test is the preferred method for detecting cervical cancer. Which is an inappropriate response by the nurse? A) CA 125 B) papanicolaou test C) trans vagina ultrasound D) an endometrial biopsy

B) papanicolaou ultrasound

37) a nurse is reinforcing teaching with a middle adult female client who has fibrocycstic breast disease. The nurse should emphasize to the client that manifestations of this disease are present at which of the following times?

Before menstruation begins

15) a nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe?

Buffalo hump Purple striations Moon face

27) after surgical thyroidectomy a client exhibits carpopedal spasm and some tremors. The client complains of tingling in the fingers and around the mouth. What medication should the nurse expect the primary health care provider to prescribe after being notified of the clients adaptations?

Calcium gluconate

7) a nurse is assisting with the plan of care for a client who is 4 hour postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?

Check for bleeding on the dressing at the back of the clients neck.

42) a nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the clients health history is a contraindication for hormone replacement therapy?

Concurrent treatment for GERD

53) a young client tells the nurse that her mother complains about having dysmenorrhea and asks the nurse what this means. How should the nurse describe dysmenorrhea?

Uterine pain during the menstrual period.

16) a nurse is reviewing nutrition therapy with a client who has cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

Decrease sodium intake

11) a nurse is assisting with the care of a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

Determine the clients calcium level.

21) which clinical findings should the nurse expect when assessing a client with hyperthyroidism?

Diarrhea Weight loss

47) a nurse is collecting data for a female client who has gentian herpes. Which of the following findings should the nurse expect?

Dysuria

19) a nurse is caring for a client who is admitted to the hospital with the diagnosis of primary hyperparathyroidism. Which action should be included in this clients plan of care?

Ensuring a large fluid intake

18) a nurse is caring for a client newly admitted with a diagnosis of pheochromocytoma. Which clinical findings does the nurse expect when assessing this client?

Headache Palpitations Diaphoresis

26) a nurse is caring for a client who was admitted to the hospital with a diagnosis of Addison disease. The nurse should assess the client for what signs related to this disorder?

Hypoglycemia and hypotension

24) Postoperatively a client who had a thyroidectomy complains of tingling and numbness of the fingers and toes, and the nurse observed muscle twitching. Which complication does the nurse suspect the client is experiencing?

Hypokalemia

14) a nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor ?

Hypotension

2) a nurse is assisting with the care of a client who has diabetes insipidus. The nurse should monitor the client for which of the following manifestations?

Hypotension

25) a nurse plans to set up emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy. What should the nurse include in the bedside setup?

Tracheostomy set and oxygen

29) a client has been taking levothyroxine (Synthroid) for hypothyroidism for three weeks. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations?

Tremors Heat intolerance

28) a client is receiving dexamethasone (Decadron) for adrenocortical insufficiency. To monitor for a negative side effect of the medication, the nurse should:

Measure blood glucose levels

22) a nurse is caring for a client with the clinical manifestation of hypotension associated with a diagnosis of Addison disease. Which hormone is impaired in its production as a result of this disease?

Mineralocorticoids

13) a nurse reviewing the laboratory of a client who has a total thyroidectomy discovers that his calcium level is 7mg/dL. Which of the following client findings should the nurse expect?

Muscle tetany

54) a client at 16 weeks gestation is being treated for Trichlmonas vaginalis. Which statement best indicates to the nurse that the client has learned measures to prevent a recurrence?

My partner had to get treated before we have a ex again

44) a nurse in a clinic is caring for a female client who has gonorrhea. Which of the following actions should the nurse take?

Obtain information about the clients recent sexual partners

55) a 28 year old woman seeks advice about the oral contraceptives from the nurse in her company health office. What should the nurse tell her if she is a smoker?

Oral contraceptives can cause thrombophlebitis

52) a nurse in a clinic is caring for a client who is postmenopausal and has a risk factors for osteoporosis. The nurse anticipates the client will be prescribed which of the following medications?

Raloxifene hydrochloride

35) a nurse is reinforcing teaching about breast self examination (BSE) with a client who has a regular men's trail cycle. The nurse should instruct the client to perform BSE at echo following times?

Three to seven days after menses stops

50) a nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

Venereal disease research laboratory (VDRL)