Extra 14/15

A nurse is explaining a client's decreasing bone density in terms of the balance between bone resorption and formation. What dietary nutrients and hormones play a role in the resorption and formation of adult bones? Select all that apply. A. Thyroid hormone B. Growth hormone C. Estrogen D. Vitamin B12 E. Luteinizing hormone

A, B, C

Which client(s) should use caution when taking spironolactone as an androgen-reducing medication? Select all that apply. A. client with diabetes B. client with hypokalemia C. client with adrenal insufficiency D. client with chronic kidney disease E. client with depression

A, C, D

Following an addisonian crisis, a client's adrenal function has been gradually regained. The nurse should ensure that the client knows about the need for supplementary corticosteroid therapy in which circumstance? A. A significant illness B. Periods of dehydration C. Episodes of physical exertion D. Administration of a vaccine

A. A significant illness

A nurse is providing care for a client whose pattern of laboratory testing reveals long-standing hypocalcemia. Which other laboratory result is most consistent with this finding? A. An elevated parathyroid hormone level B. An increased calcitonin level C. An elevated potassium level D. A decreased vitamin D level

A. An elevated parathyroid hormone level

A client with suspected adrenal insufficiency has been ordered an adrenocorticotropic hormone (ACTH) stimulation test. Administration of ACTH caused a marked increase in the client's cortisol levels. How should the nurse interpret this finding? A. The client's pituitary function is compromised. B. The client's adrenal insufficiency is not treatable. C. The client has insufficient hypothalamic function. D. The client would benefit from surgery.

A. The client's pituitary function is compromised

A client presents at the walk-in clinic reporting diarrhea and vomiting. The client has a documented history of adrenal insufficiency. Considering the client's history and current symptoms, the nurse should anticipate that the client will be instructed to increase intake of: A. sodium. B. potassium. C. simple carbohydrates. D. calcium.

A. sodium

The surgical nurse is caring for a client who is postoperative day 1 following a thyroidectomy. The client reports tingling in the lips and fingers. The client also reports an intermittent spasm in the wrist and hand and exhibits increased muscle tone. Which electrolyte imbalance should the nurse first suspect? A. Hypophosphatemia B. Hypocalcemia C. Hypermagnesemia D. Hyperkalemia

B. hypocalcemia

A nurse is providing care to a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse understands that the primary problem involves the: A. anterior pituitary gland. B. posterior pituitary gland. C. thyroid gland. D. adrenal gland.

B. posterior pituitary gland.

The nurse provides care for several clients who have obesity. Which client's obesity is most likely to resolve with medication? A. An obese client whose parents and siblings are not obese B. A client whose obesity is characterized as android rather than gynoid C. A client whose obesity has been attributed to hypothyroidism D. A client with long-standing obesity who has recently been diagnosed with type 2 diabetes

C. A client whose obesity has been attributed to hypothyroidism

The nurse caring for a client with Cushing syndrome is describing the dexamethasone suppression test scheduled for tomorrow. What does the nurse explain that this test will involve? A. Administration of dexamethasone orally, followed by a plasma cortisol level every hour for 3 hours B. Administration of dexamethasone IV, followed by an x-ray of the adrenal glands C. Administration of dexamethasone orally at 11 PM, and a plasma cortisol level at 8 AM the next morning D. Administration of dexamethasone intravenously, followed by a plasma cortisol level 3 hours after the drug is given

C. Administration of dexamethasone orally at 11 PM, and a plasma cortisol level at 8 AM the next morning

A nurse is reviewing the pathophysiology that may underlie a client's decreased bone density. What hormone should the nurse identify as inhibiting bone resorption and promoting bone formation? A. Estrogen B. Parathyroid hormone (PTH) C. Calcitonin D. Progesterone

C. calcitonin

The clinic nurse is doing a preoperative assessment of a client who will be undergoing outpatient cataract surgery with lens implantation in 1 week. While taking the client's medical history, the nurse notes that this client had a kidney transplant 8 years ago and that the client is taking immunosuppressive drugs. For what is this client at increased risk when having surgery? A. Rejection of the kidney B. Rejection of the implanted lens C. Infection D. Adrenal storm

C. infection

A trauma client was admitted to the intensive care unit (ICU) with a brain injury that resulted in a change in level of consciousness and altered vital signs. The client subsequently became diaphoretic and agitated. The nurse should recognize which of the following syndromes as the most plausible cause of these symptoms? A. Adrenal crisis B. Hypothalamic collapse C. Sympathetic storm D. Cranial nerve deficit

C. sympathetic storm

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

D. Ambulation and activity as tolerated

A client with pheochromocytoma has been admitted for an adrenalectomy to be performed the following day. To prevent complications, the nurse should anticipate preoperative administration of which of the following? A. IV antibiotics B. Oral antihypertensives C. Parenteral nutrition D. IV corticosteroids

D. IV corticosteroids

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 take what action? A. Take the drug concurrent with levothyroxine. B. Take each dose of prednisone with a dose of calcium chloride. C. Gradually replace the prednisone with an over-the-counter (OTC) alternative. D. Slowly taper down the dose of prednisone, as prescribed.

D. Slowly taper down the dose of prednisone, as prescribed.

What should the nurse suspect when hourly assessment of urine output on a client post craniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours? A. Cushing syndrome B. Syndrome of inappropriate antidiuretic hormone (SIADH) C. Adrenal crisis D. Diabetes insipidus

D. diabetes insipidus