Final Quiz 7 draft ENDO

A patient has the following assessment findings: elevated TSH level, low T3 and T4 levels, difficulty with memory, lethargy, and muscle stiffness. There are clinical manifestations of which disorder? A. Hypothyroidism b. Hyperthyroidism c. Hypoparathyroidism d. Hyperparathyroidism

A

The UAP is providing a bath for a patient with hyperparathyroidism. What essential teaching must the nurse provide to the UAP? A. Handle the patient carefully and use a lift sheet for repositioning

A

Which are physical findings of Cushing's disease? (Select all that apply.) a. "Moon-faced" appearance b. Decreased amount of body hair c. Truncal obesity d. Coarse facial features e. Thin, easily damaged skin f. Extremity muscle wasting

A - "Moon-faced" appearance C - Truncal obesity E - Thin, easily damaged skin F - Extremity muscle wasting

Which medication is used to treat diabetes insipidus DI? a. Desmopressin acetate (DDAVP) b. Lithium (Eskalith) c. Vasopressin (Pitressin) d. Demeclocycline (Declomycin)

A - Desmopressin acetate (DDAVP)

Which statements about the etiology of hypopituitarism are correct? (Select all that apply.) a. Dysfunction can result from radiation treatment to the head or brain. b. Dysfunction can result from infection or a brain tumor. c. Infarction following systemic shock can result in hypopituitarism. d. Severe malnutrition and body fat depletion can depress pituitary gland function. e. There is always an underlying cause of hypopituitarism.

A - Dysfunction can result from radiation treatment to the head or brain. B - Dysfunction can result from infection or a brain tumor. C - Infarction following systemic shock can result in hypopituitarism. D - Severe malnutrition and body fat depletion can depress pituitary gland function.

A patient is recovering from a transsphenoidal hypophysectomy. What postoperative nursing interventions apply to this patient? (Select all that apply.) a. Encouraging the patient to perform deep-breathing exercises b. Vigorous coughing and deep-breathing exercises c. Instructing on the use of a soft-bristled toothbrush for brushing the teeth d. Strict monitoring of fluid balance e. Hourly neurologic checks for first 24 hours f. Instructing the patient to alert the nurse regarding postnasal drip

A - Encouraging the patient to perform deep-breathing exercises D - Strict monitoring of fluid balance E - Hourly neurologic checks for first 24 hours F - Instructing the patient to alert the nurse regarding postnasal drip

A 30 year old patient is prescribed bromocriptine mesylate (Parlodel). Which information does the nurse teach the patient? (Select all that apply.) a. Get up slowly from a lying position. b. Take medication on an empty stomach. c. Take daily for purposes of raising GH levels to reduce symptom of acromegaly. d. Begin therapy with a maintenance level dose. e. Report watery nasal discharge to the health care provider immediately. f. If pregnancy occurs the drug is stopped immediately

A - Get up slowly from a lying position. E - Report watery nasal discharge to the health care provider immediately. f. If pregnancy occurs the drug is stopped immediately

Which interventions are necessary for a patient with acute adrenal insufficiency (Addisonian crisis)? (Select all that apply.) a. IV infusion of normal saline b. IV infusion of 3% saline c. Hourly glucose monitoring d. Insulin administration e. IV potassium therapy f. administer IV hydrocortisone sodium

A - IV infusion of normal saline C - Hourly glucose monitoring D - Insulin administration f. administer IV hydrocortisone sodium

In SIADH, as a result of water retention from excess ADH, which laboratory value does the nurse expect to find? (Select all that apply.) a. Increased sodium in urine b. Elevated serum sodium level c. Increased specific gravity (concentrated urine) d. Decreased serum osmolarity e. Decreased urine specific gravity f. decreased serum sodium level

A - Increased sodium in urine C - Increased specific gravity (concentrated urine) D - Decreased serum osmolarity f. decreased serum sodium level

Which statements about diabetes insipidus DI are accurate? (Select all that apply.) a. It is caused by ADH deficiency. b. It is characterized by a decrease in urination. c. Urine output of greater than 4 L/24 hours is the first diagnostic indication. d. The water loss increases plasma osmolarity. e. Nephrogenic DI can be caused by lithium (Eskalith). f. Increased thirst is a mechanism of the body to attempt maintaining fluid balance

A - It is caused by ADH deficiency C - Urine output of greater than 4 L/24 hours is the first diagnostic indication D - The water loss increases plasma osmolarity f. Increased thirst is a mechanism of the body to attempt maintaining fluid balance

In caring for a patient with hyperpituitarism, which symptoms does the nurse expect the patient to report? (Select all that apply.) a. Joint pain b. Visual disturbances c. Changes in menstruation d. Increased libido e. Headache f. Fatigue

A - Joint pain B - Visual disturbances C - Changes in menstruation E - Headache F - Fatigue

Which patient is at risk for developing secondary adrenal insufficiency? a. Patient who suddenly stops taking high-dose steroid therapy b. Patient who tapers the dosages of steroid therapy c. Patient deficient in ADH d. Patient with an adrenal tumor causing excessive secretion of ACTH

A - Patient who suddenly stops taking high-dose steroid therapy

The nurse should instruct a patient who is taking hydrocortisone to report which symptoms to the health care provider for possible dose adjustment? (Select all that apply.) a. Rapid weight gain b. Changes in blood pressure c. Fluid retention d. Gastrointestinal irritation e. Urinary incontinence f. Round face

A - Rapid weight gain C - Fluid retention F - Round face

The female patient with Cushing's syndrome expresses concern about the changes in her general appearance. What is the expected outcome for this patient? a. To verbalize an understanding that treatment will reverse many of the problems b. To ventilate about the frustration of these lifelong physical changes c. To verbalize ways to cope with the changes such as joining a support group or changing style of dress d. To achieve a personal desired level of sexual functioning

A - To verbalize an understanding that treatment will reverse many of the problems

Which medications are used in SIADH to promote water excretion without causing sodium loss? (Select all that apply.) a. Tolvaptan (Samsca) b. Demeclocycline (Declomycin) c. Furosemide (Lasix) d. Conivaptan(Vaprisol) e. Spironolactone (Aldactone)

A - Tolvaptan (Samsca) D - Conivaptan (Vaprisol)

Which actions should the nurse assign to the experienced LPN/LVN for the care of a patient with hypothyroidism? SATA a. Assessing and recording the rate and depth of respirations b. Auscultation lung sounds every 4 hours c. Creating an individualized nursing care plan for the patient d. Administering sedation, medications every 6 hours e. Checking blood pressure, heart rate, and respirations every 4 hours f. Reminding the patient to report any episodes of chest pain or discomfort

A. Assessing and recording the rate and depth of respirations B. Auscultation lung sounds every 4 hours E. Checking blood pressure, heart rate, and respirations every 4 hours F. Reminding the patient to report any episodes of chest pain or discomfort

The nurse is providing care for a patient who underwent thyroidectomy 2 days ago. Which laboratory value requires close monitoring by the nurse? a. Calcium level b. Sodium level c. Potassium level d. White blood cell count

A. Calcium level

The nurse is orienting a new graduate RN who is providing care for a postoperative patient after a thyroidectomy. The new graduate assesses the patient and notes laryngeal stridor with a pulse oximetry measure of 89%. What is the priority action for the nurse and new graduate? a. Immediately notify the Rapid Response Team b. Apply oxygen by face mask c. Prepare to suction the patient d. Assess for numbness and tingling around the mouth

A. Immediately notify the Rapid Response Team

Which change in vital signs would the nurse instruct the unlicensed assistive personnel to report immediately for a patient with hyperthyroidism? a. Rapid heart rate b. Decreased systolic pressure c. Increased respiratory rate d. Decreased oral temperature

A. Rapid heart rate

A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should you delegate to a UAP? a. Reminding the patient to change positions slowly b. Assessing the patient for muscle weakness c. Teaching the patient how to collect a 24-hour urine sample d. Revising the patient's nursing plan of care

A. Reminding the patient to change positions slowly

The nurse is preparing to discharge a patient with hyperpituitarism caused by a benign pituitary tumor, who is prescribed the drug bromocriptine. Which key points would the nurse teach the patient about this drug? SATA a. Take this drug with a meal or snack to avoid gastrointestinal (GI) symptoms b. Side effects of bromocriptine include severe fatigue and reflux after meals c. Seek medical care if you experience chest pain or dizziness while taking this drug d. If the drug causes headaches you can take over-the-counter acetaminophen e. Treatment starts with a hose dose, which is gradually lowered f. The purpose of bromocriptine is to shrink your pituitary to normal size

A. Take this drug with a meal or snack to avoid gastrointestinal symptoms C. Seek medical care if you experience chest pain or dizziness while taking this drug D. If the drug causes headaches you can take over-the-counter acetaminophen F. The purpose of bromocriptine is to shrink your pituitary to normal size

The nurse is caring for a patient with hyperthyroidism who had a partial thyroidectomy yesterday. Which change in assessment would the nurse report to the healthcare provider immediately? a. Temperature elevation to 100.2F (37.9C) b. Heart rate increase from 64 to 76 beats/min c. Respiratory rate decrease from 26 to 16 breaths/min d. Pulse oximetry reading of 92%

A. Temperature elevation to 100.2 (37.9C)

The nurse assesses a patient in the ED and finds the following; constipation, fatigue with increased sleeping time impaired memory, facial puffiness, and weight gain. Which deficiency does the nurse recognize? A. Hyperthyroidism b. Hypothyroidism c. Hyperparathyroidism d. Hypoparathyroidism

B

Which factor is a main assessment finding that signifies hypothyroidism? A. Irritability b. Cold intolerance c. Diarrhea d. Fatigue

B

Which drug decreases cortisol production? a. Mitotane (Lysodren) b. Aminoglutethimide (Cytadren) c. Cyproheptadine (Periactin) d. Hydrocortisone (Cortef )

B - Aminoglutethimide (Cytadren)

While caring for a postoperative patient following a transsphenoidal hypophysectomy, the nurse observes nasal drainage that is clear with yellow color at the edge. This "halo sign" is in- dicative of which condition? a. Worsening neurologic status of the patient b. Drainage of CSF from the patient's nose c. Onset of postoperative infection d. An expected finding following this surgery

B - Drainage of CSF from the patient's nose

Which intervention applies to a patient with pheochromocytoma? a. Assist to sit in a chair for blood pressure monitoring. b. Instruct not to smoke, drink coffee, or change positions suddenly. c. Encourage to maintain an active exercise schedule including activity such as running. d. Encourage one glass of red wine nightly to promote rest.

B - Instruct not to smoke, drink coffee, or change positions suddenly.

A patient in the emergency department is diagnosed with possible pheochromocytoma. What is the priority nursing intervention for this patient? a. Monitor the patient's intake and output and urine specific gravity. b. Monitor blood pressure for severe hypertension. c. Monitor blood pressure for severe hypotension. d. Administer medication to increase cardiac output.

B - Monitor blood pressure for severe hypertension.

The nurse is performing an assessment of an adult patient with new-onset acromegaly. What does the nurse expect to find? a. Extremely long arms and legs b. Thickened lips c. Changes in menses with infertility d. Rough, extremely dry skin

B - Thickened lips

Which statement about the pathophysiology of SIADH is correct? a. ADH secretion is inhibited in the presence of low plasma osmolality. b. Water retention results in dilutional hyponatremia and expanded extracellular fluid (ECF) volume. c. The glomerulus is unable to increase its filtration rate to reduce the excess plasma volume. d. Renin and aldosterone are released and help decrease the loss of urinary sodium.

B - Water retention results in dilutional hyponatremia and expanded extracellular fluid (ECF) volume.

The nurse is caring for a 25-year-old patient admitted to the acute care unit with an extra strong thirst, and dilute, excessive straw-colored urine output (up to 15L/day). What does the nurse suspect? a. Type 2 diabetes b. Diabetes Insipidus (DI) c. Cushing disease d. Addison disease

B. Diabetes Insipidus (DI)

The nurse assesses a newly admitted patient with a diagnosis of hyperthyroidism. How would the nurse best document the find in this patient? a. Bilateral exophthalmos b. Large visible goiter c. Myxedema d. Moon face

B. Large visible goiter

For a patient with hyperthyroidism, which task should the nurse delegate to an experienced unlicensed assistive personnel (UAP)? a. Instructing the patient to report any occurrence of palpitations, dyspnea, vertigo, or chest pain. b. Monitoring the apical pulse, blood pressure, and temp every four hours c. Drawing blood to measure levels of thyroid stimulating hormone, triiodothyronine, and thyroxine d. Teaching the patient about side effects of the drug propylthiouracil

B. Monitoring the apical pulse, blood pressure, and temp every four hours

A patient with exophthalmos from hyperthyroidism reports dry eyes, especially in the morning. The nurse teaches the patient to perform which intervention to help correct this problem? A. Wear sunglasses at all times when outside in the bright sun b. Use cool compresses to the eye four times a day c. Tape the eyes closed with nonallergenic tape d. There is nothing that can be done to relieve this problem.

C

Which type of IV fluid does the nurse use to treat a patient with SIADH when the serum sodium level is very low? a. D51/2 normal saline b. D5W c. 3% normal saline d. Normal saline

C - 3% normal saline

A malfunctioning posterior pituitary gland can result in which disorders? (Select all that apply.) a. Hypothyroidism b. Altered sexual function c. Diabetes insipidus (DI) d. Growth retardation e. Syndrome of inappropriate antidiuretic hormone (SIADH)

C - Diabets insipidus E - Syndrome of inappropriate antidiuretic hormone (SIADH)

The action of antidiuretic hormone (ADH) influences normal kidney function by stimulating which mechanism? a. Glomerulus to control the filtration rate b. Proximal nephron tubules to reabsorb water c. Distal nephron tubules and collecting ducts to reabsorb water d. Constriction of glomerular capillaries to prevent loss of protein in urine

C - Distal nephron tubules and collecting ducts to reabsorb water

The assessment findings of a male patient with anterior pituitary tumor include reports of changes in secondary sex characteristics, such as episodes of impotence and decreased libido. The nurse explains to the patient that these findings are a result of overproduction of which hormone? a. Gonadotropins inhibiting prolactin (PRL) b. Thyroid hormone inhibiting PRL c. PRL inhibiting secretion of gonadotropins d. Steroids inhibiting production of sex hormones

C - PRL inhibiting secretion of gonadotropins

As the shift begins, the nurse is assigned to care for the following patients. Which patient should the nurse assess first? a. A 38-year-old patient with Graves diseases and a heart rate of 94bpm b. A 63-year-old patient with type 2 diabetes and finger stick glucose level of 137 mg/dL (7.6 mmol/L) c. A 58-year-old patient with hypothyroidism and a heart rate of 48 bpm d. A 49-year-old patient with Cushing disease and dependent edema rated as +1

C. A 58-year-old patient with hypothyroidism and a heart rate of 48 bpm

The nurse is caring for the following patients with endocrine disorders. Which patient must the nurse assess first? a. A 21-year-old patient with diabetes insipidus whose urine output overnight was 2000 ml b. A 55-year-old patient with syndrome of inappropriate antidiuretic hormone secretion (SIADH) who is demanding that the unlicensed assistive personnel refill his water pitcher c. A 65-year-old patient with Addison disease whose morning potassium level is 6.2 mEq/L d. A 48-year-old patient with Cushing disease with a weight gain of 1.5 lb over the past 4 days.

C. A 65-year-old patient with Addison disease whose morning potassium level is 6.2 mEq/L

The patient with hyperparathyroidism who is not a candidate for surgery asks the nurse why she is receiving IV normal saline and IV furosemide. What is the nurse's best response? a. This therapy is to protect your kidney function b. You are receiving these therapies to prevent edema formation c. Diuretic and hydration therapies are used to reduce your serum calcium d. These therapies may help to improve your candidacy for surgery

C. Diuretic and hydration therapies are used to reduce your serum calcium

A patient is admitted to the medical unit with possible Graves disease (hyperthyroidism). Which assessment finding by the nurse supports this diagnosis? a. Periorbital edema b. Bradycardia c. Exophthalmos d. Hoarse Voice

C. Exophthalmos

The nurse is caring for a young female patient with papillary carcinoma of the thyroid gland. Which treatment is most likely to be prescribed to this patient? D. Thyroidectomy

D

Which laboratory result is consistent with a diagnosis of hyperthyroidism? A. Decreased serum T3 and T4 levels b. Elevated serum TRH level c. Decreased radioactive iodine uptake d. Increased serum T3 and T4

D

When diagnosed with Cushing's syndrome, the manifestations are most likely related to an excess production of which hormone? a. Insulin from the pancreas b. ADH from posterior pituitary gland c. PRL from anterior pituitary gland d. Cortisol from the adrenal cortex

D - Cortisol from the adrenal cortex

The nurse determines that the administration of hydrocortisone for Addisonian crisis is effective when which assessment is made? a. Increased urine output b. No signs of pitting edema c. Weight gain d. Lethargy improving; patient alert and oriented

D - Lethargy improving; patient alert and oriented

The nurse is teaching a patient being discharged after bilateral adrenalectomy. What medication information does the nurse emphasize in the teaching plan? a. The dosage of steroid replacement drugs will be consistent throughout the patient's lifetime. b. The steroid drugs should be taken in the evening so as not to interfere with sleep. c. The patient should take the drugs on an empty stomach. d. The patient should learn how to give himself an intramuscular injection of hydrocortisone.

D - The patient should learn how to give himself an intramuscular injection of hydrocortisone.

Which diuretic is ordered by the health care provider to treat hyperaldosteronism? a. Furosemide (Lasix) b. Ethacrynic acid (Edecrin) c. Bumetanide (Bumex) d. Spironolactone (Aldactone)

D- Spironolactone (Aldactone)

The nurse is instructing a senior nursing student on the techniques for palpation of the thyroid gland. What precaution would the nurse be sure to include when instructing the student about thyroid palpation? a. always stand to the side of the patient b. instruct the patient not to swallow c. Palpate using one hand and then the other d. Always palpate the thyroid gland gently

D. Always palpate the thyroid gland gently

A patient with pheochromocytoma underwent surgery to remove his adrenal glands. Which nursing intervention should you delegate to a UAP? a. Revising the nursing care plan to include strategies to provide a calm and restful environment postoperatively b. Instructing the patient to avoid smoking and drinking caffeine-containing beverages c. Assessing the patient's skin and mucous membranes for signs of adequate hydration d. Monitoring lying and standing blood pressure every 4 hours with a cuff placed on the same arm

D. Monitoring lying and standing blood pressure every 4 hours with a cuff placed on the same arm

After a visit to the health care provider's office, a patient is diagnosed with general thyroid enlargement and elevate thyroid hormone level. Which condition do these findings indicate? A. Hyperthyroidism and goiter b. Hypothyroidism and goiter c. Nodules on the parathyroid gland d. Thyroid or parathyroid cancer

a

Production of which hormones causes lower levels of calcium? A. Calcitonin b. PTH c. T4 d. TSH

a

The clinical manifestations of hyperthyroidism are known as which condition? A thyrotoxicosis. B. Euthyroid function c. Graves' disease d. Hypermetabolism

a

After a hypophysectomy, focused assessment and monitoring by the nurse include which factors? (Select all that apply.) a. Cognition and Mental Status b. Maintaining bedrest with bedside commode c. Possible leakage of cerebrospinal fluid (CSF) d. 24-hour intake of fluids and urine output e. 24-hour diet recall f. headaches and visual disturbances

a. Cognition and Mental Status c. Possible leakage of cerebrospinal fluid (CSF) d. 24-hour intake of fluids and urine output f. headaches and visual disturbances

When providing care for a patient with Addison disease, you should be alert for which laboratory value change? a. Decreased hematocrit b. Increased sodium level c. Decreased potassium level d. Decreased calcium level

a. Decreased hematocrit

A patient with adrenal insufficiency is to be discharged and will take prednisone 10 mg orally each day. Which instruction would you be sure to teach the patient? a. Excessive weight gain or swelling should be reported to the physician. b. Changing positions rapidly may cause hypotension. c. A diet with foods low in sodium may be beneficial. d. Signs of hypoglycemia may occur while taking this drug.

a. Excessive weight gain or swelling should be reported to the physician

A female patient is admitted with a diagnosis of primary hypofunction of the adrenal glands. Which assessment finding supports this diagnosis? a. Patchy areas of pigment loss over the face b. Decreased muscle strength c. Greatly increased urine output d. Scalp alopecia

a. Patchy areas of pigment loss over the face

The nurse is caring for a patient who has just undergone hypophysectomy for hyperpituitarism. Which postoperative finding requires immediate intervention? a. Presence of glucose in the nasal drainage b. Presence of nasal packing in the nares c. Urine output of 40 to 50 mL/hr d. Patient reports of thirst

a. Presence of glucose in the nasal drainage

Which Patient care tasks could the nurse delegate to the UAP in the care of a patient with acute adrenal insufficiency that is immobile? SATA a. Turn the patient every 1-2 hours b. Apply skin lubricants c. Assess lung sounds every 2-4 hours d. Provide mouth care every 2 hours while awake e. Record accurate intake and output f. Teach the patient to cough and deep breathe

a. Turn the patient every 1-2 hours b. Apply skin lubricants d. Provide mouth care every 2 hours while awake e. Record accurate intake and output

Which actions prescribed by the health care provider for the patient with Addison disease should the nurse delegate to the experienced unlicensed assistive personnel (UAP)? SATA a. Weigh the patient every morning b. Obtain a fingerstick glucose before each meal and at bedtime c. Check vital signs every 2 hours d. Monitor for cardiac dysrhythmias e. Administer oral prednisone 10 mg every morning f. Record intake and output

a. Weigh the patient every morning b. Obtain a fingerstick glucose before each meal and at bedtime c. Check vital signs every 2 hours f. Record intake and output

a client is scheduled for an adrenalectomy. which nursing intervention should the nurse anticipate will be ordered for this client? a. administer IV steroids b. provide a high protein diet c. collect a 24 hour urine specimen d. withhold all meds for 48 hours

a. administer IV steroids

A nurse is assessing a client with a dx of diabetes insipidus. for which signs indicative of diabetes insipidus should the nurse assess the client? SATA a. excessive thirst b. increased blood glucose c. dry mucous membranes d. increased blood pressure e. decreased serum osmolarity f. decreased urine specific gravity

a. excessive thirst c. dry mucous membranes f. decreased urine specific gravity

A hospitalized patient is prescribed desmopressin acetate metered dose spray as a replacemeng hormone for vasopressin (ADH). Which is an indication for another dose? (select all that apply) a. excessive urination b. specific gravity of 1.003 c. dark,concentrated urine d. edema in legs e. decreased urination f. shortness of breath

a. excessive urination b. specific gravity of 1.003

The nurse is caring for a patient with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which patient care actions should the nurse delegate to the experienced unlicensed assistive personnel? SATA a. monitor and record strict intake and output b. Provide the patient with ice chips when requested c. Remind the patient about his or her fluid restriction d. Weigh the patient every morning using the same scale e. Report a weight gain of 2.2 lb (1 kg) to the nurse f. Provide mouth care allowing the patient to swallow the rinses

a. monitor and record strict intake and output c. Remind the patient about his or her fluid restriction d. Weigh the patient every morning using the same scale e. Report a weight gain of 2.2 lb (1 kg) to the nurse

which information from the client's history does the nurse identify as a risk factor for developing osteoporosis? a. receives long term steroid therapy b. has a history of hypoparathyroidism c. engages in strenuous physical activity d. consumes high doses of the hormone estrogen

a. receives long term steroid therapy

Which assessment finings of hypocalcemia? (SATA) a. Numbness and tingling around the mouth b. muscle cramping c. Bone fractures d. fever e. Tachycardia

ab

Which disorders/conditions can cause hyperparathyroidism? (SATA) a. Chronic kidney diseases b. Neck trauma c. Thyroidectomy d. Vitamin D deficiency e. Parathyroidectomy

abd

Which statement about thyroiditis are accurate? (SATA) a. It is an inflammation of the thyroid gland b. Hashimoto's disease is the most common type c. IT always resolves with antibiotic therapy d. There are three types: acute, subacute, and chronic. E. The patient must take thyroid hormones

abde

Which statements about hypothyroidism are accurate? (SATA) a. It occurs more often in women b. It can be caused by iodine deficiency c. Weight loss is a common manifestation d. It can be caused by autoimmune thyroid destruction e. Myxedema coma is a rare but serious complication

abde

Which statements about hyperthyroidism are accurate? (SATA) a. It is most commonly caused by Graves' disease b. It can be caused by overuse of thyroid replacement medication c. It occurs more often in med between the ages of 20-40 d. Weight gain is a common manifestation e. Serum T3 and T4 results will be elevated

abe

Discharge planning for a patient with chronic hypoparathyroidism includes which instructions? (SATA) a. Prescribed medications must be taken for the patient entire life b. Eat foods low in vitamin D and high in phosphorous c. Eat foods high in calcium, but low in phosphorous d. After several weeks, medications can be discontinued e. Kidney stones are no longer a risk to the patient

ac

Which signs and symptoms are assessment findings indicative of thyroid storm? (SATA) a. Abdominal pain and nausea b. Hypothermia c. Elevated temperature d. Tachycardia e. Elevated systolic blood pressure f. Bradycardia

acde

A patient who has been diagnosed with Graves' disease is going to receive radioactive iodine (RAI) in the oral form of 131I. what does the nurse teach the patient about how this drug works? A. It destroys the hormones T3 and T4 b. It destroys the tissue that produces thyroid hormones c. IT blocks thyroid hormone production d. It prevents T4 from being converted to T3

b

The nurse is providing instructions to a patient who is taking the antithyroid medication propylthiouracil (PTU). The nurse instructs the patient to notify the health care provider immediately if which sign/symptom occurs? A. Weight gain b. Dark-colored urine c. Cold intolerance d. Headache

b

What is the hallmark of thyroid cancer? A. aggressive tumors b. Elevated serum thyroglobulin level c. Metastasis to other organs d. Invasion of blood vessels

b

The LPN/LVN asks you why the patient with Cushing disease has bruising and petechiae across her abdomen. What is your best response? a. "Patients with Cushing disease often have bleeding disorders." b. "Patients with Cushing disease have very fragile capillaries." c. "Please ask the patient if she slipped or fell during the night." d. "Thin and delicate skin can result in development of bruising."

b. "Patients with Cushing disease have very fragile capillaries."

The nurse admits a patient whose assessment reveals prominent brow ridge, large hands and feet, and large lips and nose. Which pituitary hormone does the nurse suspect is elevated? a. Thyroid-stimulating hormone b. Growth hormone c. Adrenocorticotropic hormone d. Vasopressin antidiuretic hormone

b. Growth hormone

The nurse is preparing a care plan for a patient with Cushing disease. Which abnormal laboratory values would the nurse expect? SATA a. Increased serum calcium level b. Increased salivary cortisol level c. Increased urinary cortisol level d. Decreased serum glucose level e. Decreased sodium level f. Increased serum cortisol level

b. Increased salivary cortisol level c. Increased urinary cortisol level f. Increased serum cortisol level

Which are causes for secondary adrenal insufficiency ? SATA a. Tuberculosis b. Pituitary Tumors c. Adrenalectomy d. HYpophysectomy e. Metastatic Cancer f. High-dose pituitary radiation

b. Pituitary Tumors d. HYpophysectomy f. High-dose pituitary radiation

A female patient has been prescribed hormone replacement therapy. What does the nurse instruct the patient to do regarding this therapy? SATA a. Report any recurrence of symptoms, such as decreased libido, between injections. b. avoid smoking because of the increased risk for Cardiovascular complications c. Treat leg pain, especially in the calves, with gentle muscle stretching. d. Take measures to reduce risk for hypertension and thrombosis. e. Monitor BP at least weekly for potential hypotension. f. Regular follow-up visits with the health care provider are essential

b. avoid smoking because of the increased risk for Cardiovascular complications D - Take measures to reduce risk for hypertension and thrombosis. f. Regular follow-up visits with the health care provider are essential

a client who has acromegaly and insulin-dependent diabetes undergoes a hypophysectomy. the nurse identifies that further teaching about the hypophysectomy is necessary when the client states, "I know i will: a. be sterile for the rest of my life b. require larger doses of insulin than i did preoperatively c. have to take cortisone or a similar drug for the rest of my life d. have to take thyroxine or a similar med for the rest of my life

b. require larger doses of insulin than i did preoperatively

after surgical clipping of a cerebral aneurysm, the client develops the syndrome of inappropriate secreation of antidiuretic hormone. for which manifestations of excessive levels of ADH should the nurse assess the client? SATA a. polyuria b. weight gain c. hypotension d. hyponatremia e. decreased specific gravity

b. weight gain d. hyponatremia

Which are preoperative instructions for a patient having thyroid surgery? (SATA) a. Teach postoperative restrictions such as no coughing and deep-breathing exercises to prevent strain on the suture line b. Teach the moving and turning technique of manually supporting the head and avoiding neck extension to minimize strain on the suture line c. Inform the patient that hoarseness for a few days after surgery is usually the result of a breathing tube (endotracheal tube) used during surgery d. Humidification of air may be helpful to promote expectoration of secretions. Suctioning may also be used e. Clarify any questions regarding placement of incision, complications, and postoperative care f. A supine position and lying flat will be maintained postoperatively to avoid strain on suture line

bcde

Which foods will the nurse instruct a patient with hypoparathyroidism to avoid? (SATA) a. Canned vegetables b. yogurt c. Fresh fruit d. Red meat e. Milk f. Processed cheese

bef

In addition to regulation of calcium levels, PTH and calcitonin regulate the circulating blood levels of which substance? A. Potassium b. Sodium c. Phosphate d. Chloride

c

The nurse is assessing a patient after thyroid surgery and discovers harsh, high-pitched respiratory sounds. What is the nurses best first action? A. Administer oxygen at 5L via nasal cannula b. Administer IV calcium chloride c. Notify the Rapid Response Team D. Suction the patient for oral secretions

c

Which statement best describes globe lag in a patient with hyperthyroidism? A. Abnormal protrusion of the eyes b. Upper eyelid fails to descend when the patient gazes downward c. Upper eyelid pulls back faster than the eyeball when the patient gazes upward d. Inability of both eyes to focus on an object simultaneously

c

The patient with hypercortisolism asks the nurse why she is prescribed the drug ranitidine. What is the nurse's best response? a. This drug inhibits the gastric proton pump and prevents the formation of hydrochloric acid in your stomach b. Gastrointestinal bleeding is common complication in patients with hypercortisolism c. Ranitidine blocks the H2-receptor site to decrease formation of hydrochloric acid and prevent GI bleeding. d. This drug buffers stomach acids and protects the gastrointestinal mucus

c. Ranitidine blocks the H2-receptor site to decrease formation of hydrochloric acid and prevent GI bleeding.

Which prescribed order for a patient with diabetes insipidus (DI) would the nurse be sure to question? a. monitory and record accurate intake and output b. Check urine specific gravity c. Restrict fluids for 6 hours d. Weigh the patient every morning

c. Restrict fluids for 6 hours

a nurse is caring for two clients newly diagnosed with diabetes. one client has type I diabetes and the other has type II. the nurse determines that the main difference between newly diagnosed type I and type II diabetes is that in type I diabetes, a. onset of the disease is slow b. excessive weight gain is a contributing factor c. complications are not present at the time of diagnosis d. treatment involves diet, exercise, and oral meds

c. complications are not present at the time of diagnosis

a client is admitted with a head injury. the nurse identifies that the client's urinary retention catheter is draining large amounts of clear, colorless urine. what does the nurse identify as the most likely cause? a. increased serum glucose b. deficient renal perfusion c. inadequate ADH secretion d. excess amounts of IV fluids

c. inadequate ADH secretion

After a thyroidectomy, a patient reports tingling around the mouth and muscle twitching. Which complication do these assessment findings indicate to the nurse? A. hemorrhage b. Respiratory distress c. Thyroid storm d. hypocalcemia

d

Laboratory findings of elevated T# and T4, decreased TSH, and high thyrotropin receptor antibody titer indicate which condition? A. Multinodular goiter b. Hyperthyroidism related to overmedication c. Pituitary tumor suppressing TSH d. Graves' disease

d

The nurse assessing a patient palpates enlargement of the thyroid gland, along with noticeable swelling of the neck. How does the nurse interpret this finding? A. globe lag b. Myxedema c. Exophthalmos d. Goiter

d

The nurse is performing a physical examination of a patient's thyroid gland. Precautions are takin in performing the correct technique because palpation can result in which occurrence? A. Damage to the esophagus causing gastric reflux b. Obstruction of the carotid arteries causing a stroke c. Pressure on the trachea and laryngeal nerve causing hoarseness d. Exacerbation of symptoms by releasing additional thyroid hormone

d

What is the most common cause of death from myxedema coma? A myocardial infarction b. Acute kidney failure c. High serum level of iodide d. Respiratory failure

d

A 24-year-old patient with diabetes insipidus makes all of these statements when you are preparing the patient for discharge from the hospital. Which statement indicates to you that the patient needs additional teaching?1 a. "I will drink fluids equal to the amount of my urine output." b. "I will weigh myself every day using the same scale." c. "I will wear my medical alert bracelet at all times." d. "I will gradually wean myself off the vasopressin."

d. "I will gradually wean myself off the vasopressin."

Assessment findings for a patient with Cushing disease include all of the following. For which finding would you notify the physician immediately? a. Purple striae present on the abdomen and thighs b. Weight gain of 1 lb since the previous day c. Dependent edema rated as 1+ in the ankles and calves d. Crackles bilaterally in the lower lobes of the lungs

d. Crackles bilaterally in the lower lobes of the lungs

a nurse is caring for a client who had a hypophysectomy. for which complication specific to this surgery should the nurse assess the client for early clinical manifestations? a. urinary retention b. respiratory distress c. bleeding at the suture line d. increased intracranial pressure

d. increased intracranial pressure.

after a head injury, a client develops a deficiency of ADH. what should the nurse consider about the response to secretion of ADH before assessing this client? a. serum osmolarity increases b. urine concentration decreases c. glomerular filtration decreases d. tubular reabsorption of water increases

d. tubular reabsorption of water increases