Hormone Regulation

The nurse administers desmopressin acetate (DDAVP) to a client with diabetes insipidus. Which would the nurse monitor to evaluate the effectiveness of the medication?

1. Arterial blood pH 2. Intake and output 3. Fasting serum glucose 4. Pulse and respiratory rates

The nurse is planning care for a client with diabetes insipidus (DI). Which intervention made by the nurse requires correction?

1. Assessing sodium levels 2. Measuring urine output 3. Restricting fluids at night 4. Changing positions slowly

When taking the blood pressure of a client who had a thyroidectomy, the nurse identifies that the client is pale and has spasms of the hand. The nurse notifies the health care provider. Which medication will the nurse expect the health care provider to prescribe?

1. Calcium 2. Magnesium 3. Bicarbonate 4. Potassium chloride

Which finding would be expected in a client with a history of hypothyroidism? Select all that apply.

1. Cold intolerance 2. Lethargy 3. Fatigue 4. 15-pound weight gain 5. Heart rate 59 beats/min

Which clinical findings would the nurse expect to see when assessing a client with hyperthyroidism? Select all that apply.

1. Dry skin 2. Weight loss 3. Tachycardia 4. Restlessness 5. Constipation 6. Exophthalmos

Which signs and symptoms might the nurse identify when assessing a client with hyperthyroidism? Select all that apply.

Menstrual irregularities Hypotension Facial edema Flushed appearance Short attention span

A client is admitted to the hospital with the diagnosis of cancer of the thyroid, and a thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period?

1. Hypercalcemia may result from parathyroid damage. 2. Hypotension and bradycardia may result from thyroid storm. 3. Tetany may result from underdosage of thyroid hormone replacement. 4. Hoarseness and airway obstruction may result from laryngeal nerve damage.

Which manifestations are exhibited with syndrome of inappropriate secretion of antidiuretic hormone (SIADH)?

1. Increased blood urea nitrogen (BUN) and hypotension 2. Hyperkalemia and poor skin turgor 3. Hyponatremia and decreased urine output 4. Polyuria and increased specific gravity of urine

Which symptoms indicating thyroid storm would the nurse monitor a client for? Select all that apply.

1. Increased heart rate 2. Increased temperature 3. Decreased respirations 4. Increased pulse deficit 5. Decreased blood pressure

After a craniotomy to remove a brain tumor, the client develops the syndrome of inappropriate antidiuretic hormone (SIADH). For which clinical indicators would the nurse monitor the client? Select all that apply. 1. Polyuria 2. Insomnia 3. Bradycardia 4. Increased weight 5. Decreased serum sodium 6. Decreased level of consciousness

1. Polyuria 4. Increased weight 5. Decreased serum sodium 6. Decreased level of consciousness

Which hormonal deficiency causes diabetes insipidus in a client?

1. Prolactin 2. Thyrotropin 3. Luteinizing hormone 4. Antidiuretic hormone (ADH)

Which interventions would the nurse implement when caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH)? Select all that apply.

1. Provide frequent oral care. 2. Institute fall risk precautions. 3. Restrict fluids to 2 L per day. 4. Place the client in high-Fowler position. 5. Monitor for and report neurological changes.

The nurse is caring for a client hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which action performed by the nurse may result in a positive outcome of the treatment? 1. Obtaining the client's weight weekly 2. Elevating the head of the bed to 20 degrees 3. Changing the position of the client frequently 4. Restricting the client's total fluid intake to 250 mL/day

3. Changing the position of the client frequently

Which finding in a client with hypothyroidism and hypertension who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid function panel? Select all that apply.

1. Tremors 2. Diaphoresis 3. Nervousness 4. Temperature 96.1°F 5. Heart rate 116 beats/min

Which finding in a client who has syndrome of inappropriate antidiuretic hormone (SIADH) is an expected finding? 1. Preservation of salt 2. Retention of water 3. Decrease of vasopressin 4. Presence of pedal edema

2. Retention of water