Adult 2 Test 3

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Thyroid storm is a severe form of hyperthyroidism that can be fatal if not treated. Medical management includes pharmacotherapy. Which of the following drugs have proved helpful? Select all that apply.

Hydrocortisone Acetaminophen Methimazole Iodine

A nurse is aware that several laboratory results are present in a patient diagnosed with diabetes insipidus. Select all that apply.

Urine specific gravity of 1.001 Serum osmolality of 310 mOsm/kg Serum sodium level of 149 mEq/L

A client is suspected to have a pituitary tumor due to signs of diabetes insipidus. What initial test does the nurse help to prepare the client for?

You Selected: Magnetic resonance imaging (MRI)

During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement? "

You must avoid hyperextending your neck after surgery."

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

calcitronin

Which instruction should be included in the discharge teaching plan for a client after thyroidectomy for Graves' disease?

follow up care

The GI mucosa produces hormones

gastrin, enterogastrone, secretin, cholecystokinin

alpha cells

glucagon

beta cells

insulin

After teaching a class about the endocrine system, the instructor determines that the students need additional instruction when they identify which of the following as an endocrine gland?

kidneys

A nursing coordinator calls the intensive care unit (ICU) to inform the department that a client with a suspected pheochromocytoma will be admitted from the emergency department. The ICU nurse should prepare to administer which drug to the client?

nitroprusside

Vision and visual fields are altered in disorders of which of the following endocrine glands?

pituitary

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?

pituitary disorder

A nurse educator is teaching a chapter on "The Function of the Endocrine System." Which hormone would not be included as one of the six hypothalamic hormones?

prolactin

A client with Addison's disease comes to the clinic for a follow-up visit. When assessing this client, the nurse should stay alert for signs and symptoms of:

sodium and potassium =predisposing the client to hyponatremia, and inhibits potassium excretion, predisposing the client to hyperkalemia.

delta cells

somatostatin.

A client has been diagnosed with myxedema from long-standing hypothyroidism. What clinical manifestations of this disorder does the nurse recognize are progressing to myxedema coma? Select all that apply.

Hypothermia Hypotension Hypoventilation

A client with hypothyroidism is afraid of needles and doesn't want to have his blood drawn. What should the nurse say to help alleviate his concerns?

I will stay with you while you get your blood drawn


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