Cushing's, Addison's and Graves

A patient is diagnosed with hyperparathyroidism. Which of the following signs and symptoms would you NOT find in this patient? Select all that apply: A. Calcium level 6 mg/dL B. Bone fracture C. Positive Trousseau's Sign D. Tingling and numbness of lips and fingers E. Calcium level of 15 mg/dL F. Phosphate level 1.2 G. Renal calculi

A, C, D

The nurse is performing an assessment on a client with a diagnosis of Cushing's syndrome. Which should the nurse expect to note on assessment of the client? A. Skin atrophy B. The presence of sunken eyes C. Drooping on one side of the face D. A rounded "moon-like" appearance to the face

D.

A 33-year-old female client is admitted to the hospital with a tentative diagnosis of Graves' disease. Which symptom related to the menstrual cycle would the client be most likely to report during the initial assessment? A. Amenorrhea B. Menorrhagia C. Metrorrhagia D. Dysmenorrhea

A

A client with Graves' disease has exophthalmos and is experiencing photophobia. Which nursing action would best assist the client with these manifestations? A. Obtain dark glasses for the client. B. Lubricate the eyes with tap water every 2 to 4 hours. C. Administer methimazole (Tapazole) every 8 hours around the clock. D. Instruct the client to avoid straining or heavy lifting because this effort can increase eye pressure.

A

A client with an endocrine disorder complains of weight loss and diarrhea, and says that he can "feel his heart beating in his chest." The nurse interprets that which gland is most likely responsible for these symptoms? A. Thyroid B. Pituitary C. Parathyroid D. Adrenal cortex

A

A client with diabetes mellitus who refuses to take insulin as prescribed exhibits markedly increased blood glucose levels after a meal. The nurse caring for the client anticipates that which initial body response to elevated glucose levels will worsen the situation for the client? A. Glycogenolysis B. Gluconeogenesis C. Binding of glucose onto cell membranes D. Transport of glucose across cell membranes

A

A nurse is reviewing the health care provider's prescriptions for a client diagnosed with hypothyroidism. Which medication prescription should the nurse question and verify? A. Morphine sulfate B. Docusate sodium (Colace) C. Acetaminophen (Tylenol) D. Levothyroxine sodium (Synthroid)

A

A patient is recovering from a thyroidectomy. The patient starts to complain of tingling and numbness in the face, toes, and fingers. Which of the following findings below warrants attention? A. Ca+ level: 6 mg/dL B. Na+ level: 145 mg/dL C. K+ level: 3.5 mg/dL D. Phosphate level: 4.3 mg/dL

A

A patient taking Tapazole reports feeling dizzy, intolerant to cold, and tired. On assessment, you note the patient's heart rate is 45 and blood pressure is 70/30. What is the most likely cause? A. Antithyroid toxicity B. Agranulocytosis C. Thyroid storm D. Bronchospasm

A

A physician orders Calcium Gluconate IV as treatment for a patient with hypoparathyroidism. The patient's calcium level is 5 mg/dL. Which of the following finding causes you to question this order? A. The patient is taking Digoxin. B. The patient complains of muscle cramping and numbness in the face. C. The patient is taking Aluminum Carbonate. D. The patient's phosphate level is 7 mg/dL.

A

During physical examination of a client, which finding is characteristic of hypothyroidism? A. Periorbital edema B. Flushed warm skin C. Hyperactive bowel sounds D. Heart rate of 120 beats/min

A

The nurse is developing a plan of care for a client with Cushing's syndrome. The nurse documents a client problem of excess fluid volume. Which nursing actions should be included in the care plan for this client? Select all that apply. A. Monitor daily weight. B. Monitor intake and output. C. Assess extremities for edema. D. Maintain a high-sodium diet. E. Maintain a low-potassium diet.

A, B, C

The nurse is providing home care instructions to the client with a diagnosis of Cushing's syndrome and prepares a list of instructions for the client. Which instructions should be included on the list? Select all that apply. A. The signs and symptoms of hypoadrenalism B. The signs and symptoms of hyperadrenalism C. Instructions to take the medications exactly as prescribed D. The importance of maintaining regular outpatient follow-up care E. A reminder to read the labels on over-the-counter medications before purchase

A, B, C, D

Which of the following foods below should a patient experiencing a thyroid storm avoid? Select all that apply: A. Shrimp B. Milk C. Hard boiled eggs D. Seaweed (Kelp) E. Broccoli F. Peas

A, B, C, D

A patient is receiving radioactive iodine as treatment for Grave's Disease. Which of the following are common side effects of the treatment? Select all that apply: A. Nausea B. Taste changes C. Excessive saliva D. Swollen salivary glands

A, B, D

A client has been diagnosed with hyperthyroidism. Which signs and symptoms may indicate thyroid storm, a complication of this disorder? Select all that apply. A. Fever B. Nausea C. Lethargy D. Tremors E. Confusion F. Bradycardia

A, B, D, E

The nurse should include which interventions in the plan of care for a client with hypothyroidism? Select all that apply. A. Provide a warm environment for the client. B. Instruct the client to consume a low-fat diet. C. A thyroid-releasing inhibitor will be prescribed. D. Encourage the client to consume a well-balanced diet. E. Instruct the client that thyroid replacement therapy will be needed. F. Instruct the client that episodes of chest pain are expected to occur.

A, B, D, E

The nurse is developing a plan of care for a client with Addison's disease. The nurse has identified a problem of risk for deficient fluid volume and identifies nursing interventions that will prevent this occurrence. Which nursing interventions should the nurse include in the plan of care? Select all that apply. A. Monitor for changes in mentation. B. Encourage an intake of low-protein foods. C. Encourage an intake of low-sodium foods. D. Encourage fluid intake of at least 3000 mL per day. E. Monitor vital signs, skin turgor, and intake and output.

A, D, E

Select all that apply: Which of the following are signs and symptoms of Grave's Disease: A. Heat Intolerance B. Weight gain C. Bradycardia D. Goiter E. Pretibial Myxedema F. Cold intolerance G. Ophthalmopathy changes H. Fast Heart Rate

A, D, E, G, H

A client has abnormal amounts of circulating thyronine (T3) and thyroxine (T4). The nurse plans care for the client, anticipating that he or she may have a deficiency of which dietary elements? A. Iodine B. Calcium C. Phosphorus D. Magnesium

A.

A client with an endocrine disorder has experienced recent weight loss and exhibits tachycardia. The nurse plans care, knowing that which gland is most likely to be responsible for these findings? A. Thyroid B. Pituitary C. Parathyroid D. Adrenal cortex

A.

A registered nurse (RN) is caring for a client with a diagnosis of Cushing's syndrome. A nursing student is working with the RN for the day. Which statement by the student indicates an understanding of Cushing's syndrome? A. "Cushing's syndrome is caused by excessive amounts of cortisol." B. "Cushing's syndrome is caused by decreased amounts of aldosterone." C. "Cushing's syndrome is caused by excessive amounts of antidiuretic hormone." D. "Cushing's syndrome is caused by decreased amounts of parathyroid hormone."

A.

The nurse is caring for a client who has had an adrenalectomy and is monitoring the client for signs of adrenal insufficiency. Which signs and symptoms indicate adrenal insufficiency in this client? A. Hypotension and fever B. Mental status changes and hypertension C. Subnormal temperature and hypotension D. Complaints of weakness and hypertension

A.

The nurse is monitoring a client with Graves' disease for signs of thyrotoxic crisis (thyroid storm). Which signs or symptoms, if noted in the client, will alert the nurse to the presence of this crisis? A. Fever and tachycardia B. Pallor and tachycardia C. Agitation and bradycardia D. Restlessness and bradycardia

A.

The nurse is performing an assessment on a client with a diagnosis of myxedema (hypothyroidism). Which assessment finding should the nurse expect to note in this client? A. Dry skin B. Thin, silky hair C. Bulging eyeballs D. Fine muscle tremors

A.

The nurse is caring for a postoperative parathyroidectomy client. Which client complaint would indicate that a life-threatening complication may be developing, requiring notification of the health care provider immediately? A. Laryngeal stridor B. Abdominal cramps C. Difficulty in voiding D. Mild to moderate incisional pain

A. Laryngeal stridor.

A client has overactivity of the thyroid gland. The nurse plans care, knowing that the client will experience which effects from this hormonal excess? A. Weight gain B. Nutritional deficiencies C. Low blood glucose levels D. Increased body fat stores

B

A client has returned to the nursing unit after a thyroidectomy. The nurse notes that the client is complaining of tingling sensations around the mouth, fingers, and toes. On the basis of these findings, the nurse should next assess the results of which serum laboratory study? A. Sodium B. Calcium C. Potassium D. Magnesium

B

A client is diagnosed with Cushing's syndrome. The nurse plans care, knowing that this client has an excess of which substances? A. Calcium B. Cortisol C. Epinephrine D. Norepinephrine

B

A client visits the health care provider's office for a routine physical examination and reports a new onset of intolerance to cold. Since hypothyroidism is suspected, which additional information would be noted during the client's assessment? A. Weight loss and tachycardia B. Complaints of weakness and lethargy C. Diaphoresis and increased hair growth D. Increased heart rate and respiratory rate

B

A client who visits the health care provider's office for a routine physical reports new onset of intolerance to cold. Knowing that this is a frequent complaint associated with hypothyroidism, the nurse should check for which manifestations? A. Weight loss and thinning skin B. Complaints of weakness and lethargy C. Diaphoresis and increased hair growth D. Increased heart rate and respiratory rate

B

A client with medullary carcinoma of the thyroid has an excess function of the C cells of the thyroid gland. The nurse plans care, knowing that this client is primarily at risk for abnormalities of which electrolytes? A. Sodium B. Calcium C. Potassium D. Magnesium

B

A nurse understands that which hormone is directly responsible for maintaining the free or unbound portion of serum calcium within normal limits? A. Thyroid hormone B. Parathyroid hormone C. Follicle-stimulating hormone D. Adrenocorticotropic hormone

B

A patient hospitalized with hypoparathyroidism is about to order lunch. Which food selection is best for this patient based on their dietary needs at this time? A. Baked chicken, green beans, and boiled potatoes B. Spinach salad, cottage cheese, and peaches C. Roast beef, carrots, and pinto beans D. Hamburger, fries, and sorbet

B

A patient is post-opt from a thyroidectomy for treatment of Grave's Disease. When you walk into the patient's room to perform an assessment, which of the following findings causes the MOST concern and needs nursing intervention? A. The patient complains of a pain rating of 4 on 1-10 at the surgical site. B. The patient is positioned in supine position. C. The patient's Foley catheter is draining 50 cc of urine per hour. D. The patient is splinting the neck while coughing and deep breathing.

B

A patient is started on Tapazole (Methimazole) for treatment of Grave's Disease. Which statement by the patient indicates they understood your teaching about this medication? A. "If I experience fast heart, excessive sweating, or fever, I will notify the doctor immediately because I may be experiencing toxicity of the medication." B. "I know it may take a while before I feel relief of symptoms, therefore, I will never abruptly stop taking my medication." C. "This medication can cause high blood glucose." D. "I will make sure my diet is rich in foods containing iodine."

B

A physician orders a patient in thyroid storm to be started on Inderal. What in the patient's health history causes the nurse to question the doctor's order? A. History of mental illness B. History of asthma C. History of tachycardia D. History of cancer

B

As the nurse educating the patient about Grave's Disease, which of the following statements by the patient ensures the patient understood the education about their condition? A. "I could experience myxedema coma, which is life-threatening, if I abruptly stop taking my antithyroid medication." B. "Grave's disease is due to an excessive amount of thyroid hormone in the body." C. "I will be sure to eat a lot of kelp because it helps with decreasing thyroid hormone levels." D. "If I have pain I will only take aspirin."

B

The nurse has developed a postoperative plan of care for a client who had a thyroidectomy and documents that the client is at risk for developing an ineffective breathing pattern. Which nursing intervention should the nurse include in the plan of care? A. Maintain a supine position. B. Monitor neck circumference every 4 hours. C. Maintain a pressure dressing on the operative site. D. Encourage deep breathing exercises and vigorous coughing exercises.

B

The nurse is preparing for a client's postoperative return to the unit after a parathyroidectomy procedure. The nurse should ensure that which piece of medical equipment is at the client's bedside? A. Cardiac monitor B. Tracheotomy set C. Intermittent gastric suction device D. Underwater seal chest drainage system

B

The nurse is taking a health history for a client with hyperparathyroidism. Which question would elicit information about this client's condition? A. "Do you have tremors in your hands?" B. "Are you experiencing pain in your joints?" C. "Do you notice swelling in your legs at night?" D. "Have you had problems with diarrhea lately?"

B

Which of the following patients are MOST at risk for hypoparathyroidism? A. A 75 year-old female who is diabetic and takes Os-Cal daily. B. A 59 year-old male with a Mg+ level of 0.9 mg/dL. C. A 85 year-old female complaining of flank pain and constipation. D. A 19 year-old male with a Ca+ level of 8.9 mg/dL.

B

Which patient is most at risk for Thyroid Storm? A. A 60 year old female who reports not taking Synthroid regularly. B. A 45 year old male who has not been taking Tapazole as ordered and is experiencing diabetic ketoacidosis. C. A 6 year old with an allergy to iodine. D. A 25 year old female who is pregnant with her 4th child and is experiencing eczema.

B

The nurse should include which interventions in the plan of care for a client with hypothyroidism? Select all that apply. A. Provide a cool environment for the client. B. Instruct the client to consume a high-fat diet. C. Instruct the client about thyroid replacement therapy. D. Encourage the client to consume fluids and high-fiber foods in the diet. E. Inform the client that iodine preparations will be prescribed to treat the disorder. F. Instruct the client to contact the health care provider (HCP) if episodes of chest pain occur.

B, C, F

A client is admitted to the hospital with a diagnosis of Addison's disease. The nurse would monitor for which problems associated with this disease? Select all that apply. A. Obesity B. Syncope C. Hirsutism D. Hypotension E. Muscle weakness

B, D, E

A patient is 6 hours post-opt from thyroid surgery. The patient's calcium level is 5 and phosphate level is 4.2. What physical signs and symptoms would NOT present with these findings? (Select-all-that-apply) A. Bronchospasm B. Constipation C. Numbness and tingling in the face D. Positive Chvostek's Sign E. Absent Trousseau's Sign F. Hypertension

B, E, F

A client's serum calcium level is high. The nurse plans care knowing that which hormones are directly responsible for maintaining the free or unbound portion of the serum calcium within normal limits? A. Thyroid hormone B. Parathyroid hormone C. Follicle-stimulating hormone D. Adrenocorticotropic hormone

B.

The nurse caring for a client with a diagnosis of hypoparathyroidism reviews the laboratory results of blood tests for this client and notes that the calcium level is extremely low. The nurse should expect to note which on assessment of the client? A. Unresponsive pupils B. Positive Trousseau's sign C. Negative Chvostek's sign D. Hyperactive bowel sounds

B.

The nurse has provided instructions to the client with hyperparathyroidism regarding home care measures to manage the symptoms of the disease. Which statement by the client indicates a need for further instruction? A. "I should avoid bed rest." B. "I need to avoid doing any exercise at all." C. "I need to space activity throughout the day." D. "I should gauge my activity level by my energy level."

B.

The nurse is performing an assessment on a client with a diagnosis of hyperthyroidism. Which assessment finding should the nurse expect to note in this client? A. Dry skin B. Bulging eyeballs C. Periorbital edema D. Coarse facial features

B.

The nursing instructor asks a nursing student to identify the risk factors associated with the development of thyrotoxicosis. The student demonstrates an understanding of the risk factors by identifying an increased risk for thyrotoxicosis in which client? A. A client with hypothyroidism B. A client with Graves' disease who is having surgery C. A client with diabetes mellitus scheduled for a diagnostic test D. A client with diabetes mellitus scheduled for debridement of a foot ulcer

B.

The nurse is providing discharge instructions to a client who has Cushing's syndrome. Which client statement indicates that instructions related to dietary management are understood? A. "I will need to limit the amount of protein in my diet." B. "I should eat foods that have a lot of potassium in them." C. "I am fortunate that I can eat all the salty foods I enjoy." D. "I am fortunate that I do not need to follow any special diet."

B. "I should eat foods that have a lot of potassium in them".

A client with Cushing's syndrome verbalizes concern to the nurse regarding the appearance of the buffalo hump that has developed. Which statement should the nurse make to the client? A. "Don't be concerned; this problem can be covered with clothing." B. "Usually these physical changes slowly improve following treatment." C. "This is permanent, but looks are deceiving and are not that important." D. "Try not to worry about it; there are other things to be concerned about.

B. "Usually these physical changes slowly improve following treatment."

A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which action would the nurse prepare to carry out initially? A. Warm the client. B. Maintain a patent airway. C. AdmiNister thyroid hormone. D. Administer fluid replacement.

B. Maintain a patent airway.

The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. The nurse should take which initial action? A. Lower the head of the bed. B. Test the drainage for glucose. C. Obtain a culture of the drainage. D. Continue to observe the drainage.

B. Test the drainage for glucose.

A client has been diagnosed with Cushing's syndrome. The nurse should assess this client for which expected manifestations of this disorder? A. Anorexia and weight loss B. Hypotension and dizziness C. Moon facies and truncal obesity D. Hyperkalemia and peripheral edema

C

A client has been diagnosed with pheochromocytoma. The nurse plans care, knowing that the client will exhibit which effect based on the pathophysiology of this disorder? A. Water loss B. Bradycardia C. Hypertension D. Decreased cardiac output

C

A client with suspected Cushing's syndrome is scheduled for adrenal venography. A nurse has provided instructions to the client regarding the test. Which statement by the client indicates a need for further instruction? A. "I need to sign an informed consent." B. "The insertion site will be locally anesthetized." C. "I will be placed in a high-sitting position for the test." D. "I may feel a burning sensation after the dye is injected."

C

A multidisciplinary health care team is developing a plan of care for a client with hyperparathyroidism. The nurse should include which priority intervention in the plan of care? A. Restrict fluids to 1000 mL per day. B. Describe the use of loperamide (Imodium). C. Walk down the hall for 15 minutes three times a day. D. Describe the administration of aluminum hydroxide gel.

C

A nurse is caring for a client who had a thyroidectomy 1 day ago. Which client laboratory data should the nurse identify as a possible thyroid surgery complication? A. Increased serum sodium level B. Increased serum glucose level C. Decreased serum calcium level D. Decreased serum albumin level

C

A nurse is caring for a client with a dysfunctional thyroid gland and is concerned that the client will exhibit signs of thyroid storm. Which is an early indicator of this complication? A. Constipation B. Bradycardia C. Hyperreflexia D. Low-grade temperature

C

A nurse is preparing to provide instructions to a client with Addison's disease regarding diet therapy. The nurse knows that which diet would most likely be prescribed for this client? A. High fat intake B. Low protein intake C. Normal sodium intake D. Low carbohydrate intake

C

A patient is being treated for Grave's Disease. They have a health history of type 1 diabetes, breast cancer, eczema, and hypertension. The physician orders Inderal. What important information will you include in their discharge teaching about this medication? A. Importance of taking the medication only as needed for symptoms. B. Avoid aged cheeses and wines while taking this medication. C. Monitor blood glucose levels closely because this medication can mask the signs and symptoms of hypoglycemia. D. Monitor heart rate regularly because this medication will increase the heart rate.

C

A patient is in recovery from a parathyroidectomy. Which of the following findings causes concern and requires nursing intervention? A. The patient is in Semi-Fowler's position. B. The patient's calcium level is 8.9 mg/dL. C. The patient's voice is hoarse. D. The patient is drowsy but arouses to name.

C

A patient is prescribed Fosamax (Alendronate). The patient is about to be discharged and you observe the patient taking the medication. Which of the following findings requires you to re-educate the patient on how to take this medication? A. The patient takes the medication on an empty stomach. B. The patient takes the medication with water. C. The patient sits up for 10 minutes after taking the medication. D. The patient waits 30 minutes after taking Fosamax before taking the prescribed vitamins and antacids.

C

The nurse is caring for a client who is scheduled to have a thyroidectomy and provides instructions to the client about the surgical procedure. Which client statement indicates an understanding of the nurse's instructions? A. "I expect to experience some tingling of my toes, fingers, and lips after surgery." B. "I will definitely have to continue taking antithyroid medications after this surgery." C. "I need to place my hands behind my neck when I have to cough or change positions." D. "I need to turn my head and neck front, back, and laterally every hour for the first 12 hours after surgery."

C

The nurse is caring for a postoperative client who has had an adrenalectomy. What should the nurse check for in the client's focused assessment? A. Peripheral edema B. Bilateral exophthalmos C. Signs and symptoms of hypovolemia D. Signs and symptoms of hypocalcemia

C

The nurse is instructing a client with Cushing's syndrome on follow-up care. Which of these client statements would indicate a need for further instruction? A. "I should avoid contact sports." B. "I should check my ankles for swelling." C. "I need to avoid foods high in potassium." D. "I need to check my blood glucose regularly."

C

The nurse is monitoring a client for signs of hypocalcemia after thyroidectomy. Which sign/symptom, if noted in the client, would most likely indicate the presence of hypocalcemia? A. Bradycardia B. Flaccid paralysis C. Tingling around the mouth D. Absence of Chvostek's sign

C

The nurse is preparing to care for a client after parathyroidectomy. The nurse should plan for which action for this client? A. Maintain an endotracheal tube for 24 hours. B. Administer a continuous mist of room air or oxygen. C. Place in a flat position with the head and neck immobilized. D. Use only a rectal thermometer for temperature measurement.

C

Which of the following statements are CORRECT about Grave's Disease? A. Grave's Disease is caused by independently functioning nodular goiters producing excessive amounts of T3 and T4. B. Grave's Disease is a complication of untreated hypothyroidism. C. Grave's Disease is caused by an autoimmune condition where the body produces an antibody called TSI (which acts like TSH on the body). D. Grave's Disease patients do not present with protruding eyes or a goiter, as in Toxic Nodular Goiter (TNG).

C

You are providing discharge teaching to a patient who is prescribed calcium supplements with vitamin D for treatment of hypoparathyroidism. Which of the following statements by the patient warrants you to re-educate the patient on how they should take this medication? A. "I will also make sure I eat foods rich in calcium, such as dairy and green leafy vegetables while I'm taking this medication." B. "A side effect of this medication is constipation. Therefore, I should drink plenty of fluids." C. "I will take my calcium supplements in the morning when I take my Synthroid." D. All the statements above are correctly stated by the patient.

C

The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which symptoms are associated with this diagnosis? Select all that apply. A. Tremors B. Weight loss C. Feeling cold D. Loss of body hair E. Persistent lethargy F. Puffiness of the face

C, D, E, F

A nurse is reviewing the assessment findings and laboratory data for a client with the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse understands that which symptoms are associated characteristics of this disorder? Select all that apply. A. Hypernatremia B. Signs of water deficit C. High urine osmolality D. Low serum osmolality E. Hypotonicity of body fluids F. Continued release of antidiuretic hormone

C, D, E. F

The nurse is caring for a client with a diagnosis of Cushing's syndrome. Which expected signs should the nurse monitor for? Select all that apply. A. Anorexia B. Dizziness C. Hypertension D. Weight loss E. Moon facies F. Truncal obesity

C, E, F

A client has been hospitalized for impaired function of the posterior pituitary gland. The nurse providing care for the client anticipates that he or she may exhibit altered secretion of which hormones? A. Growth hormone (GH) B. Luteinizing hormone (LH) C. Antidiuretic hormone (ADH) D. Follicle-stimulating hormone (FSH)

C.

A client with hypovolemia experiences activation of the renin-angiotensin system to maintain blood pressure. The nurse plans care, understanding that, as part of this response, the endocrine system will increase production and secretion of which mineralocorticoid? A. Cortisol B. Glucagon C. Aldosterone D. Adrenocorticotropic hormone

C.

A nurse is assigned to the care of a client who has an altered production of cortisol. The nurse anticipates that the client is experiencing difficulty with the synthesis of which type of substance? A. Androgens B. Catecholamines C. Glucocorticoids D. Mineralocorticoids

C.

A nurse is providing home care instructions to a client with a diagnosis of Addison's disease. Which statement by the client indicates a need for further instruction? A. "I need to wear a Medic-Alert bracelet." B. "I need to purchase a travel kit that contains cortisone." C. "I will need to take daily medications until my symptoms decrease." D. "I need an increased dose of glucocorticoid medication during stressful minor illnesses."

C.

The nurse has provided dietary instructions to a client with a diagnosis of hypoparathyroidism. The nurse should instruct the client that it is acceptable to include which item in the diet? A. Fish B. Cereals C. Vegetables D. Meat and poultry

C.

The nurse is caring for a client after thyroidectomy. The client expresses concern about the postoperative voice hoarseness she is experiencing and asks if the hoarseness will subside. The nurse should provide the client with which information? A. The hoarseness is permanent. B. It indicates nerve damage. C. It is normal during this time and will subside. D. It will worsen before it subsides, which may take 6 months.

C.

The nurse is reviewing the laboratory test results for a client with a diagnosis of Cushing's syndrome. Which laboratory finding would the nurse expect to note in this client? A. A platelet count of 200,000 cells/mm3 B. A blood glucose level of 110 mg/dL C. A potassium (K+) level of 5.5 mEq/L D. A white blood cell (WBC) count of 6000 cells/mm3

C.

The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. Which client complaint would be characteristic of this disorder? A. Diarrhea B. Polyuria C. Polyphagia D. Weight gain

C. Polyphagia.

A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the priority for this client? A. Hypoglycemia B. Level of hoarseness C. Respiratory distress D. Edema at the surgical site

C. Respiratory Distress.

The nurse is caring for a client after thyroidectomy. The nurse notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed for which purpose? A. To treat thyroid storm B. To prevent cardiac irritability C. To treat hypocalcemic tetany D. To stimulate release of parathyroid hormone

C. To treat hypocalcemic tetany

A client has begun medication therapy with propylthiouracil (PTU). The nurse should assess the client for which condition as an adverse effect of this medication? A. Joint pain B. Renal toxicity C. Hyperglycemia D. Hypothyroidism

D

A client is admitted to the hospital with a diagnosis of Addison's disease. The nurse would assess for which problem as a manifestation of this disorder? A. Edema B. Obesity C. Hirsutism D. Hypotension

D

A health care provider has prescribed propylthiouracil (PTU) for a client with hyperthyroidism, and the nurse develops a plan of care for the client. The nurse should assess for which condition as a priority? A. Relief of pain B. Signs of renal toxicity C. Signs of hyperglycemia D. Signs of hypothyroidism

D

A nurse is performing an assessment on a client after a thyroidectomy and notes that the client has developed hoarseness and a weak voice. Which nursing action is appropriate? A. Check for signs of bleeding. B. Administer calcium gluconate. C. Notify the health care provider (HCP) immediately. D. Reassure the client that this is usually a temporary condition.

D

During routine nursing assessment after hypophysectomy, a client complains of thirst and frequent urination. Knowing the expected complications of this surgery, what should the nurse assess next? A. Serum glucose B. Blood pressure C. Respiratory rate D. Urine specific gravity

D

The nurse has documented the problem of body image distortion for a client with a diagnosis of Cushing's syndrome. The nurse identifies nursing interventions related to this problem and includes these interventions in the plan of care. Which nursing intervention is inappropriate? A. Encourage client's expression of feelings. B. Assess the client's understanding of the disease process. C. Encourage family members to share their feelings about the disease process. D. Encourage the client to recognize that the body changes need to be dealt with.

D

The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of pheochromocytoma. The nurse reads the assessment findings and expects to note documentation of which major symptom associated with this condition? A. Glycosuria B. Diaphoresis C. Weight loss D. Hypertension

D

This medication is used to treat hyperparathyroidism in patients with chronic renal failure. It works by mimicking the role of calcium in the blood and tricks the parathyroid gland into stop secreting PTH (parathyroid hormone). Which of the following medications does this describe below? A. Calcitonin B. Fosamax C. Lasix D. Sensipar

D

Which condition on assessment of the client with Addison's disease should the nurse expect to note? A. Edema B. Obesity C. Hirsutism D. Hypotension

D

A patient is admitted with thyroid storm. Which sign and symptoms are NOT present with this condition-SELECT ALL THAT APPLY? A. Temperature of 104.9'F B. Heart rate of 125 bpm C. Respirations of 42 D. Heart rate of 20 bpm E. Intolerance to cold F. Restless

D, E

A client has a tumor that is interfering with the function of the hypothalamus. The nurse expects that which clinical problem will be exhibited by the client? A. Melatonin excess or deficit B. Glucocorticoid excess or deficit C. Mineralocorticoid excess or deficit D. Antidiuretic hormone (ADH) excess or deficit

D.

A hospitalized client is diagnosed with dysfunction of the adrenal medulla. The nurse monitors for changes in client status related to altered production and secretion of which substance? A. Cortisol B. Androgens C. Aldosterone D. Epinephrine

D.

The home care nurse visits a client with a diagnosis of hyperparathyroidism who is taking furosemide (Lasix) and provides dietary instructions to the client. Which statement by the client indicates a need for additional instruction? A. "I need to eat foods high in potassium." B. "I need to drink at least 2 to 3 L of fluid daily." C. "I need to eat small, frequent meals and snacks if nauseated." D. "I need to increase my intake of dietary items that are high in calcium."

D.

The nurse is caring for a client with a diagnosis of Addison's disease. The nurse is monitoring the client for signs of Addisonian crisis. The nurse should assess the client for which manifestation that would be associated with this crisis? A. Agitation B. Diaphoresis C. Restlessness D. Severe abdominal pain

D.

The nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's disease. Which statement by the student indicates an accurate understanding of this disorder? A. "Cushing's disease results from an oversecretion of insulin." B. "Cushing's disease results from an undersecretion of corticotropic hormones." C. "Cushing's disease results from an undersecretion of mineralocorticoid hormones." D. "Cushing's disease results from an increased pituitary secretion of adrenocorticotropic hormone."

D. "Cushing's disease results from an increased pituitary secretion of adrenocorticotropic hormone".