med surg endocrine Nclex practice questions: SET ONE

Hydrocortisone

while assessing a client with an adrenal gland hypofunction receiving drug therapy, the nurse finds a round face, rapid weight gain, and swelling of the body. an adjustment in the dose of which medication would the nurse expect the primary healthcare provider to make?

low calcium

when a client has renal calculi secondary to hyperparathyroidism, for which type of diet would the nurse gather discharge information

drinking a large amount of fluids

which action will the nurse stress when reviewing dietary information with a client with hyperparathyroidism?

intravenous fluid replacement

which action would the nurse take when a patient with addisons disease develops adrenal crisis after abruptly stopping prescription steroids?

papillary carcinoma

which carcinoma is the most common type of thyroid cancer and is most often found in younger women

headache, palpitations, and diaphoresis

which clinical manifestations would a nurse when assessing a client newly admitted with a diagnosis of pheochromocytoma?

infection

which complication is important for the nurse to monitor with a client with addisons disease?

hypoparathyroidism

which hormonal disorder may be suspected when positive chvostek and trousseau signs are assessed?

hypoparathyroid tetany

which medical condition is treated by intravenous administration of calcium gluconate?

decreasing blood glucose levels

which objective would be part of the management of a client diagnosed with cushings syndrome?

bone pain

which response would the nurse monitor for when assessing for complications of hyperparathyroidism?

serum glucose

which serum level would the nurse expect to decline when treatment is successful for a female client with cushings syndrome?

blood pressure of 174/88 mmHg

which symptom does a nurse expect when provifing care to a patient with pheochromocytoma?

tachypenia and hypotension

a patient with addisons disease is recieving cortisone therapy. which clinical indicator would the nurse expect if the patient abruptly stops taking cortisone therapy?

supports a better response to stress

hydrocortisone is prescribed for a client with addisons disease. which therapeutic effect would the nurse include when describing hydrocortisone to the patient at the time of discharge?

weakness, truncal obesity, and hypertension

a client is admitted for cushings syndrome. which clinical manifestation would the nurse expect the patient to exhibit?

7.8 mg/dl

a client is diagnosed with parathyroid dysfunction. which concentration serum calcium level would support this diagnosis?

hypernatremia

a client with a tentative diagnosis of cushings syndrome has an increased cortisol level. the nurse should assess for which response?

thyroxine replacement therapy will be required indefinitely

a client with cancer of the thyroid is scheduled for a thyroidectomy. which information would the nurse include in her teaching?

Hyperplasia of the adrenal cortex

a nurse is caring for a client with a diagnosis of cushings syndrome. which common cause would the nurse consider before assessing this client?

tetany

a nurse is caring for a patient who just had a thyroidectomy. which manifestation would the nurse assess the client for when concerned about hypothyroidism from the surgery?

add extra salt to food

a nurse is caring for a patient with addisons disease. which instruction regarding diet would the nurse include in the teaching?

Hypertension

a nurse is caring for a patient with cushings syndrome. which cardiovascular complication would the nurse assess for?

hypoglycemia and hypotension

a nurse is caring for a patient with the diagnosis of addison disease. which signs would the nurse assess for in the patient?

Phosphorus

laboratory studies are being performed on a client with a potential diagnosis of hyperparathyroidism. which serum blood level would the nurse expect to be decreased when reviewing results?

hirsutism, buffalo hump

the nurse is assessing a female client with cushings syndrome. which clinical finding would the nurse expect?

Mineralocorticoids

the nurse is caring for a patient with hypotension associated with addisons disease. which hormones impaired production is responsible for this clinical manifestation?

"excessive ACTH causes retention of sodium and loss of potassium."

the primary health care provider prescribes a low-sodium, high potassium diet for a client with cushings syndrome. which explanation would the nurse provide about the need to follow this diet?