Prep U Endo

A patient is diagnosed with overactivity of the adrenal medulla. what epinephrine value does the nurse recognize is a positive diagnostic indicator for overactivity of the adrenal medulla?

450 PG/ML

The nurses reviewing a client's laboratory studies and determines that the client has an elevated calcium level. what does the nurse know will occur as a result of the rise in the serum calcium level?

A rise in serum calcium stimulates the release of calcitonin from the thyroid gland

hey client receiving thyroid replacement therapy develops influenza and forgets to take her thyroid replacement medicine. The nurse understands that skipping this medication puts the client at risk for developing which life-threatening complication?

Myxedema coma

A nurse is caring for a female client with hypothyroidism The client is extremely upset about her altered physical appearance. she doesn't want to take her medication because she doesn't believe it's doing any good. what should the nurse do?

Tell the client she'll soon experience improvement in her looks as the medication corrects her hormone deficiency

A client is scheduled for a diagnostic test to measure blood hormone levels. The nurse expects that this test will determine which of the following?

The functioning of endocrine glands

The nurse is attempting to locate the thyroid gland in order to determine if it's enlarged. where should the nurse palpate the thyroid gland?

The lower neck anterior to the trachea

The nurse auscultates a bruit over the thyroid glands. what does the nurse understand is the significance of this finding

The patient may have hyperthyroidism

A nurse caring for a patient with diabetes insipidus is reviewing the patient's laboratory results. what is an expected your analysis finding?

You're in specific gravity of 1.001 to 1.005

A patient is ordered desmopressin for the treatment of diabetes insipidus. what therapeutic response does the nurse anticipate the patient will experience?

a decrease in urine output

which is the following is a clinical manifestation of hypothyroidism

a pulse rate below 60 beats per minute

a client with a history of hypertension is diagnosed with primary hyperaldosteronism. this diagnosis indicates that the client's hypertension is caused by excessive hormone secretion from which gland?

adrenal cortex

A nurse is assessing a client with Cushing's syndrome which observation should the nurse report to the physician immediately?

an irregular apical pulse

what is the most common cause of hyperaldosteronism

and adrenal adenoma

during the first 24 hours after I client is diagnosed with addisonian crisis, which intervention should the nurse perform frequently?

assess vital signs

during the first 24 hours after our client is diagnosed with addisonian crisis, which intervention should the nurse perform frequently

assess vital signs

trousseau's sign is elicited

by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff

when high levels of plasma calcium occur, the nurses aware that the following hormone will be secreted

calcitonin

during physical examination of a client with a suspected endocrine disorder, the nurse assesses the body structures. The nurse gathers this data based on the understanding that this is an important aid in which of the following?

detecting evidence of hormone hypersecretion

which outcome indicates the treatment of a client with diabetes insipidus has been effective?

fluid intake is less than 2,500 mls per day

A patient has been admitted to an acute medical unit with a diagnosis of diabetes insipidus with a neurogenic etiology. when planning the patient's care, what diagnosis should the nurses most likely priority,

fluid volume deficit related to increase urine output

The nurse is caring for a client with diabetes who developed hypoglycemia. what can the nurse administer to the client to rise the blood sugar level?

glucagon

which instruction should be included in the discharge teaching plan for a client after thyroidectomy for grades disease?

have regular follow-up care

The nurse is aware that the clinical symptoms of a patient with hyperparathyroidism are the results of the initial physical response of

hypocalcemia

The nurse is aware that the clinical symptoms of a patient with hypoparathyroidism are the result of the initial physiologic response of

hypocalcemia

The nurse is aware that the clinical symptoms of a patient with hypoparathyroidism are the results of the initial physiologic response of

hypocalcemia

The thymus gland secretes thymosin and thymopoietin, which aid in developing tea lymphocytes, a type of white blood cell involved in immunity. which of the following best identifies the location of this gland?

in the upper part of the chest above or near the heart

when reviewing laboratory results for a patient with a possible diagnosis of hypoparathyroidism the nurse knows that this condition is characterized by which of the following?

inadequate secretion of parathormone

The nurse knows to assess a patient with hyperthyroidism for the primary indicator of

intolerance to heat

The nurse assesses a patient who has an obvious goiter. what type of deficiency does the nurse recognizes most likely the cause of this?

iodine

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

The nurse is teaching a client about the dietary restrictions to his diagnosis of hyperparathyroidism. what foods should the nurse encourage the client to avoid?

milk

during a follow-up visit to the physician, a client with hyperparathyroidism ask the nurse to examine the physiology of the parathyroid glands. The nurse states that these glands produce parathyroid hormone. PTH maintains the balance between calcium and

phosphorus

nursing care for a client in Addisonian crisis should include which intervention?

placing the client in a private room

I know should expect a client with hypothyroidism to report

puffiness of the face in hands

A client with hyperthyroidism is concerned about changes in appearance. how can the nurse convey and understanding of the client's concern and promote effective coping strategies

reassure the client that the emotional reactions are a result of the disorder and symptoms can be controlled with effective treatment

A client with hyperthyroidism is concerned about changes in appearance. how can the nurse convey an understanding of the client's concern and promote effective coping strategies

reassure the client with their emotional reactions are a result of the disorder and symptoms can be controlled with effective treatment

A client with symptoms of Cushing syndrome is admitted to the hospital for evaluation and treatment. The nurses creating a plan of care for the client. which is an appropriate nursing diagnosis?

self-care deficit related to weakness, fatigue, muscle wasting, and altered sleep patterns

The nurse recognizes that which of the following agents suppress release of thyroid hormones select all that apply

sodium iodide, potassium iodide, saturated solution of potassium iodide

beta blockers are used in the treatment of the hypothyroidism to counteract which of the following effects?

sympathetic

The nurse on the telemetry floor is caring for a patient with long standing hypothyroidism who has been taking synthetic thyroid hormone replacement sporadically. what is a priority that the nurse monitors for this patient?

symptoms of acute coronary syndrome

dilutional hyponatremia occurs in which disorder

syndrome of inappropriate antidiuretic hormones secretion s i a d h

A client with hypothyroidism myxedema is receiving levothyroxine daily. which finding should the nurse recognize as an adverse reaction to the drug?

tachycardia

The nurse is assisting with the preparation of a teaching plan for a client who's to receive methimazole. which of the following would be most appropriate to include in this plan

urging the client to report any fever or sore throat

which suggestion would the nurse include for a client who has had a thyroid ectomy to reduce tension on the suture line?

use the hands to support the head when rising from a sitting position

when caring for a client with diabetes insipidus, the nurse expects to administer

vasopressin

which hormone is secreted by the posterior pituitary?

vasopressin