Endocrine Disorders Practice Quiz

Which nursing interventions would be considered priority when managing a client with life-threatening myxedema coma? Select all that apply.

Administer 3% sodium IV solution to increase sodium levels Administer 50% dextrose IV solution to raise glucose levels Place on oxygen therapy

The nurse is preparing a client for testing to determine if the client has Cushing syndrome. What tests are included in the screening process? Select all that apply

24 Hour urine secretion of cortisol Dexamethasone suppression test ACTH plasma levels

A client is exhibiting signs of Graves disease. What clinical manifestations of this disorder would the nurse document that would indicate this disease state? Select all that apply

A goiter Ophthalmopathy Tachycardia

The nurse is assessing a male client and finds abnormally large hands and feet, a bulbous nose, and a broad face with a protruding jaw. Based on these findings, which endocrine abnormality is most likely the cause for these physical changes?

Acromealogy

Which individual displays the precursors to acromegaly

An adult with an excess of GH due to adenoma

The nurse is caring for an adult client with growth hormone deficiency. When performing an assessment of this client, which system should the nurse be sure to assess for complications related to this disorder?

Cardiovascular system

A client tells his health care provider that his body is changing. It used to be normal for his blood glucose to be higher during the latter part of the morning. However, now his fasting blood glucose level is elevated in the early AM (07:00). The health care provider recognizes the client may be experiencing:

Dawn phenomenon

Which effect of thyroid hormone deficit alters the function of all major organs in the body?

Decreases metabolism

The nurse is caring for a client with primary hypothyroidism who is being monitored for the complication of myxedema coma while thyroid-level therapy is started. What does the nurse understand are the three major aspects of myxedema coma? Select three that apply.

Elevated carbon dioxide levels and decreased oxygen saturation Fluid and electrolyte imbalance Hypothermia

Growth hormone exerts its effects on the body in many ways. Which of these are effects of GH? Select all that apply

Enhances fatty acid mobilization increases insulin levels Facilitates the rate of protein synthesis

Management of hyperthyroidism would include which interventions? Select all that apply.

Eradication of the gland with radioactive iodine Surgical removal of part or all of the gland Drug therapy directed at reducing the glands function

Which interventions would be included in the plan of care for a client experiencing myxedema coma? Select all that apply.

Frequent monitoring of cardiac functioning Initiation of thyroid replacement therapy ' Oxygen therapy to support ineffective respirations Reversal of hypoglycemia

Loss of pituitary function can result in deficiencies (or loss) of secretions of which hormones? Select all that apply.

Growth Hormone (GH) Luteinizing Hormone (LH) Follicle Stimulating Hormone (FSH) Prolactin

Which finding in a client would support a diagnosis of diabetic ketoacidosis (DKA)? Select all that apply.

Ketonuria Low serum bicarbonate Blood glucose > 250

A client with diabetes mellitus arrives at the hospital with a blood glucose level of 639 mg/dL (35.46 mmol/L). What assessment data would indicate type 1 diabetes mellitus rather than type 2? Select all that apply

Kussmal respirations Metabolic acidosis

The nurse is monitoring the renal health of a client with diabetes mellitus. What assessment is the earliest warning sign of diabetic nephropathy?

Microalbuminuria

A client with diabetes mellitus arrives at the hospital with a blood glucose level of 639 mg/dL (35.46). What assessment data would indicate type 2 diabetes mellitus rather than type 1?

Negative ketones in urine

A client admitted to the hospital with elevated blood glucose is diagnosed with type 2 diabetes mellitus. What characteristics commonly differentiate type 2 diabetes mellitus from type 1 diabetes mellitus? Select all that apply

Onset after 35 Overweight

A client presents to the emergency room with fatigue, weakness, dehydration, and thirst. What additional symptoms would correlate with a diagnosis of type 2 diabetes mellitus? Select all that apply.

Polyuria Blurred vision Candidia infection

A client presents to the emergency room with fatigue, weakness, dehydration, and thirst. What additional symptoms would correlate with a diagnosis of type 1 diabetes mellitus? Select all that apply.

Recent weight loss Polyuria Blurred vision

A child has been diagnosed with classic growth hormone deficiency. Which physical findings may occur in this child? Select all that apply.

Short stature Delayed skeletal muscle maturation Obesity

A very tall 8-year-old child is brought by a parent to the clinic for a follow-up visit after diagnostic testing reveals a diagnosis of gigantism. What objective assessment data would the nurse recognize correlates with the child's condition?

The child has fusion of the epiphyses of the long bones and increased GH

Diagnostic testing has revealed that a client has pituitary hypofunction, resulting in deficient production of ACTH. The nurse should recognize which implication of this finding?

The client will require exogenous supplements of cortisol

The nurse is discussing the administration of GH with a parent of a child who has short stature caused by growth hormone (GH) deficiency. What should the nurse include when educating the parents about administration?

The medication will be given daily during the period of active growth and can be continued into adulthood

What are the hallmark signs of diabetes mellitus?

polyuria, polydipsia, polyphagia