Endocrine Dysfunction Questions
A nurse is caring for a client in addisonian crisis. Which medication order should the nurse question?
Potassium chloride
A female client with hyperglycemia who weighs 210 lb (95 kg) tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that the client has large hands and a hoarse voice. Which disorder would the nurse suspect as a possible cause of the client's hyperglycemia?
Acromegaly
A client with acromegaly is admitted to the hospital with complaints of partial blindness that began suddenly. What does the nurse suspect is occurring with this client?
Pressure on the optic nerve
The nurse is reviewing the history and physical examination of a client diagnosed with hyperthyroidism. Which of the following would the nurse expect to find?
Reports of increased appetite
A nurse is preparing an IV dose of hydrocortisone that is to be administered to an adult patient on an acute medical unit. The endocrine disorder for which this treatment is most clearly indicated is:
Addisons disease
After a thyroidectomy, the client develops a carpopedal spasm while the nurse is taking a BP reading on the left arm. Which action by the nurse is appropriate
Admin IV calcium gluconate
The nurse is reviewing a client's history which reveals that the client has had an over secretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?
Gigantism
A client with Addison's disease has a blood glucose level above 80 mg/dL 30 minutes after receiving 15 g of carbohydrates for symptoms of hypoglycemia. Which of the following would the nurse do now
Give client milk and graham crackers
The nurse is teaching a client about the dietary restrictions related to his diagnosis of hyperparathyroidism. What foods should the nurse encourage the client to avoid?
Milk
Accidental removal of one or both parathyroid glands can occur during a thyroidectomy. Which of the following is used to treat tetany?
Calcium gluconate
Which of the following is considered a late symptom of hypothyroidism?
Cold intolerance
nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse expects to find
Deposits of adipose tissue in trunk and dorsocervical area
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"
A client complains of nervousness and palpitations. Upon assessing the patient's heart rate, the nurse notes a heart rate of 120 bpm. Which of the following endocrine disorders is associated with palpitations and increased heart rate? a. Hypothyroidism b. Hyperthyroidism c. SIADH d. Hypoparathyroidism
B
Which of the following risk factors for diabetes would a nurse identify as being modifiable? A.The patient is of Native American ancestry. B.The patient is moderately obese. C.The patient's mother and brother have Type 1 diabetes. D.The patient is 51 years old.
B
A patient is suspected of having a pheochromocytoma and is having diagnostic tests done in the hospital. What symptoms does the nurse recognize as most significant for a patient with this disorder
BP varying b/w 120/86 and 240/130
Evaluation of an adult client reveals oversecretion of growth hormone. Which of the following would the nurse expect to find?
Bulging forehead
A client sustained a head injury when falling off of a ladder. While in the hospital, the client begins voiding large amounts of clear urine and states he is very thirsty. The client states that he feels weak, and he has had an 8-lb weight loss since admission. What should the client be tested for?
DI
What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours?
DI
Which of the following would the nurse expect to find in a client with severe hyperthyroidism?
Exophthalmos
A nurse should perform which intervention for a client with Cushing's syndrome?
Explain that the physical changes are due to excessive steroid hormone release
A patient has been admitted to an acute medical unit with a diagnosis of diabetes insipidus with a neurogenic etiology. When planning this patient's care, what diagnosis should be the nurse's most likely priority?
FVD r/t increased urine output
A health care provider suspects that a thyroid nodule may be malignant. The nurse knows to prepare information for the patient based on the usual test that will be ordered to establish a diagnosis. What is that test?
Fine needle biopsy of the thyroid gland
A woman with a progressively enlarging neck comes into the clinic. She mentions that she has been in a foreign country for the previous 3 months and that she didn't eat much while she was there because she didn't like the food. She also mentions that she becomes dizzy when lifting her arms to do normal household chores or when dressing. What endocrine condition should the nurse expect the health care provider to diagnose
Goiter
A middle-aged female client complains of anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following: thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine 253 ng/dl. A 6-hour radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, the nurse should suspect:
Graves disease
A 47-year-old woman presents to her primary care provider complaining of bone pain. Routine laboratory studies reveal a high serum calcium of 12.0 mg/dL and increased PTH levels. Which of the following is the most likely diagnosis?
Hyperparathyroidism
The nurse is assessing a client in the clinic who appears restless, excitable, and agitated. The nurse observes that the client has exophthalmos and neck swelling. What diagnosis do these clinical manifestations correlate with?
Hyperthyroidism
A patient has returned to the floor after having a thyroidectomy for thyroid cancer. The nurse knows that sometimes during thyroid surgery the parathyroid glands can be injured or removed. What laboratory finding may be an early indication of parathyroid gland injury or removal?
Hypocalcemia
Which intervention is the most critical for a client with myxedema coma?
Maintain a patent airway
A nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What should the nurse do?
Observe for muscle twitching and numbness of the lips, fingers and toes
Cardiac effects of hyperthyroidism include
Palpations Sinus tach Increased pulse pressure Systolic BP is elevated
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
The nurse is caring for a client with hypoparathyroidism. When the nurse taps the client's facial nerve, the client's mouth twitches and the jaw tightens. What is this response documented as related to the low calcium levels?
Positive Chvosteks sign
For a client with hyperthyroidism, treatment is most likely to include:
Thyroid hormone antagonist
A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and:
Vitamin D
The nurse practitioner who assesses a patient with hyperthyroidism would expect the patient to report which of the following conditions?
Weight loss
Trousseau sign is elicited
by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff
While assessing a client with Cushing syndrome, the nurse should expect high blood glucose reading due to increased secretion of which of the following? a. thyroid b. parathyroid c. adrenal d. pituitary
c
An elderly woman complaining of weight gain, depression, and lethargy is diagnosed with hypothyroidism, and thyroid replacement is prescribed. During initiation of thyroid replacement therapy for the patient, the priority assessment for the nurse is to evaluate which of the following?
cardiovascular function
The nurse is assessing a client for acromegaly at the clinic. Besides asking about changes in shoe size and facial features, the nurse should also inquire about changes in which of the following?
changes in vision
