Endocrine Hesi Questions
the nurse is assessing a client who reports frequent urination. Which inquiry made by the nurse will help determine Diabetes Insipidus
"Are you on lithium carbonate therapy?" lithium is know to interfere with normal kidney function
which concentration of a client's serum calcium levels will stimulate the release of parathyroid hormone
8.5 mg/dL
A nurse is caring for a client with hypothyroidism. Which clinical manifestations should the nurse anticipate when assessing this client?
Dry skin Brittle hair
A client is diagnoses with hyperthyroidism and is treated. Before discharge the nurse teaching the client to observe for signs and symptoms of therapy induced hypothyroidism. Which s/s should be included in the teaching
Fatigue dry skin progressive weight gain
A nurse is assessing the female client with Cushing Syndrome. Which clinical findings can the nurse expect to identify
Hirsutism buffalo hump dependent edema
A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration in the client would support the diagnosis
Normal calcium (8.5-10.2) 7.8
what clinical indicators should a nurse assess when caring for a client with hyperthyroidism?
weight loss tachycardia restlessness exophthalmos (bulging eyes)
which exogenous conditions are responsible for increased cortisol secretions
asthma cancer chemo organ transplant
a nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit
cool skin constipation periorbital edema (myxedema) decreased appetite
which treatment intervention should be provided to a client diagnosed with Cushing syndrome
decreased blood glucose levels
the nurse is providing care for a client with small-cell carcinoma of the lung who develops the syndrome of inappropriate secretion of ADH. What clinical findings correspond with the secretion of ADH
edema (fluid retention) hyponatremia (there is so much water so it seems like there is less sodium)
A client with Cushing syndrome asks why a low sodium, high potassium diet has been prescribed. What is the best response by the nurse
excessive aldosterone and cortisone causes the retention of sodium and loss of potassium
the nurse is planning discharge instructions for a client who had a thyroidectomy. What signs and symptoms will the client exhibit with surgically induced hypothyroidism?
fatigue dry skin
the nurse is assessing a client with a "moon-shaped" face and thinner arms and legs. Which other assessment findings would the nurse suspect to be present in the client?
gastric ulcers pain in bones muscle weakness
a nurse is caring for a client admitted to the hospital with a diagnosis of Addison disease. The nurse should assess the client for what signs related to the disorder
hypoglycemia and hypotension
which statement does the nurse know is true regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance
increase net release of calcium into extracellular fluid
what is the effect of parathyroid hormone on the bones
increased bone breakdown increased serum calcium levels increased net release of calcium and phosphorus
which metabolic manifestations are likely to be observed in a client with hypothyroidism
intolerance to cold and decreased body temperature
A client who had a subtotal thyroidectomy asks how hypothyroidism may develop when the problem with hyperthyroidism. What should the nurse consider when formulating a response?
less thyroid tissue is available to supply thyroid hormone after surgery
what interventions should the nurse implement when caring for a client with SIADH
providing frequent oral care instituting fall risk precautions monitoring for and reporting neurological changes
the nurse is assessing a client who has SIADH
retention of water
which clinical findings should the nurse assess when caring for a client with hyperthyroidism
tachycardia exophthalmos
A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects a that a decrease in dosage is needed when the client exhibits which clinical manifestations
tremors heat intolerance
A nurse is caring for a client with a diagnosis of Cushing Syndrome. Which clinical manifestations does the nurse expect to identify
truncal obesity sleep disturbances thin arms and legs