Endocrine

A client is being evaluated for hypothyroidism. During assessment, the nurse should stay alert for:

>>> decreased body temperature and cold intolerance. <<< Hypothyroidism markedly decreases the metabolic rate, causing a reduced body temperature and cold intolerance. Other signs and symptoms include dyspnea, hypoventilation, bradycardia, hypotension, anorexia, constipation, decreased intellectual function, and depression.

A nurse is planning care for a client in acute Addison Ian crisis. Which nursing diagnosis should receive the highest priority?

Decreased Cardiac Output

Which of the following nursing actions would the nurse include when caring for a client with endemic goiter and experiencing respiratory symptoms?

Elevate the head of the bed.

A nurse should perform which intervention for a client with Cushing's syndrome?

Explain that the client's physical changes are a result of excessive corticosteroids.

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 hyperparathyroidism declines surgery and is to receive hormone replacement therapy with estrogen and progesterone. Which instruction is most important for the nurse to include in the client's teaching plan?

Maintain a moderate exercise program.

Which intervention is the most critical for a client with myxedema coma?

Maintaining a patent airway

For a client with Graves' disease, which nursing intervention promotes comfort?

Maintaining room temperature in the low normal range

Which of the following would the nurse need to be alert for in a client with severe hypothyroidism?

Myxedema coma

The nurse is reviewing the history and physical exam of a client diagnosed with hyperthyroidism. Which of the following would the nurse expect to find?

Reports of an increased appetite.

A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

Restricting fluids

A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease?

Serum Potassium level of 5.8 mEq/L

A female client is being successfully treated for Cushing's syndrome. The nurse should expect a decline in :

Serum glucose level

"Early this morning, a client had a subtotal thyroidectomy. During evening rounds, the nurse assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?

Thyroid crisis

Which suggestion would the nurse include for a client who has had a thyroidectomy to reduce tension on the suture line?

Use the hands to support the head when rising to a sitting position.

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

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 disorder should the nurse expect the physician to diagnose?

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