Endocrine Quizzes

autoimmune-induced atrophy of the gland

Causes of primary hypothyroidism in adults include

Thyroid crisis

Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina 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?

(a) The client with hyperthyroidism may experience exopthalmos. This requires instillation of eye drops to prevent dryness and ulceration of the cornea. (b and f) The client experiences weight loss because of hypermetabolism. Several, small, well-balanced meals are given to improve nutritional status of the client and daily weights should be monitored. Weight is the most objective indicator of nutritional status. (c) The client is usually exhausted due to restlessness and agitation. Frequent rest periods help the client regain energy.

The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply a) instill isotonic eye drops as necessary b) provide several, small, well-balanced meals c) provide rest periods d) keep environment warm e) encourage frequent visitors and conversation f) weigh the client daily

vasopressin (Pitressin Synthetic) Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production, the nurse should expect to administer synthetic

When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:

Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?

increased body temperature, increased pulse, and increased blood pressure Thyroid storm is characterized by SNS activation. Thyroid hormones potentiate effects of cathecolamines (epinephrine/norepinephrine). Therefore, all vital signs will be increased.

Which of the following assessment findings characterize thyroid storm?

Instruct the client to never abruptly discontinue the medication

Which of the following nursing implications is most important in a client being medicated for Addison's disease?

signs and symptoms of hypothyroidism

A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

in the morning to prevent insomnia

A physician prescribes levothyroxine sodium (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication:

fever and sore throat.

A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for:

provides written instruction for all information related to the medication therapy

A patient with hypothyroidism is treated with Synthroid. When teaching the patient about the therapy, the nurse

"I need to weigh myself if I think I am losing or gaining weight."

A client newly diagnosed with Addison's disease is giving a return explanation of teaching done by the primary nurse. Which of the following statements indicates that further teaching is necessary?

a. Replace intravenous fluids b. Induce shivering d. Relieve respiratory distress e. Administer a cooling blanket

A client presents to the emergency room with a history of Graves' disease. The client reports having symptoms for a few days, but has not previously sought or received any additional treatment. The client also reports having had a cold a few days back. Which of the following interventions would be appropriate to implement for this client, based on the history and current symptoms?

Depression

A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?

Tachycardia

A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?

Restricting fluids

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

Mitotane is used to treat metastatic adrenal cancer.

A nurse on a general medical-surgical unit is caring for a client with Cushing's syndrome. Which of the following statements is correct about the medication regimen for Cushing's syndrome?

Decreased renal blood flow and glomerular filtration rate reduces the kidney's ability to excrete water, which may cause hyponatremia.

A nursing student is studying for a test on care of the client with endocrine disorders. Which of the following statements demonstrates an understanding of the difference between hyperthyroidism and hypothyroidism?

HTN, peripheral edema, and petechiae

A patient is admitted to the hospital with a diagnosis of Cushing syndrome. On physical assessment of the patient, the nurse would expect to find

increased urine output, increased serum sodium, and decreased urine specific gravity

A patient with SIADH is treated with water restriction and administration of IV fluids. The nurses evaluates that treatment has been effective when the patient experiences

hoarseness of voice

After thyroidectomy, which of the following is the priority assessment to observe laryngeal nerve damage?

Avoid close contact with children or pregnant women for one week after administration of drug.

Of what precautions should a client receiving radioactive iodine-131 be made aware?

Hypocalcemia The client who has undergone a thyroidectomy is at risk for developing hypocalcemia from inadvertent removal or damage to the parathyroid gland. The client with hypocalcemia will exhibit a positive Chvostek's sign (facial muscle www.rn101.net www.rn101.net contraction when the facial nerve in front of the ear is tapped) and a positive Trousseau's sign (carpal spasm when a blood pressure cuff is inflated for a few minutes). These signs aren't present with hypercalcemia, hypokalemia, or hyperkalemia.

For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following?

Serum glucose level.

In a 29-year-old female client who is being successfully treated for Cushing's syndrome, nurse Lyzette would expect a decline in:

To report weight loss, anxiety, insomnia, and palpitations.

In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client:

An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential complication of:

Myexedema coma. Severe hypothyroidism may result in myxedema coma, in which a drastic drop in the metabolic rate causes decreased vital signs, hypoventilation (possibly leading to respiratory acidosis), and nonpitting edema.

antidiuretic hormone (ADH)

Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus?

Puffiness of the face and hands

Nurse Oliver should expect a client with hypothyroidism to report which health concerns?

Deposits of adipose tissue in the trunk and dorsocervical area.

Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find:

Risk for infection

Nurse Troy is aware that the most appropriate for a client with Addison's disease?

Maintain careful use of medical and surgical asepsis when providing care and treatments

The nurse is caring for a client who is about to undergo an adrenalectomy. Which of the following Preoperative interventions is most appropriate for this client?

Neck vein distention

Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?

Fluid intake is less than 2,500 ml/day.

Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?