HESI Endocrine Diseases

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The nurse is caring for the client posttranssphenoidal hypophysectomy. When assessing the client, the nurse observes clear drainage from the nares. What could be the cause of this drainage?

A cerebral spinal fluid leak from an opening to the brain.

After reviewing the client's laboratory reports, the physician concludes that the client has primary hypofunction of the adrenal gland. Which clinical manifestation is likely to be observed in that client?

Vitiligo

Which drug would be effective for the treatment of pituitary Cushing's syndrome?

Cyproheptadine

A nurse is caring for a client with Addison disease. Which information should the nurse include in a teaching plan to encourage this client to modify dietary intake?

Extra salt is needed to replace the amount being lost caused by lack of sufficient aldosterone to conserve sodium.

What are the mostcommon hormones produced in excess with hyperpituitarism? Select all that apply.

GH & prolactin

Which hormonal deficiency would increase the client's risk for fractures?

Growth hormone

A client has a tentative diagnosis of Cushing syndrome. What physical symptoms will the client exhibit?

Hypertension and moon face

A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the mostlikely cause?

Inadequate antidiuretic hormone (ADH) secretion

A nurse is caring for a client with type 1 diabetes who is experiencing a fluid imbalance. Which fluid shift associated with diabetes should the nurse take into consideration when assessing this client?

Intracellular to intravascular as a result of hyperosmolarity

A nurse is caring for a client with a diagnosis of type 1 diabetes who has developed diabetic coma. Which element excessively accumulates in the blood to precipitate the signs and symptoms associated with this condition?

Ketones as a result of rapid fat breakdown, causing acidosis

A client who has had a subtotal thyroidectomy does not understand how hypothyroidism can develop when the problem was initially hyperthyroidism. On what fact should the nurse base her response?

There may not be enough thyroid tissue to supply adequate thyroid hormone.

Which adverse effect can be seen in a female client with gonadotropin deficiency and undergoing hormone replacement therapy?

Thrombosis


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