NUR 201 Endocrine
Which of the following diagnostic tests are done to determine suspected pituitary tumor?
A computed tomography or magnetic resonance imaging scan is done to detect a suspected pituitary tumor.
When caring for a client with diabetes insipidus, the nurse expects to administer:
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production, the nurse should expect to administer synthetic vasopressin for hormone replacement therapy.
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 disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex?
Cushing syndrome
The actions of parathyroid hormone (PTH) are increased in the presence of which vitamin?
D
What causes most hormones to be secreted?
Decrease in hormonal levels
The nurse is reviewing the laboratory and diagnostic test findings of a client diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following would the nurse expect to find?
Decreased serum osmolarity
A diagnosis of acute adrenal insufficiency is made. What should the nurse expect to administer by I.V. infusion?
Emergency treatment for acute adrenal insufficiency (addisonian crisis) is I.V. infusion of hydrocortisone and saline solution.
Antithyroid medications are not generally recommended for elderly patients because of which of the following?
Granulocytopenia
Which of the following is indicative of a carpopedal spasm in a patient with hypoparathyroidism?
Hand flexing inward
Which of the following is a complication of hyperthyroidism?
Hypothyroidism
After undergoing a thyroidectomy, a client develops hypocalcemia and tetany. Which electrolyte should the nurse anticipate administering?
Immediate treatment for a client who develops hypocalcemia and tetany after thyroidectomy is calcium gluconate.
Which of the following would the nurse expect the physician to order for a client with hypothyroidism?
Levothyroxine sodium
Which glands regulate calcium and phosphorous metabolism?
Parathyroid
Which of the following endocrine disorder causes the patient to have dilutional hyponatremia?
Patients diagnosed with SIADH retain water and develop a subsequent sodium deficiency known as dilutional hyponatremia.
A patient visits the clinic to seek treatment for disturbed sleep cycles and depressed mood. Which glands and hormones help in regulating sleep cycles and mood?
Pineal gland: melatonin
Lydia Kranston, a 3-year-old female, is being seen by a healthcare provider in the endocrinology group where you practice nursing. She has a significant height deficit and is to be evaluated for diagnostic purposes. What could be the cause of her 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 Chvostek's sign
The nurse is administering a medication to a client with hyperthyroidism to block the production of thyroid hormone. The client is not a candidate for surgical intervention at this time. What medication should the nurse administer to the client?
Propylthiouracil (PTU)
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
Restricting fluids. To reduce water retention in a client with the SIADH, the nurse should restrict fluids
Parathyroid hormone (PTH) has which effects on the kidney?
Stimulation of calcium reabsorption and phosphate excretion
Beta-blockers are used in the treatment of hyperthyroidism to counteract which of the following effects?
Sympathetic
A nurse explains to a client with thyroid disease that the thyroid gland normally produces:
T3, thyroxine (T4), and calcitonin.
Which laboratory test results should a nurse expect to find in a client diagnosed with Hashimoto's thyroiditis?
T4, 2 ?g/dl; T3, 35 ng/dl; TSH 45 ?IU/ml Normal thyroid function tests are as follows: T4, 5 to 12 ?g/dl; T3, 65 to 195 ng/dl; TSH 0.3 to 5.4 ?IU/ml
Although not being designated as endocrine glands, several organs within the body secrete hormones as part of their normal function. Which organ secretes hormones which are involved in increasing blood pressure and volume and maturation of red blood cells?
The kidneys release renin, a hormone that initiates the production of angiotensin and aldosterone to increase blood pressure and blood volume.
When describing the difference between endocrine and exocrine glands, which of the following would the instructor include as characteristic of endocrine glands?
The secretions are released directly into the blood stream.
Which group of clients should not receive potassium iodide?
Those who are allergic to seafood
When teaching a client with Cushing's syndrome about dietary changes, the nurse should instruct the client to increase intake of:
fresh fruits
Before undergoing a subtotal thyroidectomy, a client receives potassium iodide (Lugol's solution) and propylthiouracil (PTU). The nurse should expect the client's symptoms to subside:
in 1 to 2 weeks
