prep u questions chapters 48-50
Management of hyperthyroidism would include what interventions?
-drug threat directed toward decreasing the gland's function -eradication of the gland with radioactive iodine -surgical removal of part or the entire gland
One of the earliest signs of Cushing syndrome is the loss of variable diurnal secretion of cortisol releasing hormone (CRH) and what else?
ACTH
A client is diagnosed with adrenocorticotropic hormone (ACTH) deficiency and is to begin replacement therapy. Regarding what type of replacement will the nurse educate the client?
Cortisol replacement therapy
What effect of thyroid hormone deficit alters the function of all major organs in the body?
Decreases metabolism
a 23-year-old man is admitted to the hospital. He is experiencing polyphagia, polyuria, and polydipsia. He states that the condition has come on very suddenly. This client is likely to require what treatment?
Exogenous Insulin Injections
A nurse on a medical unit is providing care for a 37-year-old female client who has a diagnosis of Graves' disease. What assessment should the nurse prioritize?
Eye health and visual acuity
a client tells the health care provider the the has been very compliant over the last 2 months in the management of his diabetes. The best diagnostic indicator that would support the client's response would be:
Glycosylated hemoglobin, hemoglobin A1C (HBA1C)
A 25-year-old female client exhibits exophthalmos of both eyes. The health care provider recognizes this as a manifestation of what disease?
Graves disease
A part of maintaining homeostasis, hormones secreted by endocrine cells are inactivated continuously to what?
Prevent accumulation
What best explains the function of hormone receptors?
Hormone receptors recognize a specific hormone and translate the signal into a cellular response.
A client with diabetes mellitus takes insulin, but still has unstable blood glucose levels. When the primary healthcare provider prescribe pramlintide (Symlin) the client asks the nurse how this second medication will help. What is an appropriate response by the nurse?
It slows gastric emptying and decreases appetite
What are the hallmark signs of diabetes mellitus?
Polyuria, polydipsia, and polyphagia
The nurse is caring for a client with a tentative diagnosis of Hashimoto thyroiditis. What test results does the nurse anticipate will be present in autoimmune thyroiditis?
Positive anti-thyroid peroxidase antibodies
A client has received an injection containing thyrotropin-releasing hormone (TRH) and is now being assessed for levels of thyroid-stimulating hormone (TSH). This client has undergone what test?
Stimulation Testing
The nurse is teaching a client with diabetes and the family about the signs and symptoms of hypoglycemia. The client asks what produces signs and symptoms of headache, disturbed behavior, coma, and seizures. What would the best response be?
The brain relies on blood glucose as its main energy source
The nurse is providing education for a client diagnosed with hypothyroidism. What information about diet should the nurse be sure to include in the information?
The client should maintain a low cholesterol diet
A client who is referred to the endocrinologists office for an valuation of his hormone levels asks what regulates the hormone levels. The best response would be that the hormone levels in the body are primarily regulated by what?
The hypothalamic-pituitary-target cell system
A patient is managing his type 2 diabetes with exercise and diet. He has a fasting blood sugar level (FBS) of 80 mg/dL and a hemoglobin A1C of 5%. Based on these findings, what can the nurse assume?
The patient is achieving normal glycemic control
The nurse is teaching a client who has been newly diagnosed with hypothyroidism about the function of the thyroid. What does the nurse explain to the client is the role of the thyroid gland?
The thyroid gland is responsible for increasing the metabolic rate
The nurse is teaching a new diabetic about fingerstick blood glucose testing. When the client obtains a pre-meal fingerstick reading of 206 mg/dL, what teaching by the nurse is most appropriate?
This is a elevated reading - let's talk about adherence to insulin and diet.
