310 Elsevier Adaptive Quizzing Endocrine Alterations

Which gland is affected in aldosteronoma?

Adrenal cortex

Which hormone binds to the receptor site on the surface of a target cell?

Adrenaline

While obtaining the client's health history, which factor would the nurse identify that predisposes the client to type 2 diabetes? Having diabetes insipidus Eating low-cholesterol foods Being 20 pounds (9 kg) overweight Drinking a daily alcoholic beverage

Being 20 pounds (9 kg) overweight

Which catecholamine receptor is responsible for increased heart rate?

Beta-1 receptor

Why is blood glucose self-monitoring preferred over urine glucose testing?

Blood glucose monitoring is more accurate

Which skin condition would the nurse expect when performing a physical assessment on a client with a history of hypothyroidism?

Dry

A client newly diagnosed with type 1 diabetes asks why it is necessary to exercise on a regular basis. Which response is accurate?

Exercise improves the cellular uptake of glucose

Which symptom would the nurse identify when assessing a client with Graves disease? Exophthalmos Lethargy Constipation Weight gain

Exophthalmos

During a home visit to a client, the nurse identifies tremors of the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Which additional assessment would the nurse report immediately to the health care provider?

Fluttering in the chest

A client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complication?

Frequent yeast infections

Which intervention would the nurse implement for a client who has type 1 diabetes and has an elevated blood glucose?

Give supplemental doses of regular insulin

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

Growth hormone

The nurse is reviewing the medical records of several clients. Which client has a condition that is an autoimmune disorder? Addison disease Cushing syndrome Hashimoto disease Sheehan syndrome

Hashimoto disease

Which classic sign will a nurse find in a client with Addison disease?

Hyperpigmentation

Why is 15 g of a simple sugar administered when a client with diabetes experiences hypoglycemia?

Increases blood glucose levels

Which is the target tissue for the parathyroid hormone?

Intestines

The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe?

Isophane insulin neutral protamine hagedorn (NPH)

Which assessment finding in a client signifies a mild form of hypocalcemia? Severe muscle cramps Numbness around the mouth Hand spasms Seizures

Numbness around the mouth

Which infection control measures would the nurse provide a client regarding blood glucose monitoring? Select all that apply. One, some, or all responses may be correct.

Perform hand washing Clean site before fingerstick

Which is a secondary cause of adrenal insufficiency?

Pituitary tumors

Which hormone has both inhibiting and releasing action? Prolactin Somatotropin Somatostatin Gonadotropin

Prolactin

Which hormones are most commonly produced in excess with hyperpituitarism? Select all that apply. One, some, or all responses may be correct.

Prolactin, Growth Hormone

Which hormone is released from the pancreas? Oxytocin Prolactin Somatostatin Calcitonin

Somatostatin

Which action would be appropriate to implement when collecting a 24-hour urine test?

Start the time of the test after discarding the first voiding

To ensure a quality specimen and an accurate test result, which instruction would the nurse give a client who is scheduled to undergo urine endocrine testing?

Store the urine specimen in a cooler with ice

A nurse educator instructs a new nurse during orientation about the physiological processes of the endocrine system. Which statement made by the new nurse indicates effective learning?

The hormones of the endocrine system exert their action by 'lock and key' mechanism

Which neurological manifestation is associated with hyperthyroidism? Tremors Confusion Hearing loss Slowness of speech

Tremors

When teaching a client with type 2 diabetes, which statement by the nurse reflects accurate information about preparing for a serum glucose test?

"Do not ingest anything before the test."

In which order do the events of the positive feedback mechanism of estradiol chronologically occur?

1. Estradiol levels are increased during the menstrual cycle. 2. Follicle-stimulating hormone (FSH) production and release is increased 3. Estradiol levels are increased as a result of follicle-stimulating hormone 4. Death of follicle has occurred 5. Follicle-stimulating hormone levels in serum drop

The nurse administers vasopressin to a client and recalls that the medication is which type of hormone?

Antidiuretic hormone

Which medication can cause diabetes insipidus?

Demeclocycline

Which instruction would the nurse provide to a 6' 0", 160-pound client newly diagnosed with type 1 diabetes who wants to self-administer injections with an insulin pen? Select all that apply. One, some, or all responses may be correct.

Prime the needle with two units Use a 29-gauge insulin needle Give the injection at 45-degree angle Refrain from recapping the needle Dial the pen to deliver the unit dose

Which clinical manifestation would be expected in a client with hyposecretion of growth hormone? Lethargy Weight gain Decreased libido Reduced bone density

Reduced bone density

Before having surgery, a client with type 1 diabetes insulin requirements are elevated but well controlled. Which insulin requirements would the nurse anticipate for this client postoperatively? Increase sharply Remain elevated Fluctuate Decrease

Remain elevated

Which gland is an exocrine gland? Thyroid gland Salivary gland Pituitary gland Parathyroid gland

Salivary gland

Which client response is most important for the nurse in the postanesthesia care unit to monitor when caring for a client who had a thyroidectomy? Urinary retention Signs of restlessness Decreased blood pressure Signs of respiratory obstruction

Signs of respiratory obstruction

Which hormonal deficiency causes diabetes insipidus in a client?

Antidiuretic hormone (ADH)

Which term would the nurse use in a report to describe the absence of menstrual periods in a 35-year-old nonpregnant client?

Amenorrhea

Which exogenous conditions are responsible for increased cortisol secretion? Select all that apply. One, some, or all responses may be correct. Organ transplantation Carcinomas of the lung Cancer chemotherapy Adrenal adenomas Asthma

Asthma, Cancer chemotherapy, Organ transplantation

Which nursing intervention is appropriate during the first 24 hours after a thyroidectomy when the nurse is concerned about thyroid storm?

Check vital signs every 2 hours after they stabilize

A client presents with chief complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, there is truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. The symptoms described are suggestive of which disease?

Cushing disease

Which clinical manifestation is seen in a male client as a result of deficiency of gonadotropin?

Decreased fertility

Which physical symptoms would a client diagnosed with Cushing syndrome exhibit?

Hypertension and moon face

The nurse is performing an assessment and notes that the client has exophthalmos and complains of double vision. These assessment findings are consistent with which condition?

Hyperthyroidism

Which clinical manifestation occurs in a client with vasopressin deficiency?

Hypotension