abrams endocrine prepu post week 5
After undergoing a thyroidectomy, a client develops hypocalcemia and tetany. Which electrolyte should the nurse anticipate administering?
Calcium gluconate
A middle-aged female client complains of anxiety, insomnia, weight loss, the inability to concentrate, and eyes feeling "gritty." Thyroid function tests reveal the following: thyroid-stimulating hormone (TSH) 0.02 U/ml, thyroxine 20 g/dl, and triiodothyronine 253 ng/dl. A 6-hour radioactive iodine uptake test showed a diffuse uptake of 85%. Based on these assessment findings, the nurse should suspect:
Graves
A nurse is caring for a client who was recently diagnosed with hyperparathyroidism. Which statement by the client indicates the need for additional discharge teaching?
I will increase my fluid and calcium intake
A nurse teaches a client with newly diagnosed hypothyroidism about the need for thyroid hormone replacement therapy to restore normal thyroid function. Which thyroid preparation is the agent of choice for thyroid hormone replacement therapy?
Synthroid-levothyroxine
Which intervention is the most critical for a client with myxedema coma?
airway---duh
Anna Brikenwald, a 77-year-old retired chef, is a resident in the long-term care facility where you practice nursing. While she has had a 20-year-history of hypothyroidism, she has progressed into a myxedemic coma and has been admitted to the hospital. What signs and symptoms would have appeared to indicate her worsening condition?
all are correct
A nurse should perform which intervention for a client with Cushing's syndrome?
changes are due to excess corticsteriods
What should the nurse suspect when hourly assessment of urine output on a postcraniotomy patient exhibits a urine output from a catheter of 1,500 mL for 2 consecutive hours?
diabeties inspipidus
Which of the following nursing action would the nurse include when caring for a client with endemic goiter and experiencing respiratory symptoms?
elevate head of bed
A 42-year-old man with a history of pheochromocytoma is being treated in the intensive care unit after experiencing an acute exacerbation of his condition. This patient will require the nurse to perform which of the following assessments most frequently?
heart rate and BP
Which suggestion would the nurse include for a client who has had a thyroidectomy to reduce tension on the suture line?
hold the head with both hands when arsing from sitting to standing
he nurse assesses a patient who has been diagnosed with Addison's disease. Which of the following is a diagnostic sign of this disease?
hyperkalemia
A 24-year-old male patient is being cared for in the intensive care unit following a motorcycle accident. In addition to musculoskeletal injuries, he has developed syndrome of inappropriate antidiuretic hormone (SIADH) from the traumatic head injury. Which of the following imbalances is consistent with this diagnosis?
hyponatremia
A patient is prescribed corticosteroid therapy. What would be important information for the nurse to give the patient who is prescribed corticosteroid therapy?
increased risk of infection
A client is receiving long-term treatment with high-dose corticosteroids. Which of the following would the nurse expect the client to exhibit?
mood face
A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
restrict fluids
A client with Addison's disease comes to the clinic for a follow-up visit. When assessing this client, the nurse should stay alert for signs and symptoms of:
sodium and potassium abnormalities
The nurse is caring for a patient with hyperthyroidism who suddenly develops symptoms related to thyroid storm. What symptoms does the nurse recognize that are indicative of this emergency?
temp of 102
Early this morning, a client had a subtotal thyroidectomy. During evening rounds, the nurse 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?
thyroid crisis
A client is returned to his room after a subtotal thyroidectomy. Which piece of equipment is most important for the nurse to keep at the client's bedside?
tracheostomy set
When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect:
BP of 176/88 (increase BP
A patient has been taking oral corticosteroids for several weeks to a treat a chronic inflammatory skin condition. When performing health education with this patient, the nurse should emphasize the need to:
Do not abruptly stop medication
A patient has returned to the floor after having a thyroidectomy for thyroid cancer. The nurse knows that sometimes during thyroid surgery the parathyroid glands can be injured or removed. What laboratory finding may be an early indication of parathyroid gland injury or removal?
hypocalcemia
A nurse is teaching a client with adrenal insufficiency about corticosteroids. Which statement by the client indicates a need for additional teaching?
i will stop taking when I feel better
The home care nurse is conducting patient teaching with a patient beginning corticosteroid therapy. To achieve consistency with the body's natural secretion of cortisol, when would the home care nurse instruct the patient to take her corticosteroid medication?
in the early morning between 7 and 8 am
