Chapter 61: Assessment of the Endocrine System

A nurse assesses a female client who presents with hirsutism. Which question should the nurse ask when assessing this client?

"How do you feel about yourself?"

A nurse teaches an older adult with a decreased production of estrogen. Which statement should the nurse include in this client's teaching to decrease injury?

"Walk around the neighborhood for daily exercise."

A nurse prepares to palpate a client's thyroid gland. Which action should the nurse take when performing this assessment?

Place the client in a sitting position with the chin tucked down.

A nurse teaches a client who has been prescribed a 24-hour urine collection to measure excreted hormones. The client asks, "Why do I need to collect urine for 24 hours instead of providing a random specimen?" How should the nurse respond?

"This test will assess for a hormone secreted on a circadian rhythm."

A nurse assesses clients who have endocrine disorders. Which assessment findings are paired correctly with the endocrine disorder? (Select all that apply.)

-Excessive thyroid-stimulating hormone - Increased bone formation -Excessive melanocyte-stimulating hormone - Darkening of the skin

A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?

Calcium

A nurse cares for a client with a deficiency of aldosterone. Which assessment finding should the nurse correlate with this deficiency?

Increased urine output

A nurse cares for a client who is prescribed a serum catecholamine test. Which action should the nurse take when obtaining the sample?

Place the sample on ice and send to the laboratory immediately.

1. A nurse cares for a client who is prescribed a drug that blocks a hormone's receptor site. Which therapeutic effect should the nurse expect?

Decreased hormone activity

A nurse assesses a client who is prescribed a medication that stimulates beta1 receptors. Which assessment finding should alert the nurse to urgently contact the health care provider?

Heart rate of 50 beats/min

A nurse cares for clients with hormone disorders. Which are common key features of hormones? (Select all that apply.)

-Hormones may travel long distances to get to their target tissues. -Continued hormone activity requires continued production and secretion. -Control of hormone activity is caused by negative feedback mechanisms.

A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones should the nurse expect to be affected by this condition? (Select all that apply.)

-Thyroid-stimulating hormone -Follicle-stimulating hormone -Growth hormone

A nurse evaluates laboratory results for a male client who reports fluid secretion from his breasts. Which hormone value should the nurse assess first?

Anterior pituitary hormones

A nurse assesses a client diagnosed with adrenal hypofunction. Which client statement should the nurse correlate with this diagnosis?

"I have a terrible craving for potato chips."

A nurse cares for a client who is prescribed a 24-hour urine collection. The unlicensed assistive personnel (UAP) reports that, while pouring urine into the collection container, some urine splashed his hand. Which action should the nurse take next?

Ask the UAP if he washed his hands afterward.

A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The client has no known drug allergies and no significant health history. Which action should the nurse include in this client's plan of care?

Offer fluids every hour or two.

A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement should the nurse include when delegating this activity to the UAP?

"Note the time of the client's first void and collect urine for 24 hours."

A nurse cares for a client who has excessive catecholamine release. Which assessment finding should the nurse correlate with this condition?

Increased pulse