Endocrine Menti Practice

The nurse is caring for a client with suspected Cushing's syndrome. Which assessment finding would NOT support this diagnosis? A) Weight loss B) Muscle wasting C) Hyperglycemia D) Immunosuppression

*A) Weight loss*

A nurse in a clinic is reviewing the lab values of a client who has primary hypothyroidism. The nurse anticipates an elevation in which lab value? A. Thyroid stimulating hormone (TSH) B. Free T4 C. Serum T4 D. Serum T3

*A.Thyroid stimulating hormone (TSH)*

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take? A. Place the child on a low-sodium diet. B. Monitor the child for fluid volume excess. C. Discuss the manifestations of hyperglycemia with the parents. D. Teach the parents about corticosteroid replacement therapy.

*D. Teach the parents about corticosteroid replacement therapy*. Not: - A: The nurse should ensure the child consumes salt liberally because Addison's disease causes sodium levels to decrease due to decreased aldosterone production. - B: The nurse should monitor the child for fluid volume deficit due to the reduction or absence of cortisol and aldosterone. - C: The nurse should discuss the manifestations of hypoglycemia with the child's parents because Addison's disease causes blood glucose levels to decrease as cortisol is no longer available to regulate it.

When administering prednisone to a client, which adverse effects does the nurse assess for? Select all that apply. A) Impaired wound healing B) GI bleeding C) Immunosuppression D) Weight loss E) Hypoglycemia

*A, B, C* - B: r/t peptic ulcer Not: - D: Weight loss (would see weight gain and increased appetite) - E: Hypoglycemia (would see hyperglycemia)

The nurse administers somatropin to a child with growth failure. Which education will the nurse provide? Select all that apply. A) You will need to get blood drawn regularly B) Make sure to follow directions for giving the nasal spray C) You should make sure to eat plenty of healthy foods as your body grows D) You will need to get xrays regularly E) Let us know if you have swelling in your joints

*A, C, D, E* - A: You will need to get blood drawn regularly (thyroid, glucose, GH antibodies) - C: You should make sure to eat plenty of healthy foods as your body grows (will have increased nutrition needs) - D: You will need to get xrays regularly (check for closure of growth plates=time to stop) - E: Let us know if you have swelling in your joints (=autoimmune-like reaction) NOT B Rationale: It is an injection

The nurse has admitted a child with hyperthyroidism to the endocrine unit. What medication would the nurse anticipate being prescribed? A) propylthiouracil (PTU) B) methimazole C) strong iodine products D) levothyroxine

*B) methimazole* (It is a thiomide)

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A. Bounding peripheral pulses B. Low urine specific gravity C. Bradycardia D. Moist mucous membranes

*B. Low urine specific gravity* Rationale: lack of ADH=diuresis Not: - A: Bounding peripheral pulses (would be weak pulses r/t dehydration) - C: Bradycardia (would be tachycardic r/t dehydration) - D: Moist mucous membranes (would be dry r/t dehydration

The nurse administers levothyroxine to a client with primary hypothyroidism. Which finding indicates that this medication is effective? A) Increased TSH B) Decreased TSH C) Weight gain D) Heat intolerance

*B: Decreased TSH* Not: - A: Increased TSH (would indicate continued low T3 levels) - C: Weight gain (this is a sign of untreated hypothyroidism) - D: Heat intolerance (this would indicate hyperthyroidism or too high a dose of levothyroxine)

Which of the following findings is a manifestation of levothyroxine overdose? A.Constipation B.Drowsiness C.Insomnia D. Hypoactive deep-tendon reflexes

*C.Insomnia*