medsurg chap 47

A 29-year-old patient in the outpatient clinic will be scheduled for blood cortisol testing. Which instruction will the nurse provide?

Come to the laboratory to have the blood drawn early in the morning.

Which question will provide the most useful information to a nurse who is interviewing a patient about a possible thyroid disorder?

Have you had a recent unplanned weight gain or loss?

Which statement by a 50-year-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?

I feel a lump in my throat when I swallow.

which laboratory value should the nurse review to determine whether a patients hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?

Thyroid-stimulating hormone (TSH) level

The nurse will teach a patient to plan to minimize physical and emotional stress while the patient is undergoing

a 24-hour urine test for free cortisol

a 35-year-old female patient with a possible pituitary adenoma is scheduled for a computed tomography scan with contrast media. which patient information is most important for the nurse to communicate to the health care provider before the test?

allergies to iodine and shellfish

A 30-year-old patient seen in the emergency department for severe headache and acute confusion is found to have a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?

antidiuretic hormone level

During the physical examination of a 36-year-old female, the nurse finds that the patient's thyroid gland cannot be palpated. The most appropriate action by the nurse is to

document that the thyroid was nonpalpable

A 60-year-old patient is taking spironolactone, a drug that blocks the action of aldosterone on the kidney, for hypertension. The nurse will monitor for

elevated serum potassium

The nurse reviews a patients glycosylated hemoglobin (Hb A1C) results to evaluate

glucose control over the past 90 days

the nurse is caring for a 63-year old with a possible pituitary hormone who is scheduled for a computed tomography scan with contrast. which information about the patient is most important to discuss with the health care provider before the test?

history of renal insufficiency

A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would expect the laboratory results to show

increased urinary cortisol

a 44-year-old patient is admitted with tetany. which laboratory value should the nurse monitor?

ionized calcium

A nurse will teach a patient who is scheduled to complete a 24-hour urine collection for 17-ketosteroids to

keep the specimen refrigerated or on ice

a 61-year-old female patient admitted with pneumonia has a total serum calcium level of 13.3. The nurse will anticipate the need to teach the patient about testing for ____ levels.

parathyroid hormone

which action by a new registered nurse caring for a patient with a goiter and possible hyperthyroidism indicates that the charge nurse needs to do more teaching?

the RN palpates the neck thoroughly to check thyroid size

which information about a 30-year-old patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?

the patient takes oral corticosteroids for rheumatoid arthritis

Which additional information will the nurse need to consider when reviewing the laboratory results for a patients total calcium level

the serum albumin level is low

an 18-year-old male patient with a small stature is scheduled for growth hormone stimulation test. in preparation for the test, the nurse will obtain

50% dextrose solution (the test induce hypoglycemia)

the nurse is caring for a 45-year-old male patient during a water deprivation test. which finding is most important for the nurse to communicated to the health care provider?

the patient has a 5-lb weight loss

a 40-year-old male patient has been newly diagnosed with type 2 DM. Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease?

value system

which statement will the nurse include when teaching a patient who is scheduled for oral glucose tolerance testing in the outpatient clinic?

you will need to avoid smoking before the test several blood samples will be obtained during the testing the test requires that you fast for at least 8 hours before testing