Pathopharm II Endocrine Review

Propylthiouracil and potassium iodide are prescribed for the client with hyperthyroidism. Which statement would the nurse include in the client's plan of care? Administer propylthiouracil and potassium iodide on an empty stomach. Assess the client for signs of infection and bleeding every shift. Stop the medications 2 weeks before thyroid surgery. Discontinue the medications if the heart rate is maintained within the expected range for 48 hours.

Assess the client for signs of infection and bleeding every shift.

The nurse administers desmopressin acetate (DDAVP) to a client with diabetes insipidus. Which would the nurse monitor to evaluate the effectiveness of the medication?

Intake and output

The health care provider prescribes propylthiouracil (PTU) for a client with hyperthyroidism. Which action of PTU will the nurse include in teaching?

Interferes with the synthesis of thyroid hormone

Which hormones are secreted by the posterior pituitary gland? Select all that apply. One, some, or all responses may be correct.

Oxytocin Antidiuretic hormone

Which medication is derived from a natural source and may be prescribed for the treatment of osteoporosis?

Calcitonin

A client with hyperthyroidism is to receive methimazole. Which information would the nurse provide?

Initial improvement will take several weeks.

Which clinical manifestation would be expected in a client with hyposecretion of growth hormone?

Reduced bone density

After teaching a client about the use of calcitonin (nasal route) as treatment for osteoporosis, which client statement indicates effective learning?

"I should not spray the medication into the same nostril on 2 consecutive days."

Levothyroxine 0.125 mg by mouth is prescribed for a client with hypothyroidism. The only tablets available contain 25 mcg (25 µg) per tablet. How many tablets will the nurse administer? Record your answer using a whole number.

5

Which action by the nurse while administering human growth hormone ensures effective therapy?

Administration at nighttime

Assessment findings of a client include fatigue, hair loss, weight gain, and diagnostic tests indicating anemia. The nurse anticipates a prescription for which therapy?

Levothyroxine

A client with hyperthyroidism has been treated with radioactive iodine ( 131I) to destroy overactive thyroid gland cells. To reduce radiation exposure, which would the nurse consider when providing care?

Limiting time with and increasing distance from the client

Which hormone promotes bone resorption in a client and potentially leads to decreased bone densities?

Parathyroid hormone (PTH)

Which interventions would the nurse implement in caring for a client with diabetes insipidus (DI) after a head injury? Select all that apply. One, some, or all responses may be correct.

Provide adequate fluids within easy reach. Assess for and report changes in neurological status. Monitor for constipation, weight loss, hypotension, and tachycardia.

A primary health care provider prescribes propylthiouracil (PTU) for a client with hyperthyroidism. Two months after being started on the medication, the client calls the nurse and complains of feeling tired and looking pale. Which action would the nurse take for this client?

Schedule the client for an appointment.

The nurse is educating a client with hypothyroidism about the use of levothyroxine. Which information would the nurse provide? Select all that apply. One, some, or all responses may be correct. Take dose same time each day. Refrain from switching brands. Have regular bloodwork drawn. Hold medication for pulse >60 beats per minute. Report weight loss more than 3 pounds.

Take dose same time each day. Refrain from switching brands. Have regular bloodwork drawn.

Which finding in a client with hypothyroidism and hypertension who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid function panel? Select all that apply. One, some, or all responses may be correct.

Tremors Diaphoresis Nervousness Temperature 101°F Heart rate 116 beats/min

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? Select all that apply. One, some, or all responses may be correct.

Tremors Heat intolerance

The nurse is admitting a client with severe myxedema coma. Which interventions would the nurse include in the plan of care? Select all that apply. One, some, or all responses may be correct. Administer intravenous (IV) levothyroxine. Avoid use of corticosteroids. Give IV normal saline. Wait for laboratory results before treating. Monitor blood pressure every 4 hours.

Administer intravenous (IV) levothyroxine. Give IV normal saline.

The nurse is caring for a client who is prescribed desmopressin acetate. Which is the expected outcome in the client?

Urine output: 3 L/day

The primary health care provider prescribed medications to four clients with osteoporosis. Which client would the nurse instruct to remain upright for 30 minutes after receiving the medication?

Client A - Alendronate

The nurse is caring for a client who is diagnosed with diabetes insipidus and is on intranasal desmopressin acetate (DDAVP). The client develops an upper respiratory tract infection during a hospital stay. Which alteration would the nurse anticipate in the client's prescription?

Reduced DDAVP dose via subcutaneous route

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

Growth hormone

Which action by a client taking alendronate requires correction? Select all that apply. One, some, or all responses may be correct. Taking medication twice a week Taking medication before rising Taking medication with breakfast Taking medication before bedtime Taking medication with apple juice

Taking medication twice a week Taking medication before rising Taking medication with breakfast Taking medication before bedtime Taking medication with apple juice

While assessing a postpartum client who is suspected of having a thyroid disorder, the nurse suspects that the client has autoimmune thyroiditis. Which diagnostic studies are most suitable for confirming this diagnosis?

Radioactive iodine uptake