prepu: endocrine disorders
When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect: a: bradycardia. b: a blood pressure of 176/88 mm Hg. c: a blood glucose level of 130 mg/dl. d: a blood pressure of 130/70 mm Hg.
a BP of 176/88
A nurse is reviewing the laboratory order for a client suspected of having an endocrine disorder. The lab slip includes obtaining cortisol levels. What is being tested? a: thyroid function b: parathyroid function c: adrenal function d: thymus function
adrenal function
Evaluation of an adult client reveals oversecretion of growth hormone. Which of the following would the nurse expect to find? a: Weight loss b: Bulging forehead c: Excessive urine output d: Constant thirst
bulging of forehead
Surgical removal of the thyroid gland is the treatment of choice for thyroid cancer. During the immediate postoperative period, the nurse knows to evaluate serum levels of __________ to assess for a serious and primary postoperative complication of thyroidectomy. a: Sodium b: Potassium c: Magnesium d: Calcium
calcium
What interventions can the nurse encourage the client with diabetes insipidus to do in order to control thirst and compensate for urine loss? a: Weigh daily. b: Come to the clinic for IV fluid therapy daily. c: Limit the fluid intake at night. d: Consume adequate amounts of fluid.
consume adequate amounts of fluid
The primary function of the thyroid gland includes which of the following? a: Control of cellular metabolic activity b: Reduction of plasma level of calcium c: Facilitation of milk ejection d: Reabsorption of water
control of cellular metabolic activity
When teaching a client with Cushing's syndrome about dietary changes, the nurse should instruct the client to increase intake of: a: fresh fruits. b: processed meats. c: cereals and grains. d: dairy products.
fresh fruits
A client is having chronic pain from arthritis. What type of hormone is released in response to the stress of this pain that suppresses inflammation and helps the body withstand stress? a: Glucocorticoids b: Testosterone c: Estrogen d: Mineralocorticoids
glucocorticoids
A nurse is caring for a client with hypoparathyroidism. During assessment, the nurse elicits a positive Trousseau's sign. What does the nurse observe to verify this finding? a: bulging forehead b: moon face and buffalo hump c: cardiac dysrhythmia d: hand flexing inward
hand flexing inward
Which feature(s) indicates a carpopedal spasm in a client with hypoparathyroidism? a: Moon face and buffalo hump b: Hand flexing inward c: Cardiac dysrhythmia d: Bulging forehead
hand flexing inward
A nurse is teaching a client with adrenal insufficiency about corticosteroids. Which statement by the client indicates a need for additional teaching? a: "I will see my ophthalmologist regularly for a check-up." b: "I will eat lots of chicken and dairy products." c: "I may stop taking this medication when I feel better." d: "I will avoid friends and family members who are sick."
i may stop taking this medication when I feel better
Hypocalcemia is associated with which of the following manifestations? a: Fatigue b: Bowel hypomotility c: Polyuria d: Muscle twitching
muscle twitching
Cardiac effects of hyperthyroidism include a: decreased systolic blood pressure. b: decreased pulse pressure. c: bradycardia. d: palpitations.
palpitations
A client has a dysfunction in one of his glands that is causing a decrease in the level of calcium in the blood. What gland should be evaluated for dysfunction? a: Adrenal gland b: Thymus gland c: Thyroid gland d: Parathyroid gland
parathyroid gland
Which of the following glands is considered the master gland? a: Parathyroid b: Thyroid c: Adrenal d: Pituitary
pituitary
Nursing care for a client in addisonian crisis should include which intervention? a: Offering extra blankets and raising the heat in the room to keep the client warm b: Allowing ambulation as tolerated c: Encouraging independence with activities of daily living (ADLs) d: Placing the client in a private room
placing the client in a private room
The nurse assesses a patient who has been diagnosed with Addison's disease. Which of the following is a diagnostic sign of this disease? a: Glucose of 100 mg/dL b: Potassium of 6.0 mEq/L c: A blood pressure reading of 135/90 mm Hg d: Sodium of 140 mEq/L
potassium of 6.0
A nurse explains to a client with thyroid disease that the thyroid gland normally produces: a: thyrotropin-releasing hormone (TRH) and TSH. b: T3, thyroxine (T4), and calcitonin. c: TSH, triiodothyronine (T3), and calcitonin. d: iodine and thyroid-stimulating hormone (TSH).
t3, thyroxine (t4) and calcitonin
A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and: a: iron. b: vitamin D. c: folic acid. d: potassium.
vitamin d
During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement? a: "You won't be able to swallow for the first day or two." b: "The head of your bed must remain flat for 24 hours after surgery." c: "You must avoid hyperextending your neck after surgery." d: "You should avoid deep breathing and coughing after surgery."
you must avoid hyperextending your neck after surgery
