HCR240: Mod 9 exam

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A nurse is teaching about the pathophysiology of syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Which information should the nurse include? SIADH results in excessive:

renal retention of water without sodium retention

A patient is experiencing neurological symptoms of SIADH. Based upon these symptoms the nurse expects to find which of the following lab results?

Decreased serum sodium concentrations

Which of the following will the nurse implement to treat a patient with syndrome of inappropriate antidiuretic hormone (SIADH) secretion?

Fluid restriction

A patient has damage to the posterior pituitary caused by a tumor. Which type of diabetes insipidus (DI) should the nurse monitor for in this patient?

Neurogenic

Which assessment finding by the nurse is a classic symptom of diabetes insipidus (DI)?

Low urine osmolarity

When evaluating the kidney function of a patient with diabetes insipidus (DI), the nurse would observe:

high volume urine output.

In adults, a nurse must monitor for the most serious consequence of panhypopituitarism which is the loss of:

adrenocorticotropic hormone (ACTH)

When a nurse is asked what causes acromegaly, how should the nurse respond? Acromegaly is caused by increased secretion of:

growth hormone.

A female patient has prolactinomas (pituitary tumors that secrete prolactin). During the assessment which finding should the nurse expect?

Breast milk production without pregnancy

A clinician would suspect thyrotoxicosis if a patient presented with which of the following symptoms?

Weight loss and enlarged thyroid gland

A nurse is discussing the pathophysiology of Graves disease. Which information should the nurse include? Graves disease is characterized by:

excessive production of circulating thyroid-stimulating immunoglobulin.

Which statement indicates the nurse has a good understanding of Graves disease? Graves disease is an example of a:

type II hypersensitivity.

A patient has Graves disease, and the nurse notices protrusion of the eyeball globe/orbit. What term should the nurse use to describe this finding?

Exophthalmos

A patient with Graves disease has subcutaneous swelling of the anterior leg. Which term should the nurse document on the chart?

Pretibial myxedema

A nurse is checking the level of thyroid-stimulating hormone (TSH) in a patient with Graves disease. What will the lab report reveal? TSH is:

low

A patient is experiencing a thyroid storm. Which assessment findings will the nurse observe?

Fever and tachycardia leading to high-output heart failure.

An endocrinologist orders a series of lab tests to assess thyroid function. If the patient has low levels of thyroid hormone (T3 and T4) and high levels of thyroid-stimulating hormone (TSH), which condition will the endocrinologist suspect?

Primary hypothyroidism.

Parents ask the nurse why their infant should be treated for congenital hypothyroidism. What is the nurses best response? If left untreated, congenital hypothyroidism results in:

mental retardation and stunted growth.

Which of the following assessment signs and symptoms will the nurse find in a patient with hypothyroidism?

Lethargy

A nurse is asked what is the most common cause of primary hypothyroidism in adults. How should the nurse respond? The most common cause is:

autoimmune thyroiditis.

While reading a patients history, the nurse discovers the patient had exposure to ionizing radiation to the head and neck. Which disease should the nurse assess for in this patient?

Thyroid cancer

A nurse is asked what causes myxedema coma. How should the nurse respond? Causes of myxedema coma include

untreated hypothyroidism

A patient has thyroid carcinoma. Which of the following will the nurse find upon assessment?

Small thyroid nodule

A patient has chronic hyperparathyroidism. Which complication should the nurse monitor for in the patient?

Renal calculi (stones)

Which of the following patients is most prone to secondary hyperparathyroidism? A patient with:

chronic renal failure

Which statement by the patient indicates teaching was successful regarding hypoparathyroidism? The most common cause of hypoparathyroidism is:

parathyroid gland injury or removal.

Which complication will cause the most concern for a nurse who is caring for a patient with untreated hypoparathyroidism?

Tetany

A nurse is discussing the pathophysiology of type 1 diabetes. Which information should the nurse include? The pathophysiology of type 1 diabetes mellitus (DM) involves:

autoimmune destruction of pancreatic beta cells.

Which of the following is one method a clinician can use to diagnosis a patient with type 1 diabetes

Fasting plasma glucose levels

A nurse is describing the pathophysiology of type 2 diabetes mellitus (DM). Which information should the nurse include? The basic pathophysiologic mechanism of type 2 diabetes is:

insulin resistance

Which of the following signs and symptoms can help the nurse distinguish between type 1 and type 2 diabetes mellitus (DM)? A patient with type 1 diabetes will have:

weight loss

Which of the following signs and symptoms will cause the nurse to suspect that a patient with type 1 diabetes has received too much insulin?

Dizziness and confusion

A nurse observes the diagnosis of gestational diabetes documented on the chart. Based upon the diagnosis, which of the following patients is receiving care from the nurse?

Pregnant woman

A nurse is reviewing the lab results for glycosylated hemoglobin levels in a patient with diabetes. The nurse is monitoring for:

long-term serum glucose control.

A patient with type 1 diabetes asks the nurse what causes polyuria. What is the nurses best response? The symptom of polyuria in diabetes mellitus (DM) is caused by:

increased glucose in the urine.

If a patient with diabetes has advanced glycosylation end products (AGEs), what does the nurse suspect is happening in the patient's body?

Tissue/cellular injury

A patient with type 1 diabetes develops acute metabolic acidosis from insulin deficiency. Which of the following processes does the nurse suspect is causing the metabolic acidosis?

Fatty acid metabolism with ketone production

Which of the following statements indicates the nurse needs more teaching? Hyperglycemia can lead to chronic complications of diabetes through:

suppression of oxidative stress.

Which statement indicates a patient needs more teaching regarding chronic complications of diabetes mellitus (DM)? A chronic complication of DM is:

chronic obstructive disease.

A nurse is asked what causes Cushing disease. How should the nurse respond? Cushing disease is commonly caused by:

ectopic production of ACTH from a lung tumor.

Which of the following alterations would the nurse expect to find in a patient with untreated Cushing disease or syndrome

Truncal obesity

Which of the following problems should the nurse monitor for in a patient with primary hyperaldosteronism

Hypertension

A nurse is checking the lab results for a patient with Addison disease. Which result will the nurse expect to find?

Low serum cortisol levels

Which patient is most prone to development of Addison disease? A patient with:

autoimmune injury to the adrenal cortex.

A patient with pheochromocytoma eats a meal with food containing tyrosine. What should the nurse monitor for in this patient?

Hypertension

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