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Endocrine CH 52!!!!!!!!!!!!!!!!!!

Terms in this set (40)

A patient with hypofunction of the adrenal cortex has been admitted to the medical unit. What would the nurse most likely find when assessing this patient?
A) Increased body temperature
B) Jaundice
C) Copious urine output
D) Decreased BP
D) Decreased BP
The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimoto's thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?
A) Fatigue
B) Bulging eyes
C) Palpitations
D) Flushed skin
A) Fatigue
A patient has been admitted to the post-surgical unit following a thyroidectomy. To promote comfort and safety, how should the nurse best position the patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the head
C) Semi-Fowler's with the head supported on two pillows
D) Supine, with a small roll supporting the neck
C) Semi-Fowler's with the head supported on two pillows
A patient with thyroid cancer has undergone surgery and a significant amount of parathyroid tissue has been removed. The nurse caring for the patient should prioritize what question when addressing potential complications?
A) "Do you feel any muscle twitches or spasms?"
B) "Do you feel flushed or sweaty?"
C) "Are you experiencing any dizziness or lightheadedness?"
D) "Are you having any pain that seems to be radiating from your bones?"
A) "Do you feel any muscle twitches or spasms?"
The nurse is caring for a patient with a diagnosis of Addison's disease. What sign or symptom is most closely associated with this health problem?
A) Truncal obesity
B) Hypertension
C) Muscle weakness
D) Moon face
C) Muscle weakness
The nurse is caring for a patient with Addison's disease who is scheduled for discharge. When teaching the patient about hormone replacement therapy, the nurse should address what topic?
A) The possibility of precipitous weight gain
B) The need for lifelong steroid replacement
C) The need to match the daily steroid dose to immediate symptoms
D) The importance of monitoring liver function
B) The need for lifelong steroid replacement
The nurse is teaching a patient that the body needs iodine for the thyroid to function. What food would be the best source of iodine for the body?
A) Eggs
B) Shellfish
C) Table salt
D) Red meat
C) Table salt
A patient is prescribed corticosteriod therapy. What would be priority information for the nurse to give the patient who is prescribed long-term corticosteroid therapy?
A) The patient's diet should be low protein with ample fat.
B) The patient may experience short-term changes in cognition.
C) The patient is at an increased risk for developing infection.
D) The patient is at a decreased risk for development of thrombophelbitis and thromboembolism.
C) The patient is at an increased risk for developing infection.
A nurse caring for a patient with diabetes insipidus is reviewing laboratory results. What is an expected uninalysis finding?
A) Glucose in the urine
B) Albumin in the urine
C) Highly dilute urine
D) Leukocytes in the urine
C) Highly dilute urine
The nurse caring for a patient with Cushing's syndrome is describing the dexamethasone suppression test scheduled for tomorrow. What does the nurse explain that this test will involve?
A) Administration of dexamethasone orally, followed by a plasma cortisol level every hour for 3 hours
B) Administration of dexamethasone IV, followed by an x-ray of the adrenal glands
C) Administration of dexamethasone orally at 11PM, and a plasma cortisol level at 8AM the next morning
D) Administration of dexamethasone intravenously, followed by a plasma cortisol level 3 hours after the drug is administered
C) Administration of dexamethasone orally at 11PM, and a plasma cortisol level at 8AM the next morning
You are developing a care plan for a patient with Cushing's syndrome. What nursing diagnosis would have the highest priority in this care plan?
A) Risk for injury r/t weakness
B) Ineffective breathing pattern r/t muscle weakneess
C) Risk for loneliness r/t disturbed body image
D) Autonomic dysreflexia r/t neurologic changes
A) Risk for injury r/t weakness
The nurse is performing a shift assessment of a patient with aldosteronism. What assessments should the nurse include? Select all that apply.
A) Urine output
B) Signs or symptoms of venous thromoembolism
C) Peripheral pulses
D) Blood pressure
E) Skin integrity
A) Urine output
D) Blood pressure
The home care nurse is conducting patient teaching with a patient on corticosteroid therapy. To achieve consistency with the body's natural secretion of cortisol, when would the home care nurse instruct the patient to take his or her corticosteroids?
A) Un the evening between 4PM and 6PM
B) Prior to going to sleep at night
C) At noon every day
D) In the morning between 7AM and 8AM
D) In the morning between 7AM and 8AM
A patient presents at the walk-in clinic complaining of diarrhea and vomiting. The patient has a documented history of adrenal insufficiency. Considering the patient's history and current symptoms, the nurse should anticipate that the patient will be instructed to do which of the following?
A) Increase his intake of sodium until the GI symptoms improve.
B) Increase his intake of potassium until the GI symptoms improve.
C) Increase his intake of glucose until the GI symptoms improve.
D) Increase his intake of calcium until the GI symptoms improve.
A) Increase his intake of sodium until the GI symptoms improve.
The nurse is caring for a patient with hyperparathyroidism. What level of activity would the nurse expect to promote?
A) Complete bed rest
B) Bed rest with bathroom privileges
C) Out of bed (OOB) to the chair twice a day
D) Ambulation and activity as tolerated
D) Ambulation and activity as tolerated
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