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MS2 chap 38

Terms in this set (59)

____ 5. Which hormone increases calcium absorption by the kidneys?

a. Antidiuretic hormone (ADH)
b. Parathyroid hormone
c. Calcitonin
d. Aldosterone
B
____ 6. Which two hormones cause the liver to convert glycogen to glucose?

a. Thyroxine and insulin
b. Insulin and cortisol
c. Parathyroid hormone (PTH) and oxytocin
d. Glucagon and epinephrine
D
____ 3. The nurse is caring for a patient with a history of asthma who is newly diagnosed with hyperthyroidism. What assessment finding should the licensed practical nurse (LPN) report immediately to the registered nurse (RN)?

a. Heart rate 112 beats/min
b. Temperature 97.2F (36.2C)
c. Blood pressure 112/73 mm Hg
d. Respiratory rate 20 breaths/min
A
____ 5. The nurse is preparing a patient for a thyroidectomy to treat hyperthyroidism. What patient statement indicates to the nurse that the patient understands the preoperative instructions?

a. I know that I should avoid turning my head after surgery.
b. I will probably need thyroid replacement medication after surgery.
c. I will avoid taking any thyroid or antithyroid drugs before surgery.
d. I will need to increase my calorie intake after surgery to avoid weight loss.
B
____ 6. A patient recovering from a thyroidectomy is being assessed for tetany. What is the most likely cause of tetany after this surgery?

a. Swelling of the incisional area
b. Overdose of preoperative antithyroid medication
c. Accidental removal of the parathyroid glands during surgery
d. Excess circulating thyroid hormone released during manipulation of the gland during surgery
C
____ 11. A nurse is approached by a neighbor who has a neck growth that appears to be a goiter. What should the nurse do?
a. Advise the neighbor to switch to iodized salt when cooking.
b. Palpate the neighbors thyroid gland for enlargement or nodules.
c. Ask if the neighbor has numbness or tingling in the hands or lips.
d. Question the neighbor about symptoms of hypothyroidism or hyperthyroidism.
D
____ 13. A patient develops hyperparathyroidism related to a benign tumor. What laboratory result should the nurse expect to see?
a. Elevated serum calcium
b. Decreased serum calcium
c. Elevated serum potassium
d. Decreased serum potassium
A
____ 14. A patient with hyperparathyroidism asks why ambulation three times per day is necessary because it is so difficult to do so. Which response by the nurse is best?
a. Walking is good for you; I walk three times a day.
b. Walking is important for preventing cardiovascular disease.
c. Walking will keep the calcium where it belongsin your bones.
d. Walking is important to maintaining adequate serum calcium levels.
C
____ 17. The nurse is planning care for a patient with diabetes insipidus. What data should the nurse to monitor this patient?
a. Pupil responses and hand grasps
b. Intake and output and daily weight
c. Bowel sounds and abdominal girth
d. Blood glucose before meals and at bedtime
B
____ 18. A patient is newly diagnosed with diabetes insipidus. Which medications should the nurse anticipate being prescribed for long-term patient management?
a. Mithramycin
b. Inderal (propranolol)
c. Desmopressin acetate
d. Calcium and vitamin D
C
____ 19. The nurse determines that treatment has been effective for a patient with diabetes insipidus. Which laboratory value did the nurse use to come to this conclusion?
a. Urine ketones
b. Serum potassium
c. Fasting blood glucose
d. Urine specific gravity
D
____ 21. After collecting data the nurse determines that a patient is at risk for compression fractures. What health problem caused the nurse to come to this conclusion?
a. Hypothyroidism
b. Hyperthyroidism
c. Hypoparathyroidism
d. Hyperparathyroidism
D
____ 24. The nurse develops a nursing diagnosis of fluid volume excess related to sodium retention secondary to steroid therapy as evidenced by weight gain of 12 pounds in 2 weeks and edema of lower extremities. Which goal is most appropriate?
a. Patient will verbalize importance of low-sodium diet.
b. Ankle circumference will be measured for edema daily.
c. Patients fluid volume will decrease as evidenced by discontinuing steroids.
d. Patient will have improved fluid balance as evidenced by weight returning to baseline.
D
____ 28. The LPN is caring for a patient with diabetes insipidus and obtains a urine specific gravity reading of 1.002. Which response by the LPN is most important?
a. Document the results.
b. Advise the patient to drink less water.
c. Report the reading to the RN because therapy is ineffective.
d. Report the reading to the RN because the patient may be receiving too much medication.
C
____ 30. A patient is diagnosed with hyperthyroidism. What should the nurse realize as being the most common cause of this disorder?
a. Graves disease
b. Multinodular goiter
c. Radiation exposure
d. Excess thyrotropin-releasing hormone (TRH) from the hypothalamus
A
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