Assessment Of The Endocrine And Metabolic Systems

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Question 1
Free
Multiple Choice

To obtain the most helpful information from a client about risk factors related to hepatitis, the nurse would ask

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A

"Do you eat foods that are high in fat?"

B

"Do you exercise regularly?"

C

"Have you ever had body piercing or a tattoo?"

D

"How many bowel movements do you have weekly?"

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Question 2
Free
Multiple Choice

In obtaining a medication history from a client who reports taking all the following medications, the nurse would know that the medication considered hepatotoxic is

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A

acetaminophen.

B

digoxin.

C

ferrous sulfate.

D

insulin.

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Question 3
Free
Multiple Choice

A client is having a physical examination and tells the nurse about a painful area in the right upper quadrant of the abdomen. Based on this information, the nurse would

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A

avoid any manipulation or contact with the painful area.

B

examine the painful area at the end of the assessment.

C

examine the right upper quadrant area first.

D

notify the physician to complete the examination.

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Question 4
Free
Multiple Choice

The nurse performing an assessment of a 69-year-old man with a long history of complex medical problems would be aware that a systemic manifestation suggestive of hepatic dysfunction is

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A

gynecomastia.

B

hematuria.

C

melena.

D

oily skin.

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Question 5
Free
Multiple Choice

As an indication that the safety needs of a client scheduled for an angiography are being addressed, the nurse would ask

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A

"Are you allergic to any seafood?"

B

"Have you gained or lost weight in the last 2 months?"

C

"What is your age and marital status?"

D

"When was the date of your last tetanus booster?"

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Question 6
Multiple Choice

Explaining a paracentesis to an anxious client, the nurse states that the purpose is to

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A
collect fluid accumulations from the pleura.
B
evaluate secretions of the gallbladder.
C
extract fluid sequestered in the pancreas.
D
remove excess fluid from the peritoneum.
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Question 7
Multiple Choice

A client is having a physical examination and the nurse notes that the client's hands and feet are large compared to the rest of the body. The nurse should suspect

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A
acromegaly.
B
congenital disorders.
C
diabetes.
D
muscle deformity.
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Question 8
Multiple Choice

A nurse is performing a physical examination on an elderly client. The nurse notes the abdomen is rounded and sagging. The most appropriate action by the nurse would be to

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A
ask the client about exercise routines.
B
discuss the client's bowel habits.
C
inquire about any abdominal pain.
D
record this as a normal finding.
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Question 9
Multiple Choice

The nurse preparing a client for a T? and T? radioimmunoassay would recognize that the medication with the potential to influence test results, making readings unreliable, is

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A
aspirin.
B
digitalis.
C
gentamicin.
D
heparin.
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Question 10
Multiple Choice

A client is complaining of abdominal pain described as dull, aching, and cramping. The nurse would record this pain as

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A
parietal.
B
referred.
C
spasmodic.
D
visceral.
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Question 11
Multiple Choice

In preparing a client for urine collection in the evaluation of urinary ketosteroids, the nurse would

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A
place an indwelling catheter.
B
place a preservative in the collection bottle.
C
measure hourly urine outputs.
D
use a new collection bag.
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Question 12
Multiple Choice

A client being assessed for adrenal medulla function through the use of a urinalysis involves measuring

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A
catecholamines and metabolites.
B
diurnal excretion of glucose.
C
calcitonin and parathyroid hormone.
D
growth hormone and ADH.
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Question 13
Multiple Choice

A client presents with complaints of fatigue and the nurse notes dry, brittle hair. The nurse would anticipate which of the following laboratory tests?

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A
Bilirubin, AST, ALT
B
Serum cortisol and ACTH
C
Serum glucose, hemoglobin A1c
D
Tests of thyroid function
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Question 14
Multiple Choice

The nurse assessing a client knows that endocrine disorders can present with which of the following manifestations? (Select all that apply.)

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A
Dark or tea-colored urine
B
Decreased libido
C
Impotence or infertility
D
Irregular menstrual cycle
E
Muscle wasting and atrophy
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Question 15
Multiple Choice

Important aspects of the social history the nurse should include when examining a client are (Select all that apply)

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A
alcohol intake.
B
food preferences.
C
sexual activities.
D
use of items contaminated with body fluids.
E
use of recreational drugs.
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