Nursing Management Endocrine Problems

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Question 1
Free
Multiple Choice

The nurse is assessing a client with suspected acromegaly at the clinic. To assist in making the diagnosis, which question should the nurse ask?

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A

"Have you had a recent head injury?"

B

"Do you have to wear larger shoes now?"

C

"Are you experiencing tremors or anxiety?"

D

"Is there any family history of acromegaly?"

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Question 2
Free
Multiple Choice

The nurse is providing preoperative teaching for a client scheduled for a hypophysectomy for treatment of a pituitary adenoma. Which of the following instructions should the nurse include in client teaching?

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A

Cough and deep breathe every 2 hours postoperatively

B

Bed rest for the first 24 hours after the surgery

C

Be positioned flat with sandbags at the head postoperatively

D

Have a NG tube after the surgery

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Question 3
Free
Multiple Choice

The nurse is caring for a client who has had a transsphenoidal resection of a pituitary tumour. Which of the following nursing actions should be included in the postoperative plan of care?

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A

Monitor urine output every hour.

B

Palpate extremities for dependent edema.

C

Check hematocrit hourly for first 12 hours.

D

Obtain continuous pulse oximetry for 24 hours.

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Question 4
Free
Multiple Choice

Aclient is suspected of having a pituitary tumour causing panhypopituitarism. During assessment of the client, which of the following findings should the nurse anticipate?

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A

High blood pressure

B

Elevated blood glucose

C

Tachycardia and cardiac palpitations

D

Changes in secondary sex characteristics

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Question 5
Free
Multiple Choice

Which of the following information should the nurse include when teaching a client about use of somatropin?

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A

The medication will improve vaginal dryness.

B

Inject the medication subcutaneously every day.

C

Blood glucose levels will decrease when taking the medication.

D

Stop taking the medication if swelling of the hands or feet occurs.

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Question 6
Multiple Choice

Aclient is being treated with a medication to block the effect of antidiuretic hormone to control the symptoms of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings indicates that the medication is effective?

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A
Decreased peripheral edema
B
Increased weight
C
Increased urine specific gravity
D
Increased urinary output
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Question 7
Multiple Choice

The nurse is teaching a client with chronic syndrome of inappropriate antidiuretic hormone (SIADH) about long-term management. Which of the following client statements indicate that additional instruction is needed?

Choose correct answer/s
A
"I should weigh myself daily and report any sudden weight loss or gain."
B
"I need to limit my fluid intake to no more than 1 L of liquids a day."
C
"I will eat foods high in potassium because the diuretics cause potassium loss."
D
"I need to shop for foods that are low in sodium and avoid adding salt to foods."
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Question 8
Multiple Choice

The nurse is caring for a client with possible syndrome of inappropriate antidiuretic hormone (SIADH). The client is confused and reports a headache, muscle cramps, and twitching. Which of the following initial laboratory results should the nurse anticipate?

Choose correct answer/s
A
Elevated hematocrit
B
Decreased serum sodium
C
Increased serum chloride
D
Low urine specific gravity
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Question 9
Multiple Choice

The nurse is caring for a client with symptoms of diabetes insipidus who has been admitted to the hospital for evaluation and treatment. Which of the following nursing diagnoses is best for this client?

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A
Insomnia related to frequent waking at night to void
B
Impaired gas exchange related to fluid retention in lungs
C
Excess fluid volume related to intake greater than output
D
Risk for impaired skin integrity related to generalized edema
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Question 10
Multiple Choice

Which of the following information should the nurse include when teaching a client who has been newly diagnosed with Graves' disease?

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A
Exercise is contraindicated to avoid increasing metabolic rate.
B
Restriction of iodine intake is needed to reduce thyroid activity.
C
Surgery will eventually be required to remove the thyroid gland.
D
Antithyroid medications may take several weeks to have an effect.
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Question 11
Multiple Choice

A few hours after returning to the surgical nursing unit, a client who has undergone a subtotal thyroidectomy develops laryngeal stridor and a cramp in the right hand. Which of the following actions should the nurse anticipate implementing first?

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A
Infuse IV calcium gluconate.
B
Suction the client's airway.
C
Prepare for endotracheal intubation.
D
Assist with emergency tracheostomy.
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Question 12
Multiple Choice

The nurse is caring for a client with Graves' disease who has exophthalmos. Which of the following actions shouldbe included in the plan of care?

Choose correct answer/s
A
Apply eye patches to protect the cornea from irritation.
B
Place cold packs on the eyes to relieve pain and swelling.
C
Elevate the head of the client's bed to reduce periorbital fluid.
D
Teach the client to blink every few seconds to lubricate the cornea.
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Question 13
Multiple Choice

The nurse is caring for a client with hyperthyroidism who is being treated with radioactive iodine (RAI) at the clinic. Which of the following information should the nurse provide to the client prior to discharge?

Choose correct answer/s
A
Symptoms of hyperthyroidism should be relieved in about a week.
B
Hypothyroidism may occur as the RAI therapy takes effect.
C
Discontinue the antithyroid medications taken before the radioactive therapy.
D
Teach radioactive precautions to use with urine, stool, and other body secretions.
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Question 14
Multiple Choice

The nurse is caring for an older-adult client who is diagnosed with hypothyroidism and has a prescription for levothyroxine. Which of the following assessments is most important for the nurse to make during initiation of thyroid replacement?

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A
Apical pulse rate
B
Nutritional intake
C
Intake and output
D
Orientation and alertness
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Question 15
Multiple Choice

The nurse is caring for a client in a long-term care facility who has these medications prescribed. After the client is diagnosed with hypothyroidism, which of the following medications should the nurse report to the health care provider?

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A
Docusate
B
Diazepam
C
Ibuprofen
D
Cefoxitin
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Question 16
Multiple Choice

The nurse is planning teaching for a client who was admitted with myxedema coma and diagnosed with hypothyroidism. Which of the following strategies isbest for the nurse to use?

Choose correct answer/s
A
Delay teaching until client discharge.
B
Ensure privacy by asking visitors to leave.
C
Provide written handouts of all information.
D
Offer multiple options for management of therapies.
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Question 17
Multiple Choice

The nurse is caring for a client with primary hyperparathyroidism who has a serum calcium level of 3.5 mmol/L and a phosphorus of 0.55 mmol/L. Which of the following nursing actions should the nurse include in the plan of care?

Choose correct answer/s
A
Institute routine seizure precautions.
B
Monitor for positive Chvostek's sign.
C
Encourage the client to remain on bed rest.
D
Encourage 3 000-4 000 mL of oral fluids daily.
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Question 18
Multiple Choice

The nurse is caring for a client following a parathyroidectomy who develops tingling of the lips and a positive Trousseau's sign. Which of the following actions should the nurse take first?

Choose correct answer/s
A
Administer the ordered muscle relaxant.
B
Give the ordered oral calcium supplement.
C
Start the PRN oxygen at 2 L/minute per cannula.
D
Have the client rebreathe using a paper bag.
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Question 19
Multiple Choice

The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of the following information should the nurse should include in the teaching plan?

Choose correct answer/s
A
Use of bisphosphonates to reduce bone demineralization.
B
Include whole grains in the diet to prevent constipation.
C
Take calcium supplementation to normalize serum calcium levels.
D
Ensure a high fluid intake to decrease risk for nephrolithiasis.
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Question 20
Multiple Choice

Which of the following findings for a client who takes levothyroxine to treat hypothyroidism indicates that the nurse should contact the health care provider before administering the medication?

Choose correct answer/s
A
Increased thyroxine (T4) level
B
Blood pressure 102/62 mm Hg
C
Distant and difficult to hear heart sounds
D
Elevated thyroid stimulating hormone level
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