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Quiz 7: Thyroid & Parathyroid; Adrenal & Pituitary Questions With Complete Solutions
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Quiz 7: Thyroid & Parathyroid; Adrenal & Pituitary Questions With Complete Solutions
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Quiz 7: Thyroid & Parathyroid; Adrenal & PituitaryQuestions With Complete Solutions
A 24-year-old patient with diabetes insipidus makes all of these
statements when the nurse is preparing the patient for discharge
from the hospital. Which statement indicates to the nurse that
the patient needs additional teaching?
a. "I will drink fluids equal to the amount of my urine output"
b. "I will weigh myself every day using the same scale"
c. "I will wear my medical alert bracelet at all times"
d. "I will gradually wean myself off the vasopressin" Correct
Answers d. "I will gradually wean myself off the vasopressin"
A 30-year-old female patient is prescribed bromocriptine. Which
information does the nurse teach the patient? SATA
a. Get up slowly from a lying position
b. Take medication on an empty stomach
c. Take daily for purposes of raising GH levels to reduce
symptoms of acromegaly
d. Begin therapy with a maintenance level dose
e. Report watery nasal discharge to the health care provider
immediately
f. If pregnancy occurs the drug is stopped immediately Correct
Answers a. Get up slowly from a lying position
e. Report watery nasal discharge to the health care provider
immediately
f. If pregnancy occurs the drug is stopped immediately
A client is admitted to a medical unit with a diagnosis of
Addison disease. The client is emaciated and reports muscular
weakness and fatigue. Which disturbed body process does the
,nurse determine is the root cause of the client's clinical
manifestations?
a. Fluid balance
b. Electrolyte levels
c. Protein anabolism
d. Masculinizing hormones Correct Answers c. Protein
anabolism
A client is admitted with a head injury. The nurse identifies that
the client's urinary retention catheter is draining large amounts
of clear, colorless urine. What does the nurse identify as the
most likely cause?
a. Increased serum glucose
b. Deficient renal perfusion
c. Inadequate ADH secretion
d. Excess amounts of IV fluid Correct Answers c. Inadequate
ADH secretion
A client is diagnosed with Cushing syndrome. Which clinical
manifestation does the nurse expect to increase in a client with
Cushing syndrome?
a. Urine output
b. Glucose level
c. Serum potassium
d. Immune response Correct Answers b. Glucose level
A client is diagnosed with hyperthyroidism and is experiencing
exophthalmia. Which measures should the nurse include when
teaching this client how to manage the discomfort associated
with exophthalmia? SATA
a. Use tinted glasses
,b. Use warm, moist compresses
c. Elevate the head of the bed 45 degrees
d. Tape eyelids shut at night if they do not close
e. Apply a petroleum-based jelly along the lower eyelid Correct
Answers a. Use tinted glasses
c. Elevate the head of the bed 45 degrees
d. Tape eyelids shut at night if they do not close
A client is scheduled for a bilateral adrenalectomy. Before
surgery, steroids are administered to the client. What does the
nurse determine is the reason for the steroids?
a. Foster accumulation of glycogen in the liver
b. Increase the inflammatory action to promote scar formation
c. Facilitate urinary excretion of salt and water following
surgery
d. Compensate for sudden lack of these hormones following
surgery Correct Answers d. Compensate for sudden lack of
these hormones following surgery
A client is scheduled for an adrenalectomy. Which nursing
intervention should the nurse anticipate will be ordered for this
client?
a. Administer IV steroids
b. Provide a high-protein diet
c. Collect a 24-hour urine specimen
d. Withhold all medications for 48 hours Correct Answers a.
Administer IV steroids
A client is scheduled to have a thyroidectomy. Which
medication does the nurse anticipate the health care provider
, will prescribe to decrease the size and vascularity of the thyroid
gland before surgery?
a. Vasopressin (Pitressin)
b. Propylthiouracil (PTU)
c. Potassium iodide (SSKI)
d. Levothyroxine (Synthroid) Correct Answers c. Potassium
iodide (SSKI)
A client who has acromegaly and insulin-dependent diabetes
undergoes a hypophysectomy. The nurse identifies that further
teaching about the hypophysectomy is necessary when the client
states, "I know I will"
a. be sterile for the rest of my life."
b. require larger doses of insulin than I did preoperatively."
c. have to take cortisone or a similar drug for the rest of my
life."
d. have to take thyroxine or a similar medication for the rest of
my life." Correct Answers b. require larger doses of insulin
than I did preoperatively."
A client who has just had an adrenalectomy is told about a death
in the family and becomes very upset. What concern about the
client requires the nurse to notify the health care provider?
a. Analgesia and mild sedation will be required to ensure rest
b. Steroid replacement medication therapy will have to be
reduced
c. There is a decreased ability to handle stress despite steroid
therapy
d. Feelings of exhaustion and lethargy may result from the
emotional stress Correct Answers c. There is a decreased
ability to handle stress despite steroid therapy
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