Exam (elaborations)
Chapter 41_ Disorders of Endocrine Control of Growth and Metabolism (1)
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- Nursing 2024
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- Nursing 2024
Chapter 41_ Disorders of Endocrine Control of Growth and Metabolism (1)
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Chapter 41: Disorders of Endocrine Control of Growthand Metabolism
Which criterion about insulin would prompt a diagnosis of type 1 diabetes? - CORRECT
ANSWER-Complete failure of insulin secretion
Which complication of acromegaly can be life threatening? - CORRECT ANSWER-Cardiac structures
increase in size
Which clients with diabetes mellitus would the nurse anticipate to have persistent elevation of blood
glucose levels? Select all that apply. - CORRECT ANSWER-A client with high anxiety
A client with COPD taking steroids
A client with a newly diagnosed leg fracture
A woman in her 28th week of pregnancy tests positive for gestational diabetes mellitus and begins to
follow a nutritional plan at home. What result at the follow-up visit indicates a successful outcome? -
CORRECT ANSWER-Random blood glucose 85 mg/dL (4.72 mmol/L)
Which maternal factor contributes to an infant having macrosomia, hypoglycemia, and
hyperbilirubinemia? - CORRECT ANSWER-Maternal diabetes
The nurse is teaching a client diagnosed with Addison disease about the importance of lifetime oral
replacement therapy. Which pharmacologic agent would be the drug of choice and included in this
teaching plan? - CORRECT ANSWER-Hydrocortisone
The diagnosis of type 1 diabetes would be confirmed by which principle? - CORRECT ANSWER-Insulin
is not available for use by the body.
Which individual is experiencing the effects of a primary endocrine disorder? - CORRECT
ANSWER-Person who has low calcium levels because of the loss of the parathyroid gland
A nurse is evaluating clients for the risk of developing type 2 diabetes. Which client has the highest risk
for developing this metabolic disorder? - CORRECT ANSWER-A middle aged obese adult with a
sedentary lifestyle
A parent arrives in the endocrinology clinic with her 8-year-old son, concerned about his rapid
development and tall stature. What significant assessment finding does the nurse recognize is important
to report to the physician related to the development of precocious puberty? - CORRECT
ANSWER-Significant genital enlargement
Which characteristics in a pregnant woman increase the risk of gestational diabetes mellitus? Select all
that apply. - CORRECT ANSWER-Gravida 5
BMI 35
Sister with type 2 diabetes mellitus
A client with diabetes mellitus has sudden onset of slurred speech, incoordination, and cool, clammy
skin. What will the nurse do first? - CORRECT ANSWER-Check blood glucose
, A client with type 1 diabetes mellitus wishes to stop taking insulin injections. What option is appropriate? -
CORRECT ANSWER-Using an insulin infusion pump
The newborn nursery nurse is obtaining a blood sample to determine if a newborn has congenital
hypothyroidism. What long-term complication is the nurse aware can occur if this test is not performed
and the infant has congenital hypothyroidism? - CORRECT ANSWER-Cretinism
The obstetrical nurse is caring for a client who has been treated for gestational diabetes. When teaching
the client about the causes of gestational diabetes, the nurse should include which risk factor in the
teaching? - CORRECT ANSWER-Woman with a family history of diabetes
Which factor contributes to an infant developing macrosomia (large body size)? - CORRECT
ANSWER-Maternal diabetes
Which pathophysiologic phenomeon may result in a diagnosis of Cushing disease? - CORRECT
ANSWER-Excess ACTH production by a pituitary tumor
A client with long-term diabetes mellitus reports a "pins and needles" feeling in the feet. What
interventions can help reduce this symptom? Select all that apply. - CORRECT ANSWER-Control blood
glucose
Gabapentin
Lidocaine patch
When educating a client with possible glucocorticoid dysfunction, the nurse will explain that the CRH
controls the release of ACTH. The best time to perform the blood test to measure peak ACTH levels
would be: - CORRECT ANSWER-06:00 to 08:00 AM
An extremely lethargic client arrives by ambulance at the emergency department. His blood glucose level
is 32 mg/dL (1.78 mmol/L). The nurse will anticipate that this client will be diagnosed with: - CORRECT
ANSWER-Hypoglycemia
Which individual displays the precursors to acromegaly? - CORRECT ANSWER-An adult with an excess
of growth hormone due to an adenoma
A client presents to the emergency room with fatigue, weakness, dehydration, and thirst. What additional
symptoms would correlate with a diagnosis of type 1 diabetes mellitus? Select all that apply. - CORRECT
ANSWER-Recent weight loss
Polyuria
Blurred vision
A client with severe hypothyroidism is presently experiencing hypothermia. What nursing intervention is a
priority in the care of this client? - CORRECT ANSWER-Slow rewarming of the client to prevent
vasodilation and vascular collapse
A man is brought into the emergency department by paramedics who state that the client passed out on
the street. The man smells of alcohol, and when roused says he has not eaten since yesterday. He is
wearing a medic alert bracelet that says he is a diabetic. What would the nurse suspect as a diagnosis? -
CORRECT ANSWER-Hypoglycemia
An adolescent boy asks the nurse what increases the secretion of growth hormone (GH). Which
response by the nurse is best? - CORRECT ANSWER-Starvation
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