NUR 402 (Endocrine)Final Exam Questions And Answers(Revised &Verified).
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Course
CNUR 402
Institution
CNUR 402
What hormone helps make sperm? - Answer FSH
What hormone helps make testosterone? - Answer LH
What would happen if you didn't have any TSH? - Answer ???
What would happen if you didn't have any ACTH? - Answer ???
Fx of low LH - Answer Men: Low Test
Women: Amenorrhea
W...
NUR 402 (Endocrine)Final Exam
Questions And Answers(Revised
&Verified).
What hormone helps make sperm? - Answer FSH
What hormone helps make testosterone? - Answer LH
What would happen if you didn't have any TSH? - Answer ???
What would happen if you didn't have any ACTH? - Answer ???
Fx of low LH - Answer Men: Low Test
Women: Amenorrhea
What hormones ↑ BG?
(counter-regulatory hormones) - Answer - GH
- Cortisol
- Glucagon
- Epinephrine
Which medication is appropriate for a patient with acromegaly?
Desmopressin
Bromocriptine
Somatropin
Dextrose - Answer Bromocriptine
Patho of PTH release - Answer Low serum calcium triggers release of PTH → Pull Ca from bones→
,Reabsorb Ca from kidneys →Decrease excretion of Ca from kidneys
instead of peeing it out → Kidneys activate vitamin D → Activated vitamin D is needed in intestines for
increased absorption→. Allows you to absorb Ca from gut
A nurse is monitoring the laboratory values of a client who has diabetes mellitus and is taking insulin.
Which of the following results indicates a therapeutic outcome of insulin therapy?
This is within the expected reference range for a fasting blood glucose level and indicates that insulin
therapy is effective.
A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the
following findings as an indication of hypocalcemia?
Strong, bounding pulse
Decreased bowel sounds
Tingling and numbness of the hands and feet
Diminished deep-tendon reflexes - Answer Tingling and numbness of the hands and feet
Hypocalcemia causes paresthesias, usually starting in the hands and feet.
A nurse is caring for a client who is taking propylthiouracil. The nurse should identify that the client has
met the treatment goals when she reports an increase in which of the following manifestations?
Increased ability to sweat
Increased bowel movements
,Increased body weight
Increased libido - Answer Increased Body Weight
Propylthiouracil suppresses the production of thyroid hormones and, therefore, allows for weight gain.
However, excessive weight gain could indicate that the dose of propylthiouracil is too high
A nurse is performing an assessment on a client who has syndrome of inappropriate antidiuretic
hormone (SIADH). Which of the following assessment data should the nurse report?
Serum sodium 110 mEq/L
2+ deep-tendon reflexes
Serum potassium 3.7 mEq/L
Urine specific gravity 1.025 - Answer Serum sodium 110 mEq/L
A client who has SIADH retains fluids, which causes dilutional hyponatremia.
A nurse is assessing a client who has diabetes insipidus. The nurse should expect which of the following
findings?
Decreased heart rate
Increased hematocrit
High urine specific gravity
Decreased BUN - Answer Increased hematocrit
An increased hematocrit level is an expected finding related to dehydration.
A nurse is caring for a client who has diabetes mellitus and developed peripheral neuropathy. Which of
the following measures should the nurse recommend to prevent injuries to his feet?
- Examine the skin and feet weekly for alterations in skin integrity.
, - Monitor the temperature of bath water with a thermometer.
- Shop for shoes early in the day.
- Round the edges of toenails when trimming. - Answer Monitor the temperature of bath water with a
thermometer.
Peripheral neuropathy makes it difficult to determine if bath water is too hot. Therefore, to prevent
injury, the client should use a bath thermometer to ensure the water temperature is less than 43.3° C
(110° F).
A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following
instructions should the nurse include?
a. Consume no more than three servings of alcohol per day.
b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia.
c. Increase insulin dosage before planned exercise.
d. Rest for 3 days between periods of vigorous exercise. - Answer b. Ingest food with alcohol to reduce
alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while drinking alcoholic
beverages helps prevent hypoglycemia.
A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which
of the following actions should the nurse take?
a. Administer IV hydrocortisone sodium.
b. Give oral spironolactone.
c. Infuse 1 unit of platelets.
d. Restrict daily fluid intake. - Answer Administer IV hydrocortisone sodium.
Hydrocortisone sodium is necessary to replace the cortisol deficiency that occurs with adrenal
insufficiency.
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