Saunders Endo-crine Test 1 Questions with All Correct Answers
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Saunders Endo-crine
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Saunders Endo-crine
Saunders Endo-crine Test 1 Questions with All Correct Answers
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which signs and symptoms are associated with this d...
Saunders Endo-crine Test 1 Questions
with All Correct Answers
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge.
The nurse determines that the client understands discharge instructions if the client
states that which signs and symptoms are associated with this diagnosis? Select all that
apply.
1.
Tremors
2.
Weight loss
3.
Feeling cold
4.
Loss of body hair
5.
Persistent lethargy
6.
Puffiness of the face - Answer-3. Feeling cold
4. Loss of body hair
5. Persistent lethargy
6. Puffiness of the face
Feeling cold, hair loss, lethargy, and facial puffiness are signs of hypothyroidism.
Tremors and weight loss are signs of hyperthyroidism.
A client has just been admitted to the nursing unit following thyroidectomy. Which
assessment is the priority for this client?
1.
Hypoglycemia
2.
,Level of hoarseness
3.
Respiratory distress
4.
Edema at the surgical site - Answer-3. Respiratory distress
Thyroidectomy is the removal of the thyroid gland, which is located in the anterior neck.
It is very important to monitor airway status, as any swelling to the surgical site could
cause respiratory distress. Although all of the options are important for the nurse to
monitor, the priority nursing action is to monitor the airway.
A client has been diagnosed with hyperthyroidism. The nurse monitors for which signs
and symptoms indicating a complication of this disorder? Select all that apply.
1.
Fever
2.
Nausea
3.
Lethargy
4.
Tremors
5.
Confusion
6.
Bradycardia - Answer-1.
Fever
2.
Nausea
4. Tremors
5.
Confusion
Thyroid storm is an acute and life-threatening complication that occurs in a client with
uncontrollable hyperthyroidism. Signs and symptoms of thyroid storm include elevated
temperature (fever), nausea, and tremors. In addition, as the condition progresses, the
,client becomes confused. The client is restless and anxious and experiences
tachycardia.
The nurse is caring for a client scheduled for a transsphenoidal hypophysectomy. The
preoperative teaching instructions should include which statement?
1.
"Your hair will need to be shaved."
2.
"You will receive spinal anesthesia."
3.
"You will need to ambulate after surgery."
4.
"Brushing your teeth needs to be avoided for at least 2 weeks after surgery." - Answer-
4.
"Brushing your teeth needs to be avoided for at least 2 weeks after surgery."
A transsphenoidal hypophysectomy is a surgical approach that uses the nasal sinuses
and nose for access to the pituitary gland. Based on the location of the surgical
procedure, spinal anesthesia would not be used. In addition, the hair would not be
shaved. Although ambulating is important, specific to this procedure is avoiding
brushing the teeth to prevent disruption of the surgical site.
The nurse should include which interventions in the plan of care for a client with
hypothyroidism? Select all that apply.
1.
Provide a cool environment for the client.
2.
Instruct the client to consume a high-fat diet.
3.
Instruct the client about thyroid replacement therapy.
4.
Encourage the client to consume fluids and high-fiber foods in the diet.
5.
Inform the client that iodine preparations will be prescribed to treat the disorder.
6.
, Instruct the client to contact the health care provider (HCP) if episodes of chest pain
occur. - Answer-3.
Instruct the client about thyroid replacement therapy.
4.
Encourage the client to consume fluids and high-fiber foods in the diet.
6.
Instruct the client to contact the health care provider (HCP) if episodes of chest pain
occur.
The clinical manifestations of hypothyroidism are the result of decreased metabolism
from low levels of thyroid hormone. Interventions are aimed at replacement of the
hormone and providing measures to support the signs and symptoms related to
decreased metabolism. The client often has cold intolerance and requires a warm
environment. The nurse encourages the client to consume a well-balanced diet that is
low in fat for weight reduction and high in fluids and high-fiber foods to prevent
constipation. Iodine preparations may be used to treat hyperthyroidism. Iodine
preparations decrease blood flow through the thyroid gland and reduce the production
and release of thyroid hormone; they are not used to treat hypothyroidism. The client is
instructed to notify the HCP if chest pain occurs because it could be an indication of
overreplacement of thyroid hormone.
A client is brought to the emergency department in an unresponsive state, and a
diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would
immediately prepare to initiate which anticipated health care provider's prescription?
1. Endotracheal intubation
2. 100 units of NPH insulin
3. Intravenous infusion of normal saline
4. Intravenous infusion of sodium bicarbonate - Answer-3. Intravenous infusion of
normal saline
The primary goal of treatment in hyperosmolar hyperglycemic syndrome (HHS) is to
rehydrate the client to restore fluid volume and to correct electrolyte deficiency.
Intravenous (IV) fluid replacement is similar to that administered in diabetic ketoacidosis
(DKA) and begins with IV infusion of normal saline. Regular insulin, not NPH insulin,
would be administered. The use of sodium bicarbonate to correct acidosis is avoided
because it can precipitate a further drop in serum potassium levels. Intubation and
mechanical ventilation are not required to treat HHS.
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