Saunders-Endocrine Examination Questions with Answers
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Saunders-Endo crine
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Saunders-Endo Crine
Saunders-Endocrine Examination Questions with Answers
The nurse is monitoring a client for signs of hypocalcemia after thyroidectomy. Which sign or symptom, if noted in the client, would most likely indicate the presence of hypocalcemia?
1.
Bradycardia
2.
Flaccid paralysis
3.
Tingl...
Saunders-Endocrine Examination
Questions with Answers
The nurse is monitoring a client for signs of hypocalcemia after thyroidectomy. Which
sign or symptom, if noted in the client, would most likely indicate the presence of
hypocalcemia?
1.
Bradycardia
2.
Flaccid paralysis
3.
Tingling around the mouth
4.
Absence of Chvostek's sign - Answer-3
After thyroidectomy the nurse assesses the client for signs of hypocalcemia and tetany.
Early signs include tingling around the mouth and in the fingertips, muscle twitching or
spasms, palpitations or arrhythmias, and Chvostek's and Trousseau's signs.
Bradycardia, flaccid paralysis, and absence of Chvostek's sign are not signs of
hypocalcemia.
The nurse is caring for a client after thyroidectomy. The client expresses concern about
the postoperative voice hoarseness she is experiencing and asks if the hoarseness will
subside. The nurse should provide the client with which information?
1.
It indicates nerve damage.
2.
The hoarseness is permanent.
3.
It is normal during this time and will subside.
4.
It will worsen before it subsides, which may take 6 months. - Answer-3
,Hoarseness in the postoperative period usually is the result of laryngeal pressure or
edema and will resolve within a few days. The client should be reassured that the
effects are transitory. The other options are incorrect.
The nurse is monitoring a client with Graves' disease for signs of thyrotoxic crisis
(thyroid storm). Which signs or symptoms, if noted in the client, will alert the nurse to the
presence of this crisis?
1.
Fever and tachycardia
2.
Pallor and tachycardia
3.
Agitation and bradycardia
4.
Restlessness and bradycardia - Answer-1
Thyrotoxic crisis (thyroid storm) is an acute, potentially life-threatening state of extreme
thyroid activity that represents a breakdown in the body's tolerance to a chronic excess
of thyroid hormones. The clinical manifestations include fever with temperatures greater
than 100°F, severe tachycardia, flushing and sweating, and marked agitation and
restlessness. Delirium and coma can occur.
The nursing instructor asks a nursing student to identify the risk factors associated with
the development of thyrotoxicosis. The student demonstrates understanding of the risk
factors by identifying an increased risk for thyrotoxicosis in which client?
1.
A client with hypothyroidism
2.
A client with Graves' disease who is having surgery
3.
A client with diabetes mellitus scheduled for a diagnostic test
4.
A client with diabetes mellitus scheduled for debridement of a foot ulcer - Answer-2
Thyrotoxicosis usually is seen in clients with Graves' disease in whom the symptoms
are precipitated by a major stressor. This complication typically occurs during periods of
severe physiological or psychological stress such as trauma, sepsis, delivery, or major
,surgery. It also must be recognized as a potential complication after thyroidectomy. The
client conditions in the remaining options are not associated with thyrotoxicosis.
The home care nurse visits a client with a diagnosis of hyperparathyroidism who is
taking furosemide and provides dietary instructions to the client. Which statement by the
client indicates a need for additional instruction?
1.
"I need to eat foods high in potassium."
2.
"I need to drink at least 2 to 3 L of fluid daily."
3.
"I need to eat small, frequent meals and snacks if nauseated."
4.
"I need to increase my intake of dietary items that are high in calcium." - Answer-4
The aim of treatment in the client with hyperparathyroidism is to increase the renal
excretion of calcium and decrease gastrointestinal absorption and bone resorption of
calcium. Dietary restriction of calcium may be used as a component of therapy. The
client should eat foods high in potassium, especially if the client is taking furosemide.
Drinking 2 to 3 L of fluid daily and eating small, frequent meals and snacks if nauseated
are appropriate instructions for the client.
The nurse has provided instructions to the client with hyperparathyroidism regarding
home care measures to manage the symptoms of the disease. Which statement by the
client indicates a need for further instruction?
1.
"I should avoid bed rest."
2.
"I need to avoid doing any exercise at all."
3.
"I need to space activity throughout the day."
4.
"I should gauge my activity level by my energy level." - Answer-2
The client with hyperparathyroidism should pace activities throughout the day and plan
for periods of uninterrupted rest. The client should plan for at least 30 minutes of
walking each day to support calcium movement into the bones. The client should be
, instructed to avoid bed rest and use energy levels as a guide to activity. The client also
should be instructed to avoid high-impact activity or contact sports.
The nurse has provided dietary instructions to a client with a diagnosis of
hypoparathyroidism. The nurse should instruct the client that it is acceptable to include
which item in the diet?
1.
Fish
2.
Cereals
3.
Vegetables
4.
Meat and poultry - Answer-3
The client with hypoparathyroidism is instructed to follow a calcium-rich diet and to
restrict the amount of phosphorus in the diet. Vegetables are allowed in the diet. The
client should limit meat, poultry, fish, eggs, cheese, and cereals.
The nurse has provided home care measures to the client with diabetes mellitus
regarding exercise and insulin administration. Which statement by the client indicates a
need for further instruction?
1.
"I should always wear a MedicAlert bracelet."
2.
"I should perform my exercise at peak insulin time."
3.
"I should always carry a quick-acting carbohydrate when I exercise."
4.
"I should avoid exercising at times when a hypoglycemic reaction is likely to occur." -
Answer-2
The client should be instructed to avoid exercise at peak insulin time because this is
when a hypoglycemic reaction is likely to occur. If exercises are performed at this time,
the client should be instructed to eat an hour before the exercise and drink a
carbohydrate liquid. The remaining options are correct statements regarding exercise,
insulin, and diabetic control.
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