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BSN 366 Week 10 Adrenal Disorders Questions With Complete Solutions
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BSN 366 Week 10 Adrenal Disorders Questions With Complete Solutions
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BSN 366 Week 10 Adrenal Disorders Questions WithComplete Solutions
Addison's Disease: Nursing Management
-When the patient with Addison's disease is hospitalized,
nursing management focuses on monitoring the patient, while
correcting fluid and electrolyte imbalances.
-Assess vital signs and signs of fluid volume deficit and
electrolyte imbalance.
-Monitor trends in serum glucose, sodium, and potassium levels.
-Nursing interventions include obtaining weight daily,
protection against exposure to infection, and assistance with
daily hygiene. Correct Answer -Protect the patient from noise,
bright light, and environmental temperature extremes.
-he patient cannot cope with stress because corticosteroids
cannot be produced.
-The patient should be instructed in the importance of keeping
scheduled follow-up appointments.
DI is treated by giving desmopressin acetate (DDAVP).
Fluid replacement may be necessary to prevent hypovolemia
related to high urine output. Correct Answer
Pituitary Disorders
Question 1 of 3
A 40-year-old female patient tells the nurse, "My health care
provider says I have acromegaly, which means my growth
hormone is disturbed. I am already 5'10" (1.78 m), and I don't
want to be any taller!" How should the nurse respond?
,"You will not get taller because the growth plates closed after
puberty."
"Your height will not change because growth hormone
production is inhibited in acromegaly."
"In acromegaly, the bones are triggered to grow in length at the
growth plates, resulting in increased height."
"Both the hypothalamus and pituitary gland are dysfunctional,
so either increases or decreases in height could occur." Correct
Answer "You will not get taller because the growth plates
closed after puberty."
The development of acromegaly occurs in adulthood and after
epiphyseal closure. This response is correct and assures the
patient that further growth will not happen.
Question 1 of 10
The nurse is caring for an older adult who sustained a closed
head injury and notes that the patient has not urinated in the past
four hours despite drinking 500 mL of fluid and receiving IV
fluids at a rate of 150 mL/hr. Which condition should the nurse
suspect in this patient?
Acromegaly
Hypopituitarism
Diabetes insipidus
Syndrome of inappropriate secretion of antidiuretic hormone
(SIADH) Correct Answer Syndrome of inappropriate secretion
of antidiuretic hormone (SIADH)
SIADH occurs more frequently in older adults and can be
caused by a head injury. The manifestations include fluid
retention and low fluid output, as well as thirst, which would
correlate with drinking 500 mL of fluid and receiving IV fluids
but not urinating.
,Question 1 of 10
Which assessment finding made by the nurse may indicate the
onset of hypoparathyroidism?
Constipation
Positive Chvostek's sign
Shortened attention span
Blood pressure of 160/90 mm Hg Correct Answer Positive
Chvostek's sign
A positive Chvostek's sign indicates hypocalcemia, which
occurs with hypoparathyroidism.
Question 1 of 3
A patient with Addison's disease asks the nurse what causes the
disease. Which is the best response by the nurse?
"Addison's disease is the result of corticosteroid use."
"Addison's disease is always caused by an autoimmune
disorder."
"Addison's disease is caused by the presence of an adrenal
tumor."
"Addison's disease is the result of the decreased production of
adrenal corticosteroids." Correct Answer "Addison's disease is
the result of the decreased production of adrenal
corticosteroids."
Addison's disease is the result of decreased production of
adrenal corticosteroids, which may be the result of an
autoimmune disorder. The cause of Addison's disease may also
be iatrogenic.
Question 1 of 3
, The nurse is about to administer a stool softener to a patient who
recently had pituitary surgery. The patient states, "I always have
regular bowel movements. I don't want that!" What is the nurse's
best response?
"You can choose not to take the stool softener if you feel that
you do not need it."
"You need the stool softener because it will be hard to defecate
while you remain in bed."
"Any manipulation of the pituitary gland can cause difficulty in
defecation, so stool softeners are important after your surgery."
"It is important that you do not strain during bowel movements
because this could result in increased pressure on your surgical
site." Correct Answer "It is important that you do not strain
during bowel movements because this could result in increased
pressure on your surgical site."
The purpose of the stool softener is to decrease the need to bear
down (the Valsalva maneuver) during defecation, which
increases intracranial pressure, which affects the surgical site.
Question 1 of 3
The nurse is caring for a patient with adrenocortical hyperplasia.
Which treatment would the nurse expect the health care provider
to prescribe for this patient?
Radiation of the tumor
Transsphenoidal resection
Decreased corticosteroid dose
Administration of mifepristone Correct Answer Administration
of mifepristone
Mifepristone drug therapy is expected for adrenocortical
hyperplasia.
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