Ch. 52:34 Assessment and Management of Patients with Endocrine Disorders PREPU Questions And Answers
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Course
Assessment and Management of Patients
Institution
Assessment And Management Of Patients
A client has a decreased level of thyroid hormone being excreted. What will the feedback loop do to maintain the level of thyroid hormone required to maintain homeostatic stability?
a) Stimulate more hormones using the negative feedback system
b) The feedback loop will be unable to perform in res...
Ch. 52:34 Assessment and Management
of Patients with Endocrine Disorders
PREPU Questions
A client has a decreased level of thyroid hormone being excreted. What will the feedback loop do to
maintain the level of thyroid hormone required to maintain homeostatic stability?
a) Stimulate more hormones using the negative feedback system
b) The feedback loop will be unable to perform in response to low levels of thyroid hormone.
c) Produce a new hormone to try and regulate the thyroid function
d) Stimulate more hormones using the positive feedback system - ✔ ✔ Stimulate more hormones
using the negative feedback system
Feedback can be either negative or positive. Most hormones are secreted in response to negative
feedback; a decrease in levels stimulates the releasing gland.
A client is admitted to an acute care facility with a tentative diagnosis of hypoparathyroidism. The nurse
should monitor the client closely for the related problem of:
Hypoparathyroidism may slow bone resorption, reduce the serum calcium level, and cause profound
neuromuscular irritability (as evidenced by tetany)
A client is being evaluated for hypothyroidism. During assessment, the nurse should stay alert for:
a) decreased body temperature and cold intolerance.
b) flushed, warm, moist skin.
c) exophthalmos and conjunctival redness.
, d) systolic murmur at the left sternal border. - ✔ ✔ decreased body temperature and cold
intolerance.
Hypothyroidism markedly decreases the metabolic rate, causing a reduced body temperature and cold
intolerance. Other signs and symptoms include dyspnea, hypoventilation, bradycardia, hypotension,
anorexia, constipation, decreased intellectual function, and depression.
A client sustained a head injury when falling off of a ladder. While in the hospital, the client begins
voiding large amounts of clear urine and states he is very thirsty. The client states that he feels weak and
has had an 8-lb weight loss since admission. What should the client be tested for?
a) Hypothyroidism
b) Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
c) Diabetes insipidus (DI)
d) Pituitary tumor - ✔ ✔ Diabetes insipidus (DI)
Urine output may be as high as 20 L/24 hours. Urine is dilute, with a specific gravity of 1.002 or less.
Limiting fluid intake does not control urine exertion. Thirst is excessive and constant. Activities are
limited by the frequent need to drink and void. Weakness, dehydration, and weight loss develop.
A group of students are reviewing material about endocrine system function. The students demonstrate
understanding of the information when they identify which of the following as secreted by the adrenal
medulla?
a) Glucagon
b) Epinephrine
c) Mineralocorticoids
d) Glucocorticoids - ✔ ✔ Epinephrine
The adrenal medulla secretes epinephrine and norepinephrine.
A nurse educator is teaching a chapter on, "The Function of the Endocrine System." Which of the
following hormones would she not include as one of the six hypothalamic hormones?
a) Corticotropin-releasing hormone
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