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RN Targeted Medical Surgical Endocrine Online Practice questions with correct answers
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RN Targeted Medical Surgical Endocrine Online Practice questions with correct answers
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RN Targeted Medical Surgical Endocrine OnlinePractice questions with correct answers
A home health nurse is assessing a client who requires lifelong hormone
replacement therapy for the treatment of hypothyroidism. The client has
not been taking the medication regularly. Which of the following
findings should the nurse expect?
a) Increased urine output
b) Persistent diarrhea
c) Tachycardia
d) Hypotension Correct Answer-d) hypotension
Hypotension is an expected finding of hypothyroidism, along with
bradypnea, dysrhythmias, cold intolerance, and cool, dry skin.
(*lifelong hormone replacement therapy=replenish hormones that body
lacks)
(*hormones=thyroid hormones)
(*hypothyroidism=lo T3--> lo metabolism)
(*not taking med regularly.....so still lo T3--> lo metabolisms--> less
nutr + energy + breakdown of fat=less cell funct)
(*hypo=lo)(sloww cell funct)
(*hypotension=lo BP)
,(*cuz hypothyroid=lo breakdown food=lo nutr = lo energy=cells don't
funct as much.........hypotension=heart cells dont get enough nutr to
wrok harder to push blood thruout body)
A nurse is assessing a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following findings should
the nurse report to the provider?
a) Sodium 110 mEq/L
b) 2+ deep-tendon reflexes
c) Potassium 3.7 mEq/L
d) Urine specific gravity 1.025 Correct Answer-a) sodium 110 mEq/L
A client who has SIADH retains fluids, which causes dilutional
hyponatremia.
(*medical emergency.....cuz lo salt=hi water....may cause fluid edema in
brain....brain damage)
(*inapp=not working)
(*antidiruetic=no peepee)(keep fluids in)
(*hormone=send message)
(*rest is normal)
(****2+ =normal)(pulse, reflex)
(*inapp=cuz excess)
(*antidiuretic=no peepee)(*so fluids stay in)(inc fluids)
, (*hi fluids=lots water=dilutes content in body.....lowers it)
(*sodium lo cuz too much water dilutes (breaks it down)
(*lowes salt...cuz water breaks down bonds....so that it breaks down salt
into its chem parts.....not salt anymore...so that is how salt content is
decreased)
(*Na=135-145)
a nurse is teaching a client who is scheduled for a vanillylmandelic acid
test to screen for pheochromocytoma. Which of the following statements
should the nurse include in the teaching?
a) "Start fasting at midnight prior to the day of the test."
b) "Begin the 24-hour urine collection with the first morning urination."
c) "Take low-dose aspirin for pain during the testing period."
d) "Restrict coffee intake 2 to 3 days prior to the test." Correct
Answer-"Restrict coffee intake 2 to 3 days prior to the test."
The client should avoid coffee and tea, even if they are decaffeinated,
bananas, chocolate, and vanilla for 2 to 3 days prior to the test.
(*restrict coffee=cuz coffee=inc catecholamines...cuz coffee stimulates
body (wake up) by inc catecholamines to breakdown sugars...use it as
energy)
...so false result...cuz may not be due to pheochromo...but to coffee)
(*vanillylmendelic acid test=sees # catecholamines)
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