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Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+ $12.99   Add to cart
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Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+
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Chapter 49: Endocrine Problems Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • November 15, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical nursing 12th
  • ans ans a the affected persons confusion and l
  • a have you had a recent head injury b do you

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Chapter 49: Endocrine Problems Lewis:
Medical-Surgical Nursing, 10th Edition

- ANS-ANS: A
The affected person's confusion and lethargy may also suggest hypernatremia and need to be
addressed fast. In addition, sufferers with DI atone for fluid losses via ingesting copious
quantities of fluids, but a patient who is lethargic can be unable to drink sufficient fluids and will
become hypovolemic. A excessive urine output, low urine unique gravity, and records of a
current head injury are consistent with diabetes insipidus, however they do no longer require
instant nursing movement to avoid existence-threatening headaches.
- ANS-ANS: D
A serum sodium of much less than a hundred and twenty mEq/L will increase the threat for
headaches which include seizures and wishes speedy correction. The different information are
common for a affected person with SIADH and do no longer imply the want for fast action.
1. A 40-12 months-vintage affected person with suspected acromegaly is seen on the health
facility. To assist in making the analysis, which question should the nurse ask?

A. "Have you had a recent head injury?"
b. "Do you need to wear large footwear now?"
c. "Is there a own family records of acromegaly?"
d. "Are you experiencing tremors or tension?" - ANS-ANS: B
Acromegaly reasons an enlargement of the arms and feet. Head harm and circle of relatives
records aren't danger elements for acromegaly. Tremors and anxiety are not clinical
manifestations of acromegaly.

DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment
REF: 1157
MSC: NCLEX: Physiological Integrity
1. A affected person is to obtain methylprednisolone (Solu-Medrol) 100 mg. The label on the
drugs states: methylprednisolone 125 mg in 2 mL. How many milliliters will the nurse
administer? - ANS-ANS:
1.6
A attention of 125 mg in 2 mL will result in 100 mg in 1.6 mL.
10. Which information will the nurse teach a patient who has been newly recognized with
Graves' disorder?
A. Exercise is contraindicated to keep away from increasing metabolic price.
B. Restriction of iodine intake is needed to lessen thyroid pastime.
C. Antithyroid medicinal drugs may additionally take numerous months for full effect.

, D. Surgery will ultimately be required to do away with the thyroid gland. - ANS-ANS: C
Medications used to block the synthesis of thyroid hormones may additionally take 2 to three
months before the entire impact is seen. Large doses of iodine are used to inhibit the synthesis
of thyroid hormones. Exercise the use of massive muscle organizations is encouraged to
decrease the irritability and hyperactivity associated with excessive stages of thyroid hormones.
Radioactive iodine is the most commonplace treatment for Graves' ailment, although surgical
operation can be used.
Eleven. A patient who had a subtotal thyroidectomy in advance today develops laryngeal stridor
and a cramp in the proper hand upon returning to the surgical nursing unit. Which collaborative
motion will the nurse assume next?
A. Suction the patient's airway.
B. Administer IV calcium gluconate.
C. Plan for emergency tracheostomy.
D. Prepare for endotracheal intubation. - ANS-ANS: B
The affected person's clinical manifestations of stridor and cramping are constant with tetany
caused by hypocalcemia attributable to harm to the parathyroid glands during surgical
treatment. Endotracheal intubation or tracheostomy may be wished if the calcium does now not
clear up the stridor. Suctioning will now not correct the stridor.
12. Which nursing movement could be protected in the plan of take care of a patient with
Graves' disease who has exophthalmos?
A. Place cold packs on the eyes to alleviate ache and swelling.
B. Elevate the head of the patient's mattress to reduce periorbital fluid.
C. Apply alternating eye patches to protect the corneas from inflammation.
D. Teach the affected person to blink each few seconds to lubricate the corneas. - ANS-ANS: B
The affected person must sit upright as a great deal as possible to promote fluid drainage from
the periorbital area. With exophthalmos, the affected person is not able to close the eyes
completely to blink. Lubrication of the eyes, in preference to eye patches, will protect the eyes
from growing corneal scarring. The swelling of the eye isn't because of excessive blood flow to
the eye, so bloodless packs will no longer be beneficial.
Thirteen. A sixty two-12 months-antique affected person with hyperthyroidism is to be handled
with radioactive iodine (RAI). The nurse instructs the patient
a. Approximately radioactive precautions to take with all body secretions.
B. That symptoms of hyperthyroidism have to be relieved in approximately per week.
C. That symptoms of hypothyroidism may arise as the RAI remedy takes impact.
D. To stop the antithyroid medications taken earlier than the radioactive remedy. - ANS-ANS: C
There is a high occurrence of postradiation hypothyroidism after RAI, and the patient should be
monitored for signs of hypothyroidism. RAI has a not on time response, with the most effect now
not visible for two to a few months, and the patient will preserve to take antithyroid medications
in the course of this time. The healing dose of radioactive iodine is low enough that no radiation
protection precautions are wished.
14. Which nursing assessment of a 70-yr-antique patient is maximum important to make at
some point of initiation of thyroid replacement with levothyroxine (Synthroid)?
A. Fluid stability
b. Apical pulse charge

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