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Eliopoulos gerontological Endocrine Exam Questions and Answers (Graded A)
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Eliopoulos gerontological Endocrine Exam Questions and Answers
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Eliopoulos gerontological EndocrineExam Questions and Answers
The nurse assesses a group of older adults at a senior center for conditions related to
an aging endocrine system. Which of the following assessment findings should the
nurse prioritize and address first?
A) Blood glucose of 300 in an 88-year-old person
B) Metabolic syndrome in a 67-year-old person
C) New onset of peripheral edema and constipation in a 72-year-old adult
D) The presence of a Dupuytren contracture in a 78-year-old adult - Answers -A) Blood
glucose of 300 in an 88-year-old person
Feedback:
While all are abnormal findings and need addressing, the elevated blood glucose is the
priority before the patient develops other issues with the hyperglycemia.
The nurse educates the older adult regarding a new diagnosis of diabetes mellitus.
Which of the following educational materials should the nurse consider as appropriate?
A) A commercial pamphlet with pictures and font size 12
B) An audio recording.
C) Online interactive presentation
D) Printed handouts on white paper with font size 16 - Answers -D) Printed handouts on
white paper with font size 16
Feedback:
Original handmade aids suited for the individual's unique needs may have a value equal
to or greater than commercially prepared ones. Audio recording is of little benefit to the
older person with a hearing problem. A computer presentation may overwhelm the older
learner. The print on a commercial pamphlet may appear minute to older eyes.
The nurse educated the patient with newly diagnosed diabetes. Which of the learning
outcomes would be appropriate? (Select all that apply.)
A) To demonstrate the correct method of blood glucose testing
B) To demonstrate the proper technique for administration of antidiabetic medication
C) To lose 5 lb a week for the next 52 weeks
D) To remain with heart rate within normal limits
E) To verbalize understanding of diabetes and its management - Answers -A, B, E
A) To demonstrate the correct method of blood glucose testing
, B) To demonstrate the proper technique for administration of antidiabetic medication
E) To verbalize understanding of diabetes and its management
Feedback:
Weight loss of 1 to 2 lb a week is suggested if indicated, and no direct cardiovascular
effects are expected. Heart rate is not related to this learning outcome.
The nurse admits a patient to the skilled care unit with symptoms of fatigue, weakness,
and lethargy. Before the primary care provider completes a diagnosis of depression,
which of the following laboratory tests should be completed?
A) Estrogen and testosterone
B) Random blood glucose
C) T4 and TSH
D) Triglyceride - Answers -C) T4 and TSH
Feedback:
Fatigue, weakness, lethargy, depression, and disinterest in activities are all
characteristic of hypothyroidism. While fatigue and weakness may indicate
hypoglycemia, a random blood glucose will not diagnose diabetes.
The nurse interviews the client at a yearly office visit. The client states "I don't really eat
that much, I'm not that hungry, but I keep gaining weight. Just look at my fat face!"
Which of the following conditions should the nurse suspect?
A) Hyperlipidemia
B) Hypothyroidism
C) Diabetes
D) Peripheral vascular disease - Answers -B) Hypothyroidism
Feedback:
Anorexia, weight gain, and a puffy face are all characteristics of hypothyroidism.
The nurse administers the initial dose of levothyroxine sodium (Synthroid) to a 76-year-
old. Which of the following signs would indicate a complication?
A) Anorexia
B) Cold intolerance
C) Constipation
D) Tachycardia - Answers -D) Tachycardia
Feedback:
Initially, thyroid replacement is prescribed at a low dose and gradually increased under
close supervision to prevent cardiac complications. Anorexia, cold intolerance, and
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