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Week 8 EAQ 246
Week 8 EAQ CON
| Question | Answer |
|---|---|
| Which endocrine problem is more common in men than in women? | Ectopic adrenocorticotropic hormone production |
| Which clinical manifestation is a classic finding in Graves' disease? | Exophthalmos |
| A nurse completes an assessment and notes that a patient's thyroid gland is enlarged. With which condition is this finding consistent? | Goiter |
| A patient has a dysfunction of the pituitary gland. Which hormone secretion may be altered in a patient with a dysfunction of the pituitary gland? | Prolactin |
| Which hormone has both mineralocorticoid and glucocorticoid properties? | Hydrocortisone |
| A transsphenoidal hypophysectomy involves surgical resection of which gland? | Pituitary |
| To promote optimal absorption, the nurse would instruct the patient to take their levothyroxine at which time? | 0600 |
| A patient diagnosed with acromegaly has developed speech difficulties and asks what is causing the problem. Which response by the nurse is accurate? | "You have developed the condition due to overgrowth of the tongue." |
| Which clinical manifestation is seen with Addison's disease? | delusions |
| Which condition is the goal for treating hypocalcemia? | decreasing the pH |
| Which condition may be linked to Conn's syndrome? | hyperaldosteronism |
| Which condition can result if hypersecretion of growth hormone (GH) occurs after epiphyseal plate closure? | acromegaly |
| Adrenocortical indsufficiency develops secondary to inadequate secretion of which pituitary hormone? | Adrenocorticotropic hormone (ACTH) |
| Which condition shows a clinical presentation of purplish red striae? | Hyperfunction of glucocorticoids |
| Which laboratory results would confirm over hyperthyroidism? | 1. Elevated triiodothyronine (T3) level 2, Elevated free t4 level 3. Low TSH level |
| Activity intolerance in a patient with hypothyroidism is related t which side effect? | fatigue |
| Which complication may arise if pheochromocytoma is left untreated? | Diabetes mellitus |
| Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that apply. | 1. A positive bruit upon auscultation of the thyroid gland. 2. A goiter 3. Clubbing of the fingers. |
| Which factor would be seen in syndrome of inappropriate antidiuretic hormone secretion (SIADH) | increased intravascular volume |
| Which test is more reliable to diagnose pheochromocytoma? | urinary creatinine |
| Which clinical manifestation would the nurse assess in a patient admitted with hyperparathyroidism? | lethargy and weakness |
| Which parameter is monitored that would indicate a corticosteroid imbalance after surgery in a patient wit Cushing syndrome? | fluid intake |
| Which factor may be the cause of iatrogenic Addison's disease? | Adrenal hemorrhage |
| Which factor is characterized by excessive secretion of the hormone vasopressin? | Syndrome of inappropriate antidiuretic secretion |
| Which assessment finding would be increased in a patient with diabetes insipidus? | Urine output |
| Which rationale is accurate for checking Trousseau's sign in a patient following a subtotal thyroidectomy? | To assess for parathyroid gland injury |
| A patient with a history of hypoparathyroidism would be assessed for which condition? | Thyroidectomy |
| Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? | - weight loss - protrusion of the eyeballs- Elevated BP |
| For a patient who presents with an enlarged thyroid gland but has normal thyroid levels, which type of goiter would be documented in the patient's medical record? | non-toxic |
| Arrange the events in the order they occur in a patient who has developed diabetes insipidus. | - Decreased in antidiuretic hormone - Decrease in water absorption- Decrease in intravascular fluid volume - Increase in serum osmolality |
| Which characteristic is seen in syndrome of inappropriate antidiuretic hormone secretion (SIADH)? | Fluid retention |
| Which hormone plays a key role in the regulation of water balance and osmolarity? | Arginine Vasopressin |
| Which level of urine cortisol in a 24-hour period indicates Cushing syndrome? | 110mcg/24 hr |
| Which treatment is given to a patient with pheochromocytoma to control high BP before surgery? | Phenoxybenzamine |
| Which condition correlates with syndrome of inappropriate antidiuretic hormone secretion (SIADH) after a head injury? | Increased intravascular volume |
| What patient is at greatest risk for developing colon polyps and colorectal cancer and should have a screening colonoscopy every three to four years? | A patient with acromegaly. |
| Which rationale is accurate when explaining to a patient with hypothyroidism and coronary artery disease (CAD) as to why the use of an enema is contraindicated? | Vagus-nerve stimulation |
| Which effect does an increased level of plasma insulin-like growth factor-1 have on growth hormone levels? | Growth hormone levels are elevated. |
| Which type of thyroid cancer is the least likely to respond to treatment and has the poorest prognosis? | Anaplastic |
| Which treatment would be done for a patient diagnosed with hyperthyroidism who presents with nonmalignant neck nodules that are less than 3cm in size? | Endoscopic thyroidectomy |
| Which effect may be observed if large amounts of endogenous corticosteroids are released into systemic circulation during surgery on a patient with Cushing syndrome? | Infections |
| Which clinical manifestations would the nurse assess in a hospitalized patient diagnosed with Grave's disease? Select all that apply | - Dysrhythmias - Systolic murmurs- Distant heart sounds |
| Which expected outcome would be included in the plan of care for a patient with Graves disease? | The patient will demonstrate maintenance of weight. |
| For which complication would a 35 year old woman who had a hypophysectomy and who developed a deficiency of follicle stimulating hormone (FSH) and Luteinizindg hormone (LH) be at risk? | Decreased fertility rate |
| Which clinical manifestations would the nurse assess in a hospitalized patient experiencing exophthalmos? Select all that apply. | 1. Tachypnea 2. Increased appetite 3. Bounding, rapid pulse |
| Which syndrome would be suspected in a patient who has Addison's disease along with other endocrine conditions? | Autoimmune polyglandular syndromee |
| A patient who has 20 year history of hypothyroidism was admitted to the intensive care unit (ICU) with a decreased level of consciousness and a temperature Which interventions would be included in the plan of care for this patient? Select all that apply | 1. Administering thyroid hormone IV 2. Monitoring cardiovascular status continuously |
| Which statement is true about pheochromocytoma? | Severe pounding headaches and profuse sweating are clinical features. |
| Which condition is associated with the symptoms of numbness and a "pins and needles" sensation in the thumb, middle, and index finger, especially at night? | Acromegaly |
| Which prescribed drug may be the cause of menstrual disorders in a female patient who is on drug therapy for hyperaldosternomism? | Spironolactone |
Created by:
Brandi Sizemore
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