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Finals 2
| Question | Answer |
|---|---|
| Which statement by a 50-year-old client indicates to the nurse that further physical assessment of thyroid function may be necessary? Select all that apply. | "I feel like I'm choking when I swallow. "Sometimes my voice softens up." |
| When obtaining an initial health assessment on a client newly diagnosed with Cushing's Syndrome, the nurse will ask all the following except? | Are you regularly checking your blood glucose levels? |
| Which question will provide the most useful information to a nurse who is interviewing a client about a possible thyroid disorder? | Does your heart feel like it's racing?" |
| The nurse formulates a care plan for a postmenopausal woman who is admitted for hip fracture. Nursing assessments support the client problem of Potential for injury. The most likely cause for this nursing diagnosis would be. | Inadequate Estrogen secretion |
| During the physical examination of an 86-year-old client, the nurse finds that the client's thyroid gland is nonpalpable. The most appropriate action by the nurse is to. | Document the thyroid cannot be felt. |
| A client with acromegaly is scheduled for a transsphenoidal hypophysectomy. After the nurse teaches the client, and the nurse assesses the client's understanding, which statement made by the client indicates a need for additional teaching? | "Tim glad I can start wearing size 4 shoes instead of 7's." |
| A 42-year-old client is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. During preoperative teaching, the nurse instructs the client about the need to? | Avoid brushing her teeth for at least 10 days after surgery. |
| A 56-year-old client who is disoriented, reports a headache, and has muscle cramps is hospitalized with possible SIADH. The nurse should expoct the initial laboratory results to include? | Decreased serum sodium. |
| A 25-year old woman complains of amenorrhea, weakness, easy bruising, and a painful, fatty swelling on her upper back. Which assessment question would be most appropriate to ask this client? | Have you been taking steroid therapy for a prolonged period? |
| Which nursing action should be included in the plan of care for a S5-ycar-old client with Graves' disease who has exophthalmos? | Elevate the head of the client's bed to reduce periorbital fluid. |
| A patient complains of muscle cramping and twitching. Based on knowledge of the endocrine system, which hormonal deficiency should be evaluated? | Parathormone hormone |
| A client who was admitted with hypothyroidism is improving and expected to be discharged in 2 days. Which teaching strategy is best for the nurse to use? | Provide written reminders of self-care information. |
| A 37-year-old client is being admitted with a diagnosis of Cushing Syndrome. Which finding should the nurse expect to see during initial assessment? | Striae on the abdomen. |
| A 44-year-old client with Cushing Syndrome is admitted for an adrenalectomy. Which intervention by the nurse will be most helpful for a nursing diagnosis of Disturbed Body Image Related to Changes in Appearance? | Remind the client that most of the physical changes caused by Cushing syndrome will resolve after surgery. |
| The nurse is taking care of a patient with a thyroid disorder. Which laboratory results would confirm the diagnosis of a primary thyroid problem rather than a secondary problem? | Decreased TSH |
| After teaching a young adult client who is newly diagnosed with Type 1 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the need for eye examinations? | Diabetes can cause blindness, so I should see the ophthalmologist yearly?" |
| The nurse is caring for a patient admitted with diabetes insipidus. Which information is most important to report to the healthcare provider? | The patient is confused, lethargic, cool and clammy. |
| Which prescribed medication should the nurse administer first to a 60-year-old client admitted to the emergency department in Thyroid Crisis? | IV Acetaminophen |
| Which assessment finding for a 33-year-old client admitted with Thyroid Crises requires the most rapid intervention by the nurse? | Take vital signs. |
| An adult client is complaining of difficulty speaking because the tongue is now larger than it used to be. The client also states that his shoes no longer fit because they are too small. Based on these symptoms, the client is most likely to be diagnosed w | Acromegaly |
| After the nurse teaches a client who is recovering from a transsphenoidal hypophysectomy, the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching? | "I will keep food on the upper shelves, so I don't have to bend over." |
| Which finding by the nurse when assessing a client with Hashimoto's thyroiditis and a goiter will require priority action? | New changes in the client's voice. |
| The nurse working in the Endocrine Clinic has obtained information about a client who was prescribed Dexamethasone 20 mg daily for 3 weeks. Which of the following is most important to report to the healthcare provider? | The client says the client stopped taking the medication a week ago. |
| The nurse is preparing a glucose tolerance test (GTT). Which instructions should be included? Select all that apply? | Eat a balanced diet for 3 days prior to the test. Maintain a normal level of activity. No eating, drinking or smoking during the test. Report dizziness, nervousness, weakness and confusion. |
| A client is complaining of weight gain, has thin extremities, a buffalo hump and a protruding abdomen. The nurse realizes the client is most likely to be diagnosed with which disease process? | Cushing's Syndrome |
| In diabetes insipidus, the nurse recognizes that a deficiency of which hormone causes clinical manifestations? | ADH (Antidiuretic Hormone) |
| The nurse caring for a patient with hyperthyroidism is aware that the purpose of radioactive iodine treatment is to? | Destroy some of the thyroid tissue. |
| The nurse assesses a client who has a 19-year history of diabetes and is complaining of decreased tactile sensation in both feet. Which action should the nurse take first? | Examine the client's feet for signs of injury. |
| The nurse is reviewing the medications that each client will receive during the shift. Which client is likely to receive levothyroxine (Synthroid)? | Client who has hypothyroidism. |
| The nurse is caring for a patient who has had a thyroidectomy. What should the nurse monitor for? Select all that apply. | Bleeding and swelling Increase in pulse. Difficulty swallowing Difficulty breathing |
| The nurse is caring for a 75-year-old client who has developed diabetes insipidus following a head injury. Which interventions should the nurse include in the plan of care? Select all that apply. | Monitor intake and output. Daily weights. Monitor sodium levels. |
| A client has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. The nurse concludes that these symptoms most likely indicate an abnormality with. | Pituitary gland. |
| A patient with a history of Graves' disease is admitted to the unit with shortness of breath. The nurse notes the patient's vital signs are Temperature -106.2°F, Pulse -210, Respirations-42 and BP-250/146. The nurse also notes distended neck veins. The nu | Thyroid storm. |
| The nurse is aware that what information should be obtained from the patient scheduled for a Radioactive lodine-131 test? | Status of possible pregnancy. |
| The client being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine. Which food items contains iodine? Select all that apply. | Scallops Tuna Sea snails |
| The nurse cares for a client who has a family history of diabetes mellitus. The client states, "My mother has Type 1 diabetes. Will I develop this diabetes too?" How should the nurse respond? | "The risk of diabetes is higher than the general population, but it may not occur." |
| A patent is admitted with hyperthyroidism. The initial assessments suggest the patient problems of Altered nutrition: less than body requirements. An appropriate expected outcome would be? | The patient will maintain weight. |
| The nurse understands the client diagnosed with acromegaly will display some of the following clinical manifestations. Select all that apply. | Oily, coarse, thickened skin. Coarsened, enlarged facial features. Irregular menses Enlarged hands and feet. |
| After undergoing thyroidectomy surgery, the client is returned to the nursing unit in stable condition. The nurse is aware that the client should be placed in which position? | Semi-Fowler's. |
| Which of the following are hormones secreted by glands in the Endocrine System? Select all that apply. | Insulin Epinephrine ADH Adrenaline |
| The nurse determines that additional instruction is needed for a 20-year old client with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the client says which of the following? | " I need to shop for foods low in sodium and avoid adding salt to food." |
| A client experiencing dizziness has a prescription for Antivert 50mg orally every 4-6hrs pm dizziness. Antivert is available in 25mg tablets. How many mgs should the nurse administer in 6 doses? | 300 |
| On hand is a vial of Omnipen (Polycillin) 500mg as a sterile powder. The directions state to add ImL. of sterile water to provide a solution containing 250mg/mL. The physician has ordered Omnipen 375mg every 12hrs. How milliliters will the nurse give per | 1.5 |
| A client is prescribed Lasix 20mg by mouth twice a day. The medication label reads: Lasix 10mg tablets. How many tablets should the nurse administer in four days? | 16 |
| On hand is a vial of Vanco (Vancomycin) 2gm/mL as a sterile powder. The nurse practitioner has ordered Vanco 250mg every 6hrs. How many doses will the nurse give every 72hrs? | 12 |
| Lanoxin (Digoxin) is ordered at 100mg orally every morning for an 80-year-old. The medication label reads: Digoxin 500mg/2ml. How many mi will the nurse administer in three doses? Round to the nearest whole number. | 1 |
| The patient has an order for Lorazepam (Ativan) 0.5mg q6hrs pin agitation. Available is a vial of Lorazepan containing 2mg/mL. The nurse should administer how many mLs in one dose? | 0 |
| Give regular insulin by continuous infusion at 15 units/hr. The solution is 100 mL Normal Saline (NS) with 100 units regular insulin. What rate on the infusion pump will deliver the correct dose? | 15 |
| The nurse has an order to infuse 1000mL of NS at 100mL/hr. If the infusion was started at 0600 hours, when will the infusion be complete? | 1600 |
| Using the sliding scale table below, how much insulin would the nurse administer if the client’s fasting blood glucose level is 160 mg/dL? | 0 or none |
Created by:
Nya Thomas