Page 1 of 8 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
Module 8 Assignment: Prioritizing and Delegation for
Endocrine Problems
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MED SURG 2 MOD 9 Medical Surgical 2: Exam 2 Using Personal Protective Equipme... Un
67 terms 37 terms 17 terms 34
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Terms in this set (29)
As a patient ages and ADH decreases, urine becomes more dilute and less able to
be concentrated.
Group the clinical findings to the
endocrine changes related to aging.
A decreased production of estrogen leads to decreased bone density, thin and
dry skin (with risk of injury), and drier perineal and vaginal tissues.
Decreased ovarian production of
estrogen
Decreased glucose tolerance results in weight gain greater than ideal, along with
Decreased general metabolism
changes in glucose levels (fasting and random), slow wound healing, yeast
Decreased antidiuretic hormone (ADH)
infections, polydipsia, and polyuria
production
Decreased glucose tolerance
Decreased general tolerance manifests as less tolerance for cold and de-creased
appetite, as well as decreased heart rate and blood pressure.
The nurse is caring for a patient with ?????
syndrome of inappropriate antidiuretic
hormone secretion. Which patient care Fluid restriction is essential because fluid intake further dilutes plasma sodium
actions should the nurse delegate to the levels. In some cases, fluid intake may be kept as low as 500 to 1000 mL over 24
experienced assistive personnel? Select hours. All oral fluids count, including ice chips and mouth rinses, and strict intake
all that apply. and output is required. Measure intake, output, and daily weights to assess the
degree of fluid restriction need-ed. A weight gain of 2.2 lb (1 kg) or more per day
Report a weight gain of 2.2 lb (1 kg) to the or a gradual increase over several days is cause for concern. A 2.2-lb (1-kg) weight
nurse. increase is equal to a 1000-mL fluid retention (1 kg = 1 L). Keep the mouth moist by
Provide mouth care and allow the patient offering frequent oral rinsing (warn patients not to swallow the rinses).
to swallow the rinses.
Monitor and record strict intake and
output.
Provide the patient with ice chips when
requested.
Weigh the patient every morning using
the same scale.
Remind the patient about his or her fluid
restriction.
Page 1 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
, Page 2 of 8 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
The nurse is to administer an initial dose 3 tablets
of propylthiouracil (PTU) 150 mg orally
every 8 hours to a patient. The drug
comes in 50 mg tablets.
How many tablets will the nurse give with
each dose?
2 tablets
3 tablets
2.5 tablets
1.5 tablets
The LPN/LVN who is assigned to care for "Patients with Cushing disease have very fragile capillaries."
a patient with Cushing disease asks the
RN why the patient has bruising and A key cardiovascular feature seen in patients with Cushing disease is capillary
petechiae across her abdomen. What is fragility, which results in bruising and petechiae. Bleeding disorders are not a sign
the RN's best response? of Cushing disease, and although these patients have delicate skin, this is not the
cause of the bruising. The nurse may want to investigate whether the patient fell,
"Thin and delicate skin can result in but these patients can have bruising and petechiae without falls.
development of bruising."
"Patients with Cushing disease have very
fragile capillaries."
"Please ask the patient if she slipped or
fell during the night."
"Patients with Cushing disease often have
bleeding disorders."
Which actions should the nurse assign to Auscultating lung sounds every 4 hours.
the experienced LPN/LVN for the care of Checking blood pressure, heart rate, and respirations every 4 hours.
a patient with hypothyroidism? Select all Reminding the patient to report any episodes of chest pain or discomfort.
that apply. Assessing and recording the rate and depth of respirations.
Administering sedation medications every Assessment, auscultation, and reminding patients about information that has been
6 hours. taught to them are within the scope of practice of the LPN/ LVN. The LPN/LVN
Creating an individualized nursing care could be assigned to check the patient's vital signs, and this is certainly within the
plan for the patient. scope of practice. Checking vital signs could also be delegated to the assistive
Auscultating lung sounds every 4 hours. personnel. Creating nursing care plans falls within the scope of practice of the
Checking blood pressure, heart rate, and RN. The use of sedation is discouraged for patients with hypothyroidism because
respirations every 4 hours. it may make respiratory problems more difficult. If sedation is used, the dosage is
Reminding the patient to report any reduced, and it is not given around the clock.
episodes of chest pain or discomfort.
Assessing and recording the rate and
depth of respirations.
A patient with adrenal insufficiency is to Excessive weight gain or swelling should be report-ed to the health care provider.
be dis-charged and will take prednisone
10 mg orally each day. Which instruction Rapid weight gain and edema are signs of excessive drug therapy, and the
would the nurse be sure to teach the dosage of the drug would need to be adjusted. Hypertension, hyponatremia,
patient? hyperkalemia, and hyperglycemia are common in patients with adrenal
hypofunction.
A diet with foods low in sodium may be
beneficial to prevent side effects.
Signs of hypoglycemia may occur while
taking this drug.
Excessive weight gain or swelling should
be report-ed to the health care provider.
Changing positions rapidly may cause
hypotension and dizziness.
Page 2 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
Module 8 Assignment: Prioritizing and Delegation for
Endocrine Problems
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
MED SURG 2 MOD 9 Medical Surgical 2: Exam 2 Using Personal Protective Equipme... Un
67 terms 37 terms 17 terms 34
kalbest Preview Mmilette5 Preview Perlitalopez97 Preview
Terms in this set (29)
As a patient ages and ADH decreases, urine becomes more dilute and less able to
be concentrated.
Group the clinical findings to the
endocrine changes related to aging.
A decreased production of estrogen leads to decreased bone density, thin and
dry skin (with risk of injury), and drier perineal and vaginal tissues.
Decreased ovarian production of
estrogen
Decreased glucose tolerance results in weight gain greater than ideal, along with
Decreased general metabolism
changes in glucose levels (fasting and random), slow wound healing, yeast
Decreased antidiuretic hormone (ADH)
infections, polydipsia, and polyuria
production
Decreased glucose tolerance
Decreased general tolerance manifests as less tolerance for cold and de-creased
appetite, as well as decreased heart rate and blood pressure.
The nurse is caring for a patient with ?????
syndrome of inappropriate antidiuretic
hormone secretion. Which patient care Fluid restriction is essential because fluid intake further dilutes plasma sodium
actions should the nurse delegate to the levels. In some cases, fluid intake may be kept as low as 500 to 1000 mL over 24
experienced assistive personnel? Select hours. All oral fluids count, including ice chips and mouth rinses, and strict intake
all that apply. and output is required. Measure intake, output, and daily weights to assess the
degree of fluid restriction need-ed. A weight gain of 2.2 lb (1 kg) or more per day
Report a weight gain of 2.2 lb (1 kg) to the or a gradual increase over several days is cause for concern. A 2.2-lb (1-kg) weight
nurse. increase is equal to a 1000-mL fluid retention (1 kg = 1 L). Keep the mouth moist by
Provide mouth care and allow the patient offering frequent oral rinsing (warn patients not to swallow the rinses).
to swallow the rinses.
Monitor and record strict intake and
output.
Provide the patient with ice chips when
requested.
Weigh the patient every morning using
the same scale.
Remind the patient about his or her fluid
restriction.
Page 1 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
, Page 2 of 8 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
The nurse is to administer an initial dose 3 tablets
of propylthiouracil (PTU) 150 mg orally
every 8 hours to a patient. The drug
comes in 50 mg tablets.
How many tablets will the nurse give with
each dose?
2 tablets
3 tablets
2.5 tablets
1.5 tablets
The LPN/LVN who is assigned to care for "Patients with Cushing disease have very fragile capillaries."
a patient with Cushing disease asks the
RN why the patient has bruising and A key cardiovascular feature seen in patients with Cushing disease is capillary
petechiae across her abdomen. What is fragility, which results in bruising and petechiae. Bleeding disorders are not a sign
the RN's best response? of Cushing disease, and although these patients have delicate skin, this is not the
cause of the bruising. The nurse may want to investigate whether the patient fell,
"Thin and delicate skin can result in but these patients can have bruising and petechiae without falls.
development of bruising."
"Patients with Cushing disease have very
fragile capillaries."
"Please ask the patient if she slipped or
fell during the night."
"Patients with Cushing disease often have
bleeding disorders."
Which actions should the nurse assign to Auscultating lung sounds every 4 hours.
the experienced LPN/LVN for the care of Checking blood pressure, heart rate, and respirations every 4 hours.
a patient with hypothyroidism? Select all Reminding the patient to report any episodes of chest pain or discomfort.
that apply. Assessing and recording the rate and depth of respirations.
Administering sedation medications every Assessment, auscultation, and reminding patients about information that has been
6 hours. taught to them are within the scope of practice of the LPN/ LVN. The LPN/LVN
Creating an individualized nursing care could be assigned to check the patient's vital signs, and this is certainly within the
plan for the patient. scope of practice. Checking vital signs could also be delegated to the assistive
Auscultating lung sounds every 4 hours. personnel. Creating nursing care plans falls within the scope of practice of the
Checking blood pressure, heart rate, and RN. The use of sedation is discouraged for patients with hypothyroidism because
respirations every 4 hours. it may make respiratory problems more difficult. If sedation is used, the dosage is
Reminding the patient to report any reduced, and it is not given around the clock.
episodes of chest pain or discomfort.
Assessing and recording the rate and
depth of respirations.
A patient with adrenal insufficiency is to Excessive weight gain or swelling should be report-ed to the health care provider.
be dis-charged and will take prednisone
10 mg orally each day. Which instruction Rapid weight gain and edema are signs of excessive drug therapy, and the
would the nurse be sure to teach the dosage of the drug would need to be adjusted. Hypertension, hyponatremia,
patient? hyperkalemia, and hyperglycemia are common in patients with adrenal
hypofunction.
A diet with foods low in sodium may be
beneficial to prevent side effects.
Signs of hypoglycemia may occur while
taking this drug.
Excessive weight gain or swelling should
be report-ed to the health care provider.
Changing positions rapidly may cause
hypotension and dizziness.
Page 2 Module 8 Assignment Prioritizing and
Module
Delegation
8 Assignment
for Endocrine
Prioritizing
Problems
and Delegation for Endocrine Problems.pdf
