Med Surg Endocrine Assessment with
Complete Solutions
A 40-year-old patient with suspected acromegaly is seen at the clinic. To assist in
making the diagnosis, which question should the nurse ask?
a. "Have you had a recent head injury?"
b. "Do you have to wear larger shoes now?"
c. "Is there a family history of acromegaly?"
d. "Are you experiencing tremors or anxiety?" - ANS-b. "Do you have to wear larger
shoes now?"
A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary
adenoma. What should the nurse include in preoperative teaching?
a. Cough and deep breathe every 2 hours postoperatively.
b. Remain on bed rest for the first 48 hours postoperatively.
c. Avoid brushing teeth for at least 10 days after the surgery.
d. You will be positioned flat with a cervical collar after surgery. - ANS-c. Avoid
brushing teeth for at least 10 days after the surgery.
The nurse is planning postoperative care for a patient who is being admitted to the
surgical unit from the recovery room after transsphenoidal resection of a pituitary
tumor. Which nursing action should be included?
a. Palpate extremities for edema.
b. Measure urine volume every hour.
c. Check hematocrit every 2 hours for 8 hours.
d. Monitor continuous pulse oximetry for 24 hours. - ANS-b. Measure urine volume
every hour.
The nurse is assessing a male patient diagnosed with a pituitary tumor causing
panhypopituitarism. Which assessment finding is consistent with
panhypopituitarism?
a. High blood pressure
b. Decreased facial hair
c. Elevated blood glucose
d. Intermittent tachycardia - ANS-b. Decreased facial hair
Which information will the nurse include when teaching a 50-year-old male patient
about somatropin (Genotropin)?
a. The medication will be needed for 3 to 6 months.
b. Inject the medication subcutaneously every day.
c. Blood glucose levels may decrease when taking the medication.
d. Stop taking the medication if swelling of the hands or feet occurs. - ANS-b. Inject
the medication subcutaneously every day.
Which finding indicates to the nurse that demeclocycline is effective for a patient
with syndrome of inappropriate antidiuretic hormone (SIADH)?
a. Weight has increased.
, b. Urinary output is increased.
c. Peripheral edema is increased.
d. Urine specific gravity is increased. - ANS-b. Urinary output is increased.
Which patient statement indicates to the nurse that additional instruction is needed
for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH)?
a. "I should weigh myself daily and report sudden weight loss or gain."
b. "I need to shop for foods low in sodium and avoid adding salt to food."
c. "I need to limit my fluid intake to no more than 1 quart of liquids a day."
d. "I should eat foods high in potassium because diuretics cause potassium loss." -
ANS-b. "I need to shop for foods low in sodium and avoid adding salt to food."
A 56-year-old patient who is disoriented and reports a headache and muscle
cramps is hospitalized with syndrome of inappropriate antidiuretic hormone
(SIADH). Which initial laboratory result should the nurse expect?
a. Elevated hematocrit
b. Decreased serum sodium
c. Increased serum chloride
d. Low urine specific gravity - ANS-b. Decreased serum sodium
Which problem should the nurse anticipate for a patient admitted to the hospital
with diabetes insipidus?
a. Generalized edema
b. Fluid volume overload
c. Disturbed sleep pattern
d. Decreased gas exchange - ANS-c. Disturbed sleep pattern
Which information will the nurse teach a patient who has been newly diagnosed
with Graves' disease?
a. Exercise is contraindicated to avoid increasing metabolic rate.
b. Restriction of iodine intake is needed to reduce thyroid activity.
c. Antithyroid medications may take several months for full effect.
d. Surgery will eventually be required to remove the thyroid gland. - ANS-c.
Antithyroid medications may take several months for full effect.
A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor
and a cramp in the right hand upon returning to the surgical nursing unit. Which
collaborative action will the nurse anticipate next?
a. Plan for emergency tracheostomy.
b. Administer IV calcium gluconate.
c. Prepare for endotracheal intubation.
d. Begin thyroid hormone replacement. - ANS-b. Administer IV calcium gluconate.
Which nursing action will be included in the plan of care for a patient with Graves'
disease who has exophthalmos?
a. Place cold packs on the eyes to relieve pain and swelling.
b. Elevate the head of the patient's bed to reduce periorbital fluid.
c. Apply alternating eye patches to protect the corneas from irritation.
Complete Solutions
A 40-year-old patient with suspected acromegaly is seen at the clinic. To assist in
making the diagnosis, which question should the nurse ask?
a. "Have you had a recent head injury?"
b. "Do you have to wear larger shoes now?"
c. "Is there a family history of acromegaly?"
d. "Are you experiencing tremors or anxiety?" - ANS-b. "Do you have to wear larger
shoes now?"
A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary
adenoma. What should the nurse include in preoperative teaching?
a. Cough and deep breathe every 2 hours postoperatively.
b. Remain on bed rest for the first 48 hours postoperatively.
c. Avoid brushing teeth for at least 10 days after the surgery.
d. You will be positioned flat with a cervical collar after surgery. - ANS-c. Avoid
brushing teeth for at least 10 days after the surgery.
The nurse is planning postoperative care for a patient who is being admitted to the
surgical unit from the recovery room after transsphenoidal resection of a pituitary
tumor. Which nursing action should be included?
a. Palpate extremities for edema.
b. Measure urine volume every hour.
c. Check hematocrit every 2 hours for 8 hours.
d. Monitor continuous pulse oximetry for 24 hours. - ANS-b. Measure urine volume
every hour.
The nurse is assessing a male patient diagnosed with a pituitary tumor causing
panhypopituitarism. Which assessment finding is consistent with
panhypopituitarism?
a. High blood pressure
b. Decreased facial hair
c. Elevated blood glucose
d. Intermittent tachycardia - ANS-b. Decreased facial hair
Which information will the nurse include when teaching a 50-year-old male patient
about somatropin (Genotropin)?
a. The medication will be needed for 3 to 6 months.
b. Inject the medication subcutaneously every day.
c. Blood glucose levels may decrease when taking the medication.
d. Stop taking the medication if swelling of the hands or feet occurs. - ANS-b. Inject
the medication subcutaneously every day.
Which finding indicates to the nurse that demeclocycline is effective for a patient
with syndrome of inappropriate antidiuretic hormone (SIADH)?
a. Weight has increased.
, b. Urinary output is increased.
c. Peripheral edema is increased.
d. Urine specific gravity is increased. - ANS-b. Urinary output is increased.
Which patient statement indicates to the nurse that additional instruction is needed
for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH)?
a. "I should weigh myself daily and report sudden weight loss or gain."
b. "I need to shop for foods low in sodium and avoid adding salt to food."
c. "I need to limit my fluid intake to no more than 1 quart of liquids a day."
d. "I should eat foods high in potassium because diuretics cause potassium loss." -
ANS-b. "I need to shop for foods low in sodium and avoid adding salt to food."
A 56-year-old patient who is disoriented and reports a headache and muscle
cramps is hospitalized with syndrome of inappropriate antidiuretic hormone
(SIADH). Which initial laboratory result should the nurse expect?
a. Elevated hematocrit
b. Decreased serum sodium
c. Increased serum chloride
d. Low urine specific gravity - ANS-b. Decreased serum sodium
Which problem should the nurse anticipate for a patient admitted to the hospital
with diabetes insipidus?
a. Generalized edema
b. Fluid volume overload
c. Disturbed sleep pattern
d. Decreased gas exchange - ANS-c. Disturbed sleep pattern
Which information will the nurse teach a patient who has been newly diagnosed
with Graves' disease?
a. Exercise is contraindicated to avoid increasing metabolic rate.
b. Restriction of iodine intake is needed to reduce thyroid activity.
c. Antithyroid medications may take several months for full effect.
d. Surgery will eventually be required to remove the thyroid gland. - ANS-c.
Antithyroid medications may take several months for full effect.
A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor
and a cramp in the right hand upon returning to the surgical nursing unit. Which
collaborative action will the nurse anticipate next?
a. Plan for emergency tracheostomy.
b. Administer IV calcium gluconate.
c. Prepare for endotracheal intubation.
d. Begin thyroid hormone replacement. - ANS-b. Administer IV calcium gluconate.
Which nursing action will be included in the plan of care for a patient with Graves'
disease who has exophthalmos?
a. Place cold packs on the eyes to relieve pain and swelling.
b. Elevate the head of the patient's bed to reduce periorbital fluid.
c. Apply alternating eye patches to protect the corneas from irritation.
