Med Surg 2 Endocrine Test Questions and Correct Answers Rated A+

The nurse is explaining how the endocrine system works and explains that glands excrete hormones to receptors, but once the receptors receive the hormone they switch off. She explains this as which of the following? a. Positive feedback system b. Negative feedback system - B A patient is admitted to the hospital with a diagnosis of diabetes insipidus (DI). The nurse should be aware of what primary characteristics of DI? a. Decreased urinary output and decreased plasma osmolality b. Excretion of large quantities of urine with a very low specific gravity and urine osmolality c. Hypertension, weight gain and bradycardia d. Irritability and mental dullness - B What is the priority action for the nurse to take in treating a patient with central DI? a. Fluid and hormone replacement b. Restrict fluid intake c. Low sodium diet and thiazide diuretics d. Start patient on insulin drip - A A nurse is providing teaching to a client with SIADH. The client shows understanding of the syndrome when stating: a. "I need to start increasing my daily fluid intake" b. "If I experience any side effects from the medications, I shouldn't report them as they will resolve on their own" c. "Once being on medication for a few months, I can stop taking it because my SIADH will resolve" d. "Since I'm on fluid restriction, I will need to monitor my weight daily" - D A client admitted to the unit with a diagnosis of SIADH. For which electrolyte abnormality will you be sure to monitor? a. Hypokalemia b. Hyperkalemia c. Hyponatremia d. Hypernatremia - C Which nursing diagnosis takes highest priority for a female client with hyperthyroidism? a. Risk for impaired skin integrity related to edema, skin fragility and poor wound healing b. Body image disturbance related to weight gain and edema c. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess d. Imbalanced nutrition: less than body requirements related to thyroid hormone excess - D For the first 72 hours after thyroidectomy surgery, the nurse would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following? a. Hypokalemia b. Hypocalcemia c. Hypercalcemia d. Hyperkalemia - B The nurse is caring for the client newly diagnosed with hypothyroidism. Which problem should the nurse include in the plan of care? a. Diarrhea due to gastrointestinal (GI) hypermotility b. Imbalanced nutrition due to insufficient calorie intake c. Activity intolerance due to increased metabolic rate d. Anxiety due to forgetfulness and slowed speech - D The nurse is caring for a patient post-parathyroidectomy. What supplies/equipment should s/he have at the bedside? a. Suction equipment and calcium gluconate b. Trach kit and calcium alginate c. Trach kit and calcium gluconate d. Intubation equipment and calcium chloride - C A patient is admitted with complaints of palpitations, excessive sweating and unable to tolerate heat. In addition the patient voices concerns about how her appearance has changed over the past year. The patient presents with protruding eyeballs and pretibial myxedema on the legs and feet. Which of the following is the likely cause of the patient's signs and symptoms? a. Thyroiditis b. Deficiency of iodine consumption c. Grave's disease d. Hashimoto's disease - C Which of the following are signs of diabetes insipidus? Select all that apply A- Confusion-> Coma B- Nocturia C- Polyuria-> Dehydration D- Polydispia E- Low specific gravity of urine F- Bradycardia - A,B,C,D,E What are some causes of diabetes insipidus? select all that apply A-Brain tumor-> Neuro surgery or Pituitary surgery B- Lung tumor C- Infection of CNS D- Disruption of hypothalamus and pituitary gland E- Bladder infection F- Secondary to head trauma - A, C, D, F What are treatment options for Diabetes Insipidus? select all that apply A- Replace ADH w/Vasopressin or Desmopressin B- Correct underlying inter cranial pathology C- Daily Weight + strict I and O D- Watch for constipation + skin/mouth care E- Metformin F- Bed Rest - A,B,C,D