EVALUATED QUESTIONS AND ANSWERS FOR ASSESSMENT AND MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS

EVALUATED QUESTIONS AND ANSWERS FOR ASSESSMENT AND MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and: A. iron. B. potassium. C. folic acid. D. vitamin D. - CORRECT ANSWER -D. vitamin D. Typically, clients with hypoparathyroidism are ordered daily supplements of vitamin D along with calcium because calcium absorption from the small intestine depends on vitamin D. Hypoparathyroidism doesn't cause a deficiency of folic acid, potassium, or iron. Therefore, the client doesn't require daily supplements of these substances to maintain a normal serum calcium level. During preoperative teaching for a client who will undergo subtotal thyroidectomy, the nurse should include which statement? A. "You must avoid hyperextending your neck after surgery." B. "The head of your bed must remain flat for 24 hours after surgery." C. "You should avoid deep breathing and coughing after surgery." D. "You won't be able to swallow for the first day or two." - CORRECT ANSWER -A. "You must avoid hyperextending your neck after surgery." To prevent undue pressure on the surgical incision after subtotal thyroidectomy, the nurse should advise the client to avoid hyperextending the neck. The client may elevate the head of the bed as desired and should perform deep breathing and coughing to help prevent pneumonia. Subtotal thyroidectomy doesn't affect swallowing. Early this morning, a client had a subtotal thyroidectomy. During evening rounds, the nurse assesses the client (who now has nausea) and records a temperature of 105°F (40.5°C), tachycardia, and extreme restlessness. What is the most likely cause of these signs? A. Tetany B. Thyroid crisis C. Diabetic ketoacidosis D. Hypoglycemia - CORRECT ANSWER -B. Thyroid crisis Thyroid crisis usually occurs in the first 12 hours after thyroidectomy and causes exaggerated signs of hyperthyroidism, such as high fever, tachycardia, and extreme restlessness. Diabetic ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia. Hypoglycemia is likely to produce weakness,