EXAM 4 MED SURG ENDOCRINE
QUESTIONS AND ANSWERS
When vevaluating vthe vlaboratory vresults vfor va vpatient vwith vincreased vsecretion vof vthe
vanterior vpituitary vhormones, vthe vnurse vwould vexpect vto vfind
a.
decreased vserum vthyroxine vlevels.
b.
elevated vserum valdosterone vlevels.
c.
an vincrease vin vurinary vfree vcortisol.
d.
low vurinary vexcretion vof vcatecholamines. v- vCorrect vAnswer v- vc
When vthe vnurse vis vobtaining vthe vhealth vhistory, vwhich vstatement vby va vpatient vindicates
vfurther vassessment vof vthyroid vfunction vmay vbe vnecessary?
a.
I vnotice vmy vbreasts vare vtender vlately.
b.
I vam vso vthirsty vthat vI vdrink vall vday vlong.
c.
I vget vup vseveral vtimes vat vnight vto vurinate.
d.
I vfeel va vlump vin vmy vthroat vwhen vI vswallow. v- vCorrect vAnswer v- vd
A vpatient vis vadmitted vwith va vserum vsodium vlevel vof v118 vmEq/L. vThe vnurse vwill
vanticipate vthe vneed vfor vwhich vdiagnostic vtest?
a.
Urinary v17-ketosteroids
b.
Antidiuretic vhormone vlevel
c.
Growth vhormone vstimulation vtest
d.
Adrenocorticotropic vhormone vlevel v- vCorrect vAnswer v- vb
The vnurse vis vinterviewing va vpatient vwho vhas va vpossible vthyroid vdisorder. vWhich
vquestion vwill vprovide vthe vmost vuseful vinformation?
a.
What vmethods vdo vyou vuse vto vhelp vcope vwith vstress?
,b.
Have vyou vexperienced vany vblurring vor vdouble vvision?
c.
Do vyou vhave vto vget vup vat vnight vto vempty vyour vbladder?
d.
Have vyou vhad vany vrecent vunplanned vweight vgain vor vloss? v- vCorrect vAnswer v- vd
When va vpatient vin vthe voutpatient vclinic vhas van vorder vfor vblood vcortisol vtesting, vwhich
vinstruction vwill vthe vnurse vprovide vfor vthe vpatient?
a.
Avoid vadding vany vsalt vto vyour vfoods vfor v24 vhours vbefore vthe vtest.
b.
You vwill vneed vto vlie vdown vfor v30 vminutes vbefore vthe vblood vis vdrawn.
c.
Come vto vthe vlaboratory vto vhave vthe vblood vdrawn vearly vin vthe vmorning.
d.
Do vnot vhave vanything vto veat vor vdrink vbefore vthe vblood vtest vis vobtained. v- vCorrect
vAnswer v- vc
A vpatient vhas va vtotal vserum vcalcium vlevel vof v13.3 vmg/dL v(3.3 vmmol/L). vThe vnurse vwill
vanticipate vthe vneed vto vteach vthe vpatient vabout vtesting vfor
a.
calcitonin vlevels.
b.
catecholamine vlevels.
c.
thyroid vhormone vlevels.
d.
parathyroid vhormone vlevels. v- vCorrect vAnswer v- vd
During va vphysical vexamination, vthe vnurse vfinds vthat va vpatients vthyroid vgland vcannot vbe
vpalpated. vThe vmost vappropriate vaction vby vthe vnurse vis vto
a.
palpate vthe vpatients vneck vmore vdeeply.
b.
document vthat vthe vthyroid vwas vnonpalpable.
c.
notify vthe vhealth vcare vprovider vimmediately.
d.
teach vthe vpatient vabout vthyroid vhormone vtesting. v- vCorrect vAnswer v- vb
When va vpatient vhas vclinical vmanifestations vof vhypothyroidism, vwhich vlaboratory vvalue
vshould vthe vnurse vreview vto vdetermine vwhether vthe vhypothyroidism vis vcaused vby va
vproblem vwith vthe vanterior vpituitary vgland vor vwith vthe vthyroid vgland?
a.
Thyroxine v(T4) vlevel
, b.
Triiodothyronine v(T3) vlevel
c.
Thyroid-stimulating vhormone v(TSH) vlevel
d.
Thyrotropin-releasing vhormone v(TRH) vlevel v- vCorrect vAnswer v- vc
When vworking vwith va vpatient vwho vhas vdiabetes vmellitus, vthe vnurse vreviews vthe vresults
vof vtesting vfor vglycosylated vhemoglobin v(HbA1C) vto vevaluate vfor
a.
glucose vlevels v2 vhours vafter va vmeal.
b.
circulating, vnonfasting vglucose vlevels.
c.
glucose vcontrol vover vthe vpast v3 vmonths.
d.
hypoglycemic vepisodes vin vthe vpast v90 vdays. v- vCorrect vAnswer v- vc
When va vpatient vis vtaking vspironolactone v(Aldactone), va vdrug vthat vblocks vthe vaction vof
valdosterone von vthe vkidney, vthe vnurse vwill vmonitor vfor
a.
decreased vurinary voutput.
b.
evidence vof vfluid voverload.
c.
increased vserum vsodium vlevels.
d.
elevated vserum vpotassium vlevels. v- vCorrect vAnswer v- vd
Which vinformation vabout va vpatient vwith vnewly vdiagnosed vdiabetes vmellitus vwill vbe vmost
vuseful vto vthe vnurse vin vdeveloping vstrategies vfor vsuccessful vadaptation vto vthis vdisease?
a.
Ideal vweight
b.
Value vsystem
c.
Activity vlevel
d.
Visual vchanges v- vCorrect vAnswer v- vb
A vpatient vis vscheduled vfor va vgrowth vhormone vstimulation vtest. vIn vpreparation vfor vthe
vtest, vthe vnurse vwill vobtain va
a.
basin vof vice.
b.
cardiac vmonitor.
QUESTIONS AND ANSWERS
When vevaluating vthe vlaboratory vresults vfor va vpatient vwith vincreased vsecretion vof vthe
vanterior vpituitary vhormones, vthe vnurse vwould vexpect vto vfind
a.
decreased vserum vthyroxine vlevels.
b.
elevated vserum valdosterone vlevels.
c.
an vincrease vin vurinary vfree vcortisol.
d.
low vurinary vexcretion vof vcatecholamines. v- vCorrect vAnswer v- vc
When vthe vnurse vis vobtaining vthe vhealth vhistory, vwhich vstatement vby va vpatient vindicates
vfurther vassessment vof vthyroid vfunction vmay vbe vnecessary?
a.
I vnotice vmy vbreasts vare vtender vlately.
b.
I vam vso vthirsty vthat vI vdrink vall vday vlong.
c.
I vget vup vseveral vtimes vat vnight vto vurinate.
d.
I vfeel va vlump vin vmy vthroat vwhen vI vswallow. v- vCorrect vAnswer v- vd
A vpatient vis vadmitted vwith va vserum vsodium vlevel vof v118 vmEq/L. vThe vnurse vwill
vanticipate vthe vneed vfor vwhich vdiagnostic vtest?
a.
Urinary v17-ketosteroids
b.
Antidiuretic vhormone vlevel
c.
Growth vhormone vstimulation vtest
d.
Adrenocorticotropic vhormone vlevel v- vCorrect vAnswer v- vb
The vnurse vis vinterviewing va vpatient vwho vhas va vpossible vthyroid vdisorder. vWhich
vquestion vwill vprovide vthe vmost vuseful vinformation?
a.
What vmethods vdo vyou vuse vto vhelp vcope vwith vstress?
,b.
Have vyou vexperienced vany vblurring vor vdouble vvision?
c.
Do vyou vhave vto vget vup vat vnight vto vempty vyour vbladder?
d.
Have vyou vhad vany vrecent vunplanned vweight vgain vor vloss? v- vCorrect vAnswer v- vd
When va vpatient vin vthe voutpatient vclinic vhas van vorder vfor vblood vcortisol vtesting, vwhich
vinstruction vwill vthe vnurse vprovide vfor vthe vpatient?
a.
Avoid vadding vany vsalt vto vyour vfoods vfor v24 vhours vbefore vthe vtest.
b.
You vwill vneed vto vlie vdown vfor v30 vminutes vbefore vthe vblood vis vdrawn.
c.
Come vto vthe vlaboratory vto vhave vthe vblood vdrawn vearly vin vthe vmorning.
d.
Do vnot vhave vanything vto veat vor vdrink vbefore vthe vblood vtest vis vobtained. v- vCorrect
vAnswer v- vc
A vpatient vhas va vtotal vserum vcalcium vlevel vof v13.3 vmg/dL v(3.3 vmmol/L). vThe vnurse vwill
vanticipate vthe vneed vto vteach vthe vpatient vabout vtesting vfor
a.
calcitonin vlevels.
b.
catecholamine vlevels.
c.
thyroid vhormone vlevels.
d.
parathyroid vhormone vlevels. v- vCorrect vAnswer v- vd
During va vphysical vexamination, vthe vnurse vfinds vthat va vpatients vthyroid vgland vcannot vbe
vpalpated. vThe vmost vappropriate vaction vby vthe vnurse vis vto
a.
palpate vthe vpatients vneck vmore vdeeply.
b.
document vthat vthe vthyroid vwas vnonpalpable.
c.
notify vthe vhealth vcare vprovider vimmediately.
d.
teach vthe vpatient vabout vthyroid vhormone vtesting. v- vCorrect vAnswer v- vb
When va vpatient vhas vclinical vmanifestations vof vhypothyroidism, vwhich vlaboratory vvalue
vshould vthe vnurse vreview vto vdetermine vwhether vthe vhypothyroidism vis vcaused vby va
vproblem vwith vthe vanterior vpituitary vgland vor vwith vthe vthyroid vgland?
a.
Thyroxine v(T4) vlevel
, b.
Triiodothyronine v(T3) vlevel
c.
Thyroid-stimulating vhormone v(TSH) vlevel
d.
Thyrotropin-releasing vhormone v(TRH) vlevel v- vCorrect vAnswer v- vc
When vworking vwith va vpatient vwho vhas vdiabetes vmellitus, vthe vnurse vreviews vthe vresults
vof vtesting vfor vglycosylated vhemoglobin v(HbA1C) vto vevaluate vfor
a.
glucose vlevels v2 vhours vafter va vmeal.
b.
circulating, vnonfasting vglucose vlevels.
c.
glucose vcontrol vover vthe vpast v3 vmonths.
d.
hypoglycemic vepisodes vin vthe vpast v90 vdays. v- vCorrect vAnswer v- vc
When va vpatient vis vtaking vspironolactone v(Aldactone), va vdrug vthat vblocks vthe vaction vof
valdosterone von vthe vkidney, vthe vnurse vwill vmonitor vfor
a.
decreased vurinary voutput.
b.
evidence vof vfluid voverload.
c.
increased vserum vsodium vlevels.
d.
elevated vserum vpotassium vlevels. v- vCorrect vAnswer v- vd
Which vinformation vabout va vpatient vwith vnewly vdiagnosed vdiabetes vmellitus vwill vbe vmost
vuseful vto vthe vnurse vin vdeveloping vstrategies vfor vsuccessful vadaptation vto vthis vdisease?
a.
Ideal vweight
b.
Value vsystem
c.
Activity vlevel
d.
Visual vchanges v- vCorrect vAnswer v- vb
A vpatient vis vscheduled vfor va vgrowth vhormone vstimulation vtest. vIn vpreparation vfor vthe
vtest, vthe vnurse vwill vobtain va
a.
basin vof vice.
b.
cardiac vmonitor.
