NR 565 Week 5 Endocrine Case Study Q&A
The clinic nurse is taking vital signs on a client who reports being fatigued every day
and gaining weight lately despite not eating much. The nurse should also ask about
which symptoms? Select all that apply.
1. Cold intolerance
2. Difficulty concentrating
3. Fever
4. Menstrual irregularity
5. Night sweats
6. Tachycardia - ANSWER: 1,2,4
The nurse in an outpatient clinic receives a blood test report of moderately elevated
thyroid-stimulating hormone (TSH) and markedly decreased T3 and T4 levels. Which
signs and/or symptoms should be expected in the client's evaluation? Select all that
apply
1. Cold intolerance
2. Constipation
3. Forgetfulness
4. Hair loss
5. Warm, moist skin
6. Weight loss - ANSWER: 1,2,3,4
A nurse is teaching a nutrition class for clients with newly diagnosed type 2 diabetes.
Which meal represents the best adherence to the principles of and
recommendations for diabetic meal planning?
1. Baked tilapia with tomato salsa, Spanish-style rice
2. Black bean chili with brown rice, mixed green salad
3. Grilled chicken breast with baked French fries
4. Hamburger on a whole wheat bun with lettuce and tomato - ANSWER: 2
In the intensive care unit, the nurse cares for a client who develops diabetes
insipidus (DI) 2 days after pituitary adenoma removal via hypophysectomy. Which
intervention should the nurse implement?
1. Administer desmopressin
2. Assess fasting blood glucose
3. Institute fluid restriction
4. Place the client in the Trendelenburg position - ANSWER: 1
The nurse cares for a client with type 2 diabetes mellitus and hemoglobin A1C results
of 8% at an outpatient health clinic. Which statement by the nurse will best address
these results?
1. "It is important for us to review the signs and symptoms of a hypoglycemic
reaction."
2. "Let's review your diet, exercise, and medication regimen over the past 2-3
months."
, 3. "Please describe what you have eaten in the last 24-48 hours."
4. "You should fast for at least 8 hours prior to your morning blood work." -
ANSWER: 2
The nurse in the intensive care unit is caring for a client who underwent a
transsphenoidal hypophysectomy to remove a pituitary adenoma. Which
interventions should the nurse include in the client's care? Select all that apply.
1. Encourage coughing frequently to prevent pneumonia
2. Inspect the mouth and perform mouth care every 4 hours
3. Maintain the head of the bed in a flat position
4. Perform frequent neurological checks
5. Teach the client to not use a toothbrush for 10 days - ANSWER: 2,4,5
The nurse cares for a client who is experiencing exophthalmos as a complication of
Graves' disease. Which nursing action(s) should be included in the client's plan of
care? Select all that apply.
1. Administer artificial tears to moisten the conjunctiva
2. If eyelids don't close during sleep, lightly tape them shut
3. Recommend the use of dark glasses to prevent irritation
4. Teach about the importance of smoking cessation
5. Teach avoidance of eye movement to prevent further damage - ANSWER: 1,2,3,4
A hospitalized client with acute pancreatitis has nausea, vomiting, epigastric pain,
and tachycardia. Laboratory results show elevated serum lipase levels. Which
interventions would the nurse anticipate being prescribed for the client? Select all
that apply.
1. Administer hydromorphone IV PRN for pain
2. Administer intravenous fluids
3. Insert a nasogastric tube for nasogastric suction
4. Maintain client in a supine position, with head of bed flat
5. Provide small, frequent, high-carbohydrate, high-calorie meals - ANSWER: 1,2,3
The nurse assesses a client in an outpatient clinic with a new diagnosis of
symptomatic primary hyperparathyroidism. Which client data should the nurse
expect? Select all that apply
1. Diarrhea
2. Kidney stones
3. Osteoporosis
4. Perioral numbness
5. Polyuria - ANSWER: 2,3,5
The nurse assesses a client who had a thyroidectomy 8 hours ago. The nurse finds
the client anxious, with tingling around the mouth and muscle twitching in the right
arm. Which action is most important for the nurse to implement first?
1. Change the surgical dressing to assess for bleeding
2. Document the findings in the electronic medical record
3. Draw arterial blood gases
The clinic nurse is taking vital signs on a client who reports being fatigued every day
and gaining weight lately despite not eating much. The nurse should also ask about
which symptoms? Select all that apply.
1. Cold intolerance
2. Difficulty concentrating
3. Fever
4. Menstrual irregularity
5. Night sweats
6. Tachycardia - ANSWER: 1,2,4
The nurse in an outpatient clinic receives a blood test report of moderately elevated
thyroid-stimulating hormone (TSH) and markedly decreased T3 and T4 levels. Which
signs and/or symptoms should be expected in the client's evaluation? Select all that
apply
1. Cold intolerance
2. Constipation
3. Forgetfulness
4. Hair loss
5. Warm, moist skin
6. Weight loss - ANSWER: 1,2,3,4
A nurse is teaching a nutrition class for clients with newly diagnosed type 2 diabetes.
Which meal represents the best adherence to the principles of and
recommendations for diabetic meal planning?
1. Baked tilapia with tomato salsa, Spanish-style rice
2. Black bean chili with brown rice, mixed green salad
3. Grilled chicken breast with baked French fries
4. Hamburger on a whole wheat bun with lettuce and tomato - ANSWER: 2
In the intensive care unit, the nurse cares for a client who develops diabetes
insipidus (DI) 2 days after pituitary adenoma removal via hypophysectomy. Which
intervention should the nurse implement?
1. Administer desmopressin
2. Assess fasting blood glucose
3. Institute fluid restriction
4. Place the client in the Trendelenburg position - ANSWER: 1
The nurse cares for a client with type 2 diabetes mellitus and hemoglobin A1C results
of 8% at an outpatient health clinic. Which statement by the nurse will best address
these results?
1. "It is important for us to review the signs and symptoms of a hypoglycemic
reaction."
2. "Let's review your diet, exercise, and medication regimen over the past 2-3
months."
, 3. "Please describe what you have eaten in the last 24-48 hours."
4. "You should fast for at least 8 hours prior to your morning blood work." -
ANSWER: 2
The nurse in the intensive care unit is caring for a client who underwent a
transsphenoidal hypophysectomy to remove a pituitary adenoma. Which
interventions should the nurse include in the client's care? Select all that apply.
1. Encourage coughing frequently to prevent pneumonia
2. Inspect the mouth and perform mouth care every 4 hours
3. Maintain the head of the bed in a flat position
4. Perform frequent neurological checks
5. Teach the client to not use a toothbrush for 10 days - ANSWER: 2,4,5
The nurse cares for a client who is experiencing exophthalmos as a complication of
Graves' disease. Which nursing action(s) should be included in the client's plan of
care? Select all that apply.
1. Administer artificial tears to moisten the conjunctiva
2. If eyelids don't close during sleep, lightly tape them shut
3. Recommend the use of dark glasses to prevent irritation
4. Teach about the importance of smoking cessation
5. Teach avoidance of eye movement to prevent further damage - ANSWER: 1,2,3,4
A hospitalized client with acute pancreatitis has nausea, vomiting, epigastric pain,
and tachycardia. Laboratory results show elevated serum lipase levels. Which
interventions would the nurse anticipate being prescribed for the client? Select all
that apply.
1. Administer hydromorphone IV PRN for pain
2. Administer intravenous fluids
3. Insert a nasogastric tube for nasogastric suction
4. Maintain client in a supine position, with head of bed flat
5. Provide small, frequent, high-carbohydrate, high-calorie meals - ANSWER: 1,2,3
The nurse assesses a client in an outpatient clinic with a new diagnosis of
symptomatic primary hyperparathyroidism. Which client data should the nurse
expect? Select all that apply
1. Diarrhea
2. Kidney stones
3. Osteoporosis
4. Perioral numbness
5. Polyuria - ANSWER: 2,3,5
The nurse assesses a client who had a thyroidectomy 8 hours ago. The nurse finds
the client anxious, with tingling around the mouth and muscle twitching in the right
arm. Which action is most important for the nurse to implement first?
1. Change the surgical dressing to assess for bleeding
2. Document the findings in the electronic medical record
3. Draw arterial blood gases
