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NURS
NURS 403 EXAM 3 QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
A 63-year-old patient with primary hyperparathyroidism has a serum
phosphorus level of 1.7 mg/dL (0.55 mmol/L) and calcium of 14 mg/dL (3.5
mmol/L). Which nursing action should be included in the plan of care?
a.Restrict the patient to bed rest.
b. Encourage 4000 mL of fluids daily.
c.Institute routine seizure precautions.
d.Assess for positive Chvostek's sign. - ANS ✓B. Encourage 4000 mL of fluids
daily
PTH and calcium mirror one another. High PTH = High Ca = increase risk of
kidney stones. Lots & lots of fluids prevent kidney stones.
A patient develops carpal spasms and tingling of the lips following a
parathyroidectomy. Which action should the nurse take first?
a.Administer the ordered muscle relaxant.
b.Give the ordered oral calcium supplement.
c.Have the patient rebreathe from a paper bag.
d.Start the PRN oxygen at 2 L/min per cannula. - ANS ✓C. Have the patient
rebreathe from a paper bag
Increasing CO2 (acidity) breaks the albumin-calcium bond (increases
calcium) and helps reverse hypocalcemia (short-term)
Which prescribed medication should the nurse administer first to a 60-
year-old patient admitted to the emergency department in thyroid storm?
a.Propranolol (Inderal)
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b.Propylthiouracil (PTU)
c.Methimazole (Tapazole)
d.Iodine (Lugol's solution) - ANS ✓A. Propranolol
Thyroid storm causes severe HTN, Tachycardia, Hyperthermia. Give beta
blocker *first* to protect the heart from cardiac event.
What is methimazole used for? - ANS ✓Hyperthyroidism
Inhibits synthesis of thyroid hormone
Emergency s/e is agranulocytosis
After receiving change-of-shift report about the following four patients,
which patient should the nurse assess first?
a.A 31-year-old female with Cushing syndrome and a blood glucose level of
244 mg/dL
b. A 70-year-old female taking levothyroxine (Synthroid) who has an
irregular pulse of 134
c.A 53-year-old male who has Addison's disease and is due for a scheduled
dose of hydrocortisone (Solu-Cortef).
d.A 22-year-old male admitted with syndrome of inappropriate antidiuretic
hormone (SIADH) who has a serum sodium level of 130 mEq/L - ANS ✓B. A
70 year-old female taking levothyroxine who has an irregular pulse of 134
an increased HR while taking levo may indicate hyperthyroidism. (tachy,
htn) may result in inadequate perfusion as high HR = decreased CO
A 44-year-old female patient with Cushing syndrome is admitted for
adrenalectomy. Which intervention by the nurse will be most helpful for a
nursing diagnosis of disturbed body image related to changes in
appearance?
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a.Reassure the patient that the physical changes are very common in
patients with Cushing syndrome.
b.Discuss the use of diet and exercise in controlling the weight gain
associated with Cushing syndrome.
c.Teach the patient that the metabolic impact of Cushing syndrome is of
more importance than appearance.
d.Remind the patient that most of the physical changes caused by Cushing
syndrome will resolve after surgery. - ANS ✓D. Remind the patient that most
of the physical changes caused by Cushing syndrome will resolve after surgery
Once the source of the problem is relieved, the symptoms of Cushings will
subside
The nurse is caring for a patient following an adrenalectomy. The highest
priority in the immediate postoperative period is to
a.protect the patient's skin.
b.monitor for signs of infection.
c.balance fluids and electrolytes.
d. prevent emotional disturbances. - ANS ✓C. Balance fluids and electrolytes
Removal of the adrenal glands results in a decrease in aldosterone, which
assists in reabsorption of Na+ & water, as well as rids of K+. Important to
monitor fluid/electrolytes
Which finding indicates to the nurse that the current therapies are effective
for a patient with acute adrenal insufficiency?
a.Increasing serum sodium levels
b.Decreasing blood glucose levels
c.Decreasing serum chloride levels
d.Increasing serum potassium levels - ANS ✓A. Increasing serum sodium
levels
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If the adrenal gland is now functioning properly, aldosterone will be
assisting with SODIUM & water reabsorption, therefore, increasing serum
sodium levels.
A 29-year-old woman with systemic lupus erythematosus has been
prescribed 2 weeks of high-dose prednisone therapy. Which information
about the prednisone is most important for the nurse to include?
a."Weigh yourself daily to monitor for weight gain caused by increased
appetite."
b."The pre"A weight-bearing exercise program will help minimize the risk
for osteoporosis."
c. The prednisone dose should be decreased gradually rather than stopped
suddenly."
d."Call the health care provider if you experience mood alterations with the
prednisone." - ANS ✓C. The prednisone does should be decreased gradually
rather than stopped suddenly.
The prednisone therapy will cause a decrease in ACTH to decrease adrenal
hormone secretion, when stopped abruptly, that level will stay low and may
result in adrenal crisis as levels are no longer being sustained. They should
be gradually tapered off.
The nurse will plan to monitor a patient diagnosed with a
pheochromocytoma for
a.flushing.
b.headache.
c.bradycardia.
d.hypoglycemia. - ANS ✓B. Headache
The triad of symptoms for pheochromocytoma (adrenal tumor) is a severe
pounding headache, tachycardia, and profuse sweating)
What causes acromegaly? - ANS ✓Excess of growth hormone
NURS 403
NURS
NURS 403 EXAM 3 QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
A 63-year-old patient with primary hyperparathyroidism has a serum
phosphorus level of 1.7 mg/dL (0.55 mmol/L) and calcium of 14 mg/dL (3.5
mmol/L). Which nursing action should be included in the plan of care?
a.Restrict the patient to bed rest.
b. Encourage 4000 mL of fluids daily.
c.Institute routine seizure precautions.
d.Assess for positive Chvostek's sign. - ANS ✓B. Encourage 4000 mL of fluids
daily
PTH and calcium mirror one another. High PTH = High Ca = increase risk of
kidney stones. Lots & lots of fluids prevent kidney stones.
A patient develops carpal spasms and tingling of the lips following a
parathyroidectomy. Which action should the nurse take first?
a.Administer the ordered muscle relaxant.
b.Give the ordered oral calcium supplement.
c.Have the patient rebreathe from a paper bag.
d.Start the PRN oxygen at 2 L/min per cannula. - ANS ✓C. Have the patient
rebreathe from a paper bag
Increasing CO2 (acidity) breaks the albumin-calcium bond (increases
calcium) and helps reverse hypocalcemia (short-term)
Which prescribed medication should the nurse administer first to a 60-
year-old patient admitted to the emergency department in thyroid storm?
a.Propranolol (Inderal)
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b.Propylthiouracil (PTU)
c.Methimazole (Tapazole)
d.Iodine (Lugol's solution) - ANS ✓A. Propranolol
Thyroid storm causes severe HTN, Tachycardia, Hyperthermia. Give beta
blocker *first* to protect the heart from cardiac event.
What is methimazole used for? - ANS ✓Hyperthyroidism
Inhibits synthesis of thyroid hormone
Emergency s/e is agranulocytosis
After receiving change-of-shift report about the following four patients,
which patient should the nurse assess first?
a.A 31-year-old female with Cushing syndrome and a blood glucose level of
244 mg/dL
b. A 70-year-old female taking levothyroxine (Synthroid) who has an
irregular pulse of 134
c.A 53-year-old male who has Addison's disease and is due for a scheduled
dose of hydrocortisone (Solu-Cortef).
d.A 22-year-old male admitted with syndrome of inappropriate antidiuretic
hormone (SIADH) who has a serum sodium level of 130 mEq/L - ANS ✓B. A
70 year-old female taking levothyroxine who has an irregular pulse of 134
an increased HR while taking levo may indicate hyperthyroidism. (tachy,
htn) may result in inadequate perfusion as high HR = decreased CO
A 44-year-old female patient with Cushing syndrome is admitted for
adrenalectomy. Which intervention by the nurse will be most helpful for a
nursing diagnosis of disturbed body image related to changes in
appearance?
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a.Reassure the patient that the physical changes are very common in
patients with Cushing syndrome.
b.Discuss the use of diet and exercise in controlling the weight gain
associated with Cushing syndrome.
c.Teach the patient that the metabolic impact of Cushing syndrome is of
more importance than appearance.
d.Remind the patient that most of the physical changes caused by Cushing
syndrome will resolve after surgery. - ANS ✓D. Remind the patient that most
of the physical changes caused by Cushing syndrome will resolve after surgery
Once the source of the problem is relieved, the symptoms of Cushings will
subside
The nurse is caring for a patient following an adrenalectomy. The highest
priority in the immediate postoperative period is to
a.protect the patient's skin.
b.monitor for signs of infection.
c.balance fluids and electrolytes.
d. prevent emotional disturbances. - ANS ✓C. Balance fluids and electrolytes
Removal of the adrenal glands results in a decrease in aldosterone, which
assists in reabsorption of Na+ & water, as well as rids of K+. Important to
monitor fluid/electrolytes
Which finding indicates to the nurse that the current therapies are effective
for a patient with acute adrenal insufficiency?
a.Increasing serum sodium levels
b.Decreasing blood glucose levels
c.Decreasing serum chloride levels
d.Increasing serum potassium levels - ANS ✓A. Increasing serum sodium
levels
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NURS
If the adrenal gland is now functioning properly, aldosterone will be
assisting with SODIUM & water reabsorption, therefore, increasing serum
sodium levels.
A 29-year-old woman with systemic lupus erythematosus has been
prescribed 2 weeks of high-dose prednisone therapy. Which information
about the prednisone is most important for the nurse to include?
a."Weigh yourself daily to monitor for weight gain caused by increased
appetite."
b."The pre"A weight-bearing exercise program will help minimize the risk
for osteoporosis."
c. The prednisone dose should be decreased gradually rather than stopped
suddenly."
d."Call the health care provider if you experience mood alterations with the
prednisone." - ANS ✓C. The prednisone does should be decreased gradually
rather than stopped suddenly.
The prednisone therapy will cause a decrease in ACTH to decrease adrenal
hormone secretion, when stopped abruptly, that level will stay low and may
result in adrenal crisis as levels are no longer being sustained. They should
be gradually tapered off.
The nurse will plan to monitor a patient diagnosed with a
pheochromocytoma for
a.flushing.
b.headache.
c.bradycardia.
d.hypoglycemia. - ANS ✓B. Headache
The triad of symptoms for pheochromocytoma (adrenal tumor) is a severe
pounding headache, tachycardia, and profuse sweating)
What causes acromegaly? - ANS ✓Excess of growth hormone
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