Med Surg Exam 6 with verified answers
Pituitary |adenoma |antagonizes |insulin. |This |benign |tumor |results |in |which |imbalance?
Hyperinsulinism
Hyperglycemia
Hypopitutiarism
Hypoglycemia |- |correct |answer |-Hyperglycemia
A |patient |with |central |diabetes |insipidus |(DI) |likely |has |which |occurrence |as |part |of |his |health |
history?
Brain |surgery |to |remove |a |tumor
A |kidney |disorder
Water |addiction
A |thyroid |disorder |- |correct |answer |-Brain |surgery |to |remove |a |tumor
The |nurse |is |aware |that |the |severe |dehydration |associated |with |diabetes |insipidus |(DI) |can |lead |
which |serious |electrolyte |imbalance?
Hypercalcemia
Hypernatremia
Hypocalcemia
Hyperkalemia |- |correct |answer |-Hypernatremia
The |nurse |is |educating |a |patient |with |a |simple |goiter. |Which |statement |indicates |that |the |patient |
needs |additional |instruction?
"The |lump |on |my |throat |is |my |enlarged |thyroid"
,"Treatment |stops |enlargement |of |the |goiter"
"I |am |aware |this |goiter |could |develop |into |cancer"
"I'm |glad |my |treatment |will |make |this |thing |go |away" |- |correct |answer |-"I'm |glad |my |treatment |
will |make |this |thing |go |away"
The |nurse |is |educating |a |patient |who |has |a |new |prescription |for |methimazole |(Tapazole). |Which |
instruction |is |most |important |for |the |nurse |to |include?
"Double |the |next |medication |dose |if |the |previous |dose |is |forgotten"
"Take |the |medication |on |a |strict |schedule"
"Ask |the |pharmacist |for |a |less |expensive |generic |substitute"
"The |medication |is |approved |for |use |in |pregnant |women" |- |correct |answer |-"Take |the |medication |
on |a |strict |schedule"
Which |statement |accurately |describes |a |subtotal |thyroidectomy?
It |allows |the |pt |to |take |minimum |amounts |of |antithyroid |drugs
It |allows |continues |production |and |release |of |thyroid |hormones |from |the |remainder |of |the |gland
It |reduces |exophtalmos
It |poses |less |postoperative |risk |than |a |total |thyroidectomy |- |correct |answer |-It |allows |continues |
production |and |release |of |thyroid |hormones |from |the |remainder |of |the |gland
The |husband |of |a |pt |with |Grave |disease |confides |that |he |is |frusterates |with |his |wife's |emotional |
outbursts |and |wide |mood |swings. |How |should |the |nurse |respond?
"I |understand |how |you |feel"
"Antithyroid |drugs |usually |help |regulate |mood |swings |after |a |few |weeks"
"I'm |afraid |this |behavior |will |continue. |How |are |you |coping |with |it |now?"
"Have |you |told |her |how |you |feel?" |- |correct |answer |-"Antithyroid |drugs |usually |help |regulate |mood
|swings |after |a |few |weeks"
, The |nurse |is |caring |for |a |pt |who |is |8 |hr |postoperative |after |a |total |thyroidectomy. |The |patient |
complains |of |muscle |cramps, |and |the |nurse |assesses |a |postive |Chvostek |sign. |The |nurse |correctly |
interprets |that |these |findings |indicate |which |complication?
Imminent |convulsions
Hypoparathyroidism
Hyperkalemia
Thyroid |storm |- |correct |answer |-Hypoparathyroidism
The |nurse |is |preparing |a |pt |to |undergo |a |dexamethasone |suppression |test. |Which |action |is |most |
appropriate?
Instruct |the |pt |to |be |NPO |6 |hr |before |the |test
Instruct |the |pt |that |urine |levels |will |be |assessed |after |a |24 |hr |collection |period
Administer |a |steroid |the |morning |of |the |test
Instruct |the |pt |that |a |blood |specimen |will |be |collected |in |the |morning |- |correct |answer |-Instruct |
the |pt |that |a |blood |specimen |will |be |collected |in |the |morning
The |nurse |is |explaining |the |underlying |pathophysiology |of |type |1 |diabetes |to |a |newly |diagnosed |
patient. |Which |information |accurately |explains |why |the |type |1 |diabetic |does |not |produce |adequate
|insulin?
A |pituitary |disorder |inhibits |beta |cells
An |allergic |response |alters |beta |cell |responses |to |hyperglycemia
Alpha |cells |proliferated |in |the |islets |of |Langerhans
The |body's |immune |system |destroyed |beta |cells |- |correct |answer |-The |body's |immune |system |
destroyed |beta |cells
Type |2 |diabetes |cases |compose |approximately |what |percentage |of |all |known |cases |of |diabetes?
70%
Pituitary |adenoma |antagonizes |insulin. |This |benign |tumor |results |in |which |imbalance?
Hyperinsulinism
Hyperglycemia
Hypopitutiarism
Hypoglycemia |- |correct |answer |-Hyperglycemia
A |patient |with |central |diabetes |insipidus |(DI) |likely |has |which |occurrence |as |part |of |his |health |
history?
Brain |surgery |to |remove |a |tumor
A |kidney |disorder
Water |addiction
A |thyroid |disorder |- |correct |answer |-Brain |surgery |to |remove |a |tumor
The |nurse |is |aware |that |the |severe |dehydration |associated |with |diabetes |insipidus |(DI) |can |lead |
which |serious |electrolyte |imbalance?
Hypercalcemia
Hypernatremia
Hypocalcemia
Hyperkalemia |- |correct |answer |-Hypernatremia
The |nurse |is |educating |a |patient |with |a |simple |goiter. |Which |statement |indicates |that |the |patient |
needs |additional |instruction?
"The |lump |on |my |throat |is |my |enlarged |thyroid"
,"Treatment |stops |enlargement |of |the |goiter"
"I |am |aware |this |goiter |could |develop |into |cancer"
"I'm |glad |my |treatment |will |make |this |thing |go |away" |- |correct |answer |-"I'm |glad |my |treatment |
will |make |this |thing |go |away"
The |nurse |is |educating |a |patient |who |has |a |new |prescription |for |methimazole |(Tapazole). |Which |
instruction |is |most |important |for |the |nurse |to |include?
"Double |the |next |medication |dose |if |the |previous |dose |is |forgotten"
"Take |the |medication |on |a |strict |schedule"
"Ask |the |pharmacist |for |a |less |expensive |generic |substitute"
"The |medication |is |approved |for |use |in |pregnant |women" |- |correct |answer |-"Take |the |medication |
on |a |strict |schedule"
Which |statement |accurately |describes |a |subtotal |thyroidectomy?
It |allows |the |pt |to |take |minimum |amounts |of |antithyroid |drugs
It |allows |continues |production |and |release |of |thyroid |hormones |from |the |remainder |of |the |gland
It |reduces |exophtalmos
It |poses |less |postoperative |risk |than |a |total |thyroidectomy |- |correct |answer |-It |allows |continues |
production |and |release |of |thyroid |hormones |from |the |remainder |of |the |gland
The |husband |of |a |pt |with |Grave |disease |confides |that |he |is |frusterates |with |his |wife's |emotional |
outbursts |and |wide |mood |swings. |How |should |the |nurse |respond?
"I |understand |how |you |feel"
"Antithyroid |drugs |usually |help |regulate |mood |swings |after |a |few |weeks"
"I'm |afraid |this |behavior |will |continue. |How |are |you |coping |with |it |now?"
"Have |you |told |her |how |you |feel?" |- |correct |answer |-"Antithyroid |drugs |usually |help |regulate |mood
|swings |after |a |few |weeks"
, The |nurse |is |caring |for |a |pt |who |is |8 |hr |postoperative |after |a |total |thyroidectomy. |The |patient |
complains |of |muscle |cramps, |and |the |nurse |assesses |a |postive |Chvostek |sign. |The |nurse |correctly |
interprets |that |these |findings |indicate |which |complication?
Imminent |convulsions
Hypoparathyroidism
Hyperkalemia
Thyroid |storm |- |correct |answer |-Hypoparathyroidism
The |nurse |is |preparing |a |pt |to |undergo |a |dexamethasone |suppression |test. |Which |action |is |most |
appropriate?
Instruct |the |pt |to |be |NPO |6 |hr |before |the |test
Instruct |the |pt |that |urine |levels |will |be |assessed |after |a |24 |hr |collection |period
Administer |a |steroid |the |morning |of |the |test
Instruct |the |pt |that |a |blood |specimen |will |be |collected |in |the |morning |- |correct |answer |-Instruct |
the |pt |that |a |blood |specimen |will |be |collected |in |the |morning
The |nurse |is |explaining |the |underlying |pathophysiology |of |type |1 |diabetes |to |a |newly |diagnosed |
patient. |Which |information |accurately |explains |why |the |type |1 |diabetic |does |not |produce |adequate
|insulin?
A |pituitary |disorder |inhibits |beta |cells
An |allergic |response |alters |beta |cell |responses |to |hyperglycemia
Alpha |cells |proliferated |in |the |islets |of |Langerhans
The |body's |immune |system |destroyed |beta |cells |- |correct |answer |-The |body's |immune |system |
destroyed |beta |cells
Type |2 |diabetes |cases |compose |approximately |what |percentage |of |all |known |cases |of |diabetes?
70%
