NUR 146 Endocrine Exam Questions and Answers Verified 100% Correct

NUR 146 Endocrine Exam Questions and Answers Verified 100% Correct A client has returned to the floor after having a thyroidectomy for thyroid cancer. What laboratory finding may be an early indication of parathyroid gland injury or removal? A. Hyponatremia B. Hypophosphatemia C. Hypocalcemia D. Hypokalemia - ANSWER -C. Hypocalcemia The nurse is planning the care of a client with hyperthyroidism. What should the nurse specify in the client's meal plan? A. A reduced calorie diet, high in nutrients B. Small, frequent meals, high in protein and calories C. Three large, bland meals a day D. A diet high in fiber and plant-sourced fat - ANSWER -B. Small, frequent meals, high in protein and calories A client with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on the critical care unit. What is the priority nursing diagnosis for a client with this condition? A. Risk for peripheral neurovascular dysfunction B. Excess fluid volume C. Hypothermia D. Ineffective airway clearance - ANSWER -B. Excess fluid volume A client with suspected adrenal insufficiency has been ordered an adrenocorticotropic hormone (ACTH) stimulation test. Administration of ACTH caused a marked increase in the client's cortisol levels. How should the nurse interpret this finding? A. The client's pituitary function is compromised. B. The client's adrenal insufficiency is not treatable. C. The client has insufficient hypothalamic function. D. The client would benefit from surgery - ANSWER -A. The client's pituitary function is compromised. The health care provider has ordered a fluid deprivation test for a client suspected of having diabetes insipidus. During the test, the nurse should prioritize what assessments? A. Temperature and oxygen saturation B. Heart rate and blood pressure C. Breath sounds and bowel sounds D. Color, warmth, movement, and sensation of extremities - ANSWER -B. Heart rate and blood pressure The nurse is assessing a diverse group of clients. What client is at a greater risk for the development of hypothyroidism? A. A 75-year-old female client with osteoporosis B. A 50-year-old male client who is obese C. A 45-year-old female client who uses oral contraceptives D. A 25-year-old male client who uses recreational drugs - ANSWER -A. A 75 year-old female client with osteoporosis A client is admitted to a surgical unit after a thyroidectomy. The nurse takes and maintains the inflated blood pressure cuff on the client and observes a carpopedal spasm. What does this result indicate? A. Chvostek sign and hypocalcemia B. Thyroid storm and elevated triiodothyronine C. Homans sign and deep vein thrombosis D. Trousseau sign and overt tetany - ANSWER -D. Trousseau sign and overt tetany The nurse's assessment of a client with thyroidectomy suggests tetany, and a review of the most recent blood work corroborates this finding. The nurse should prepare to administer what intervention? A. Oral calcium chloride and vitamin D B. IV calcium gluconate C. STAT levothyroxine D. Administration of parathyroid hormone (PTH) - ANSWER -B. IV calcium gluconate A client has been taking prednisone for several weeks after experiencing a hypersensitivity reaction. To prevent adrenal insufficiency, the nurse should ensure that the client knows to take what action? A. Take the drug concurrent with levothyroxine B. Take each dose of prednisone with a dose of calcium chloride. C. Gradually replace the prednisone with an over-the-counter (OTC) alternative. D. Slowly taper down the dose of prednisone, as prescribed. - ANSWER -D. Slowly taper down the dose of prednisone, as prescribed. Following an addisonian crisis, a client's adrenal function has been gradually regained. The nurse should ensure that the client knows about the need for supplementary corticosteroid therapy in which circumstance? A. A significant illness B. Periods of dehydration C. Episodes of physical exertion D. Administration of a vaccine - ANSWER -A. A significant illness A 30-year-old female client has been diagnosed with Cushing syndrome. What psychosocial nursing diagnosis should the nurse prioritize when planning the client's care? A. Decisional conflict related to treatment options B. Spiritual distress related to changes in cognitive function C. Disturbed body image related to changes in physical appearance D. Powerlessness related to disease progression - ANSWER -C. Disturbed body image related to changes in physical appearance A client with pheochromocytoma has been admitted for an adrenalectomy to be performed the following day. To prevent complications, the nurse should anticipate preoperative administration of which of the following? A. IV antibiotics B. Oral antihypertensives C. Parenteral nutrition D. IV corticosteroids - ANSWER -D. IV corticosteroids The nurse providing care for a client with Cushing syndrome has identified the nursing diagnosis of risk for injury related to weakness. How should the nurse best reduce this risk? A. Establish fall-prevention measures. B. Encourage bed rest whenever possible. C. Encourage the use of assistive devices. D. Provide constant supervision - ANSWER -A. Establish fall-prevention measures.