NUR 146 ENDOCRINE LATEST
EXAM
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. -
ANSWERS-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 - ANSWERS-A. A significant illness
END OF
PAGE
1
, NUR 146 ENDOCRINE LATEST
EXAM
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 - ANSWERS-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 - ANSWERS-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?
END OF
PAGE
2
, NUR 146 ENDOCRINE LATEST
EXAM
A. Establish fall-prevention measures.
B. Encourage bed rest whenever possible.
C. Encourage the use of assistive devices.
D. Provide constant supervision - ANSWERS-A. Establish fall-
prevention measures.
A client with Cushing syndrome has been hospitalized after a fall. The
dietitian works with the client to improve the client's nutritional intake.
What foods should a client with Cushing syndrome eat to optimize
health? Select all that apply.
A. Foods high in vitamin D
B. Foods high in calories
C. Foods high in protein
D. Foods high in calcium
E. Foods high in sodium - ANSWERS-A. Foods high in vitamin D
C. Foods high in protein
D. Foods high in calcium
END OF
PAGE
3
EXAM
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. -
ANSWERS-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 - ANSWERS-A. A significant illness
END OF
PAGE
1
, NUR 146 ENDOCRINE LATEST
EXAM
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 - ANSWERS-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 - ANSWERS-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?
END OF
PAGE
2
, NUR 146 ENDOCRINE LATEST
EXAM
A. Establish fall-prevention measures.
B. Encourage bed rest whenever possible.
C. Encourage the use of assistive devices.
D. Provide constant supervision - ANSWERS-A. Establish fall-
prevention measures.
A client with Cushing syndrome has been hospitalized after a fall. The
dietitian works with the client to improve the client's nutritional intake.
What foods should a client with Cushing syndrome eat to optimize
health? Select all that apply.
A. Foods high in vitamin D
B. Foods high in calories
C. Foods high in protein
D. Foods high in calcium
E. Foods high in sodium - ANSWERS-A. Foods high in vitamin D
C. Foods high in protein
D. Foods high in calcium
END OF
PAGE
3
