The preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy should include
the instruction that postoperatively, the patient should:
A. Avoid Sneezing
B. Drink through a straw
C. Cough forcefully.
D. Wash mouth out with peroxide. - Correct Answer A. Avoid Sneezing
The nurse is aware that the large flattened features of the patient with acromegaly are caused by an
excess of :
A. Prolactin
B. Growth hormone
C. Thyroid-stimulating hormone
D. Adrenocorticotropic hormone - Correct Answer B. Growth Hormone
On an intake physical examination, the nurse questions the patient with diabetes insipidus (DI) about
the classic symptoms of that disease, which are:
A. Diuresis, tachycardia, and weakness
B. Dizziness, hypertension, and excitability.
C. Stress incontinence, vomiting, and edema.
D. Bradycardia, insomnia, and muscle cramps. - Correct Answer A. Diuresis, tachycardia, and weakness
The patient with Addison disease asks why she must take hydrocortisone. The nurse clarifies that the
drug will:
A. Increase cardiac output.
B. Regulate the excretion of potassium and sodium.
C. Decrease the level of cortisol.
,D. Lower the blood sugar level. - Correct Answer B. Regulate the excretion of potassium and sodium.
The patient states that he is confused because the physician told him that his DI is nephrogenic. The
nurse explains that nephrogenic DI differs from neurogenic DI in that nephrogenic DI:
A. will eventually reslove without medication.
B. Requires the nasal spray lypressin.
C. Does not respond to ADH.
D. Will require dialysis. - Correct Answer C. Does not respond to ADH.
The nurse is aware that the cardinal indication of a pheochromocytoma is:
A. Significant hypertension
B. Extreme nausea
C. Abdominal pain
D. Edema in the legs - Correct Answer A. Significant hypertension
The nurse caring for a patient with Addison disease suspects adrenal crisis when the patient exhibits:
A. Hypertension and abdominal pain
B. Confusion and tachycardia
C. Bradycardia and nausea
D. Widening pulse pressure and shortness of breath - Correct Answer B. Confusion and tachycardia
In drawing up a teaching plan for a patient with Addison disease, the nurse will include:
A. discontinuing hormonal replacement therapy if the patient becomes nauseated or has diarrhea.
B. Decreasing medication if the patient is under stress or is being treated for an infection.
C. Wearing a medical alert tag and carrying emergency dexamethasone.
D. Beginning a vigorous exercise program to overcome weakness and muscle wasting. - Correct Answer
C. Wearing a medical alert tag and carrying emergency dexamethasone.
The patient with long-term asthma develops Cushing syndrome. The nurse explains that this condition is
probably the result of:
, A. Taking corticosteroids for many years.
B. Abruptly withdrawing cortisone therapy.
C. Lack of ACTH, related to the pituitary gland.
D. Poorly functioning adrenal glands. - Correct Answer A. Taking carticosteroids for many years.
The hallmark findings expected when assessing a patient with Cushing syndrome are:
A. Edema of the trunk, extremities, and face.
B. Wasting of the abdomen with thick, calloused skin.
C. Excess adipose tissue in the trunk, slender extremities, and moon face.
D. High levels of potassium and low levels of sodium, weakness, and wasting. - Correct Answer C. Excess
adipose tissue in the trunk, slender extremities, and moon face.
The nurse assessing a patient with Simmonds cachexia anticipates that the patient will exhibit:
A. High body temperature
B. Ruddy complexion
C. Silky body hair
D. Muscle wasting - Correct Answer D. Muscle wasting
The mother of a 6-foot, 2-inch, 16-year-old girl who is being treated for hyperpituitarism says, "I can't
stand it that my beautiful daughter is a freak." The nurse's best response is:
A. "Gigantism is treatable."
B. "Her height could help her be a basketball star or a model."
C. "What is it about her height that makes her a freak?"
D. "All parents feel responsible when their children have problems." - Correct Answer C. "What is it
about her height that makes her a freak?"
The nurse clarifies that the drug, octreotide (Sandostatin), is a treatment for acromegaly and will"
A. Reverse the effects of acromegaly.
B. Be given on a daily basis by injection.
C. Increase insulin secretion causing hypoglycemia.
the instruction that postoperatively, the patient should:
A. Avoid Sneezing
B. Drink through a straw
C. Cough forcefully.
D. Wash mouth out with peroxide. - Correct Answer A. Avoid Sneezing
The nurse is aware that the large flattened features of the patient with acromegaly are caused by an
excess of :
A. Prolactin
B. Growth hormone
C. Thyroid-stimulating hormone
D. Adrenocorticotropic hormone - Correct Answer B. Growth Hormone
On an intake physical examination, the nurse questions the patient with diabetes insipidus (DI) about
the classic symptoms of that disease, which are:
A. Diuresis, tachycardia, and weakness
B. Dizziness, hypertension, and excitability.
C. Stress incontinence, vomiting, and edema.
D. Bradycardia, insomnia, and muscle cramps. - Correct Answer A. Diuresis, tachycardia, and weakness
The patient with Addison disease asks why she must take hydrocortisone. The nurse clarifies that the
drug will:
A. Increase cardiac output.
B. Regulate the excretion of potassium and sodium.
C. Decrease the level of cortisol.
,D. Lower the blood sugar level. - Correct Answer B. Regulate the excretion of potassium and sodium.
The patient states that he is confused because the physician told him that his DI is nephrogenic. The
nurse explains that nephrogenic DI differs from neurogenic DI in that nephrogenic DI:
A. will eventually reslove without medication.
B. Requires the nasal spray lypressin.
C. Does not respond to ADH.
D. Will require dialysis. - Correct Answer C. Does not respond to ADH.
The nurse is aware that the cardinal indication of a pheochromocytoma is:
A. Significant hypertension
B. Extreme nausea
C. Abdominal pain
D. Edema in the legs - Correct Answer A. Significant hypertension
The nurse caring for a patient with Addison disease suspects adrenal crisis when the patient exhibits:
A. Hypertension and abdominal pain
B. Confusion and tachycardia
C. Bradycardia and nausea
D. Widening pulse pressure and shortness of breath - Correct Answer B. Confusion and tachycardia
In drawing up a teaching plan for a patient with Addison disease, the nurse will include:
A. discontinuing hormonal replacement therapy if the patient becomes nauseated or has diarrhea.
B. Decreasing medication if the patient is under stress or is being treated for an infection.
C. Wearing a medical alert tag and carrying emergency dexamethasone.
D. Beginning a vigorous exercise program to overcome weakness and muscle wasting. - Correct Answer
C. Wearing a medical alert tag and carrying emergency dexamethasone.
The patient with long-term asthma develops Cushing syndrome. The nurse explains that this condition is
probably the result of:
, A. Taking corticosteroids for many years.
B. Abruptly withdrawing cortisone therapy.
C. Lack of ACTH, related to the pituitary gland.
D. Poorly functioning adrenal glands. - Correct Answer A. Taking carticosteroids for many years.
The hallmark findings expected when assessing a patient with Cushing syndrome are:
A. Edema of the trunk, extremities, and face.
B. Wasting of the abdomen with thick, calloused skin.
C. Excess adipose tissue in the trunk, slender extremities, and moon face.
D. High levels of potassium and low levels of sodium, weakness, and wasting. - Correct Answer C. Excess
adipose tissue in the trunk, slender extremities, and moon face.
The nurse assessing a patient with Simmonds cachexia anticipates that the patient will exhibit:
A. High body temperature
B. Ruddy complexion
C. Silky body hair
D. Muscle wasting - Correct Answer D. Muscle wasting
The mother of a 6-foot, 2-inch, 16-year-old girl who is being treated for hyperpituitarism says, "I can't
stand it that my beautiful daughter is a freak." The nurse's best response is:
A. "Gigantism is treatable."
B. "Her height could help her be a basketball star or a model."
C. "What is it about her height that makes her a freak?"
D. "All parents feel responsible when their children have problems." - Correct Answer C. "What is it
about her height that makes her a freak?"
The nurse clarifies that the drug, octreotide (Sandostatin), is a treatment for acromegaly and will"
A. Reverse the effects of acromegaly.
B. Be given on a daily basis by injection.
C. Increase insulin secretion causing hypoglycemia.
