NURS 3028 Adult Health Exit HESI STUDY GUIDE: ENDOCRINE DISORDERS_Adult Health HESI Exit Exam(Latest Graded A)

ENDOCRINE DISORDERS 1. Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find: a. Hypotension. b. Thick, coarse skin. c. Deposits of adipose tissue in the trunk and dorsocervical area. d. Weight gain in arms and legs. 1. Answer C. Because of changes in fat distribution, adipose tissue accumulates in the trunk, face (moonface), and dorsocervical areas (buffalo hump). Hypertension is caused by fluid retention. Skin becomes thin and bruises easily because of a loss of collagen. Muscle wasting causes muscle atrophy and thin extremities. 2. A male client with primary diabetes insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should nurse Lina provide? a. “Administer desmopressin while the suspension is cold.” b. “Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.” c. “You may not be able to use desmopressin nasally if you have nasal discharge or blockage.” d. “You won’t need to monitor your fluid intake and output after you start taking desmopressin.” 2. Answer C. Desmopressin may not be absorbed if the intranasal route is compromised. Although diabetes insipidus is treatable, the client should wear medical identification and carry medication at all times to alert medical personnel in an emergency and ensure proper treatment. The client must continue to monitor fluid intake and output and receive adequate fluid replacement.