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Endocrine NCLEX Newest Verified Exam Preparation Newest With Complete Questions And Correct Detailed Answers|| Newest Exam!!

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Endocrine NCLEX Newest Verified Exam Preparation Newest With Complete Questions And Correct Detailed Answers|| Newest Exam!!

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Endocrine NCLEX Newest Verified Exam Preparation
Newest With Complete Questions And Correct
Detailed Answers|| Newest Exam!!


In a 29-year-old female client who is being successfully
treated for Cushing's syndrome, nurse Lyzette would
expect a decline in:


a. Serum glucose level.
b. Hair loss.
c. Bone mineralization.
d. Menstrual flow. - Answer-a. Serum glucose level.


Hyperglycemia, which develops from glucocorticoid
excess, is a manifestation of Cushing's syndrome. With
successful treatment of the disorder, serum glucose levels
decline. Hirsutism is common in Cushing's syndrome;
therefore, with successful treatment, abnormal hair growth
also declines. Osteoporosis occurs in Cushing's
syndrome; therefore, with successful treatment, bone
mineralization increases. Amenorrhea develops in
Cushing's syndrome. With successful treatment, the client
experiences a return of menstrual flow, not a decline in it.

,2|Page




Nurse Oliver should expect a client with hypothyroidism to
report which health concerns?


a. Increased appetite and weight loss
b. Puffiness of the face and hands
c. Nervousness and tremors
d. Thyroid gland swelling - Answer-b. Puffiness of the face
and hands


Hypothyroidism (myxedema) causes facial puffiness,
extremity edema, and weight gain. Signs and symptoms of
hyperthyroidism (Graves' disease) include an increased
appetite, weight loss, nervousness, tremors, and thyroid
gland enlargement (goiter).


Which nursing diagnosis takes highest priority for a female
client with hyperthyroidism?


a. Risk for imbalanced nutrition: More than body
requirements related to thyroid hormone excess

,3|Page


b. Risk for impaired skin integrity related to edema, skin
fragility, and poor wound healing


c. Body image disturbance related to weight gain and
edema


d. Imbalanced nutrition: Less than body requirements
related to thyroid hormone excess - Answer-d. Imbalanced
nutrition: Less than body requirements related to thyroid
hormone excess


In the client with hyperthyroidism, excessive thyroid
hormone production leads to hypermetabolism and
increased nutrient metabolism. These conditions may
result in a negative nitrogen balance, increased protein
synthesis and breakdown, decreased glucose tolerance,
and fat mobilization and depletion. This puts the client at
risk for marked nutrient and calorie deficiency, making
Imbalanced nutrition: Less than body requirements the
most important nursing diagnosis. Options B and C may
be appropriate for a client with hypothyroidism, which
slows the metabolic rate.

, 4|Page


Early this morning, a female client had a subtotal
thyroidectomy. During evening rounds, nurse Tina
assesses the client, who now has nausea, a temperature
of 105° F (40.5° C), tachycardia, and extreme
restlessness. What is the most likely cause of these
signs?


a. Diabetic ketoacidosis
b. Thyroid crisis
c. Hypoglycemia
d. Tetany - Answer-b. Thyroid crisis


Thyroid crisis usually occurs in the first 12 hours after
thyroidectomy and causes exaggerated signs of
hyperthyroidism, such as high fever, tachycardia, and
extreme restlessness. Diabetic ketoacidosis is more likely
to produce polyuria, polydipsia, and polyphagia;
hypoglycemia, to produce weakness, tremors, profuse
perspiration, and hunger. Tetany typically causes
uncontrollable muscle spasms, stridor, cyanosis, and
possibly asphyxia.


Nurse Louie is developing a teaching plan for a male client
diagnosed with diabetes insipidus. The nurse should

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