1
Med surg exam 3 endocrine
Questions With Solutions
The charge nurse on the medical-surgical unit is making client assignments for the
shift. Which client will be the most appropriate to assign to an LPN/LVN?Client
with Cushing's syndrome who requires orthostatic vital signs assessments
Correct: An LPN/LVN will be familiar with Cushing's syndrome and the method for
assessment of orthostatic vital signs
The client has suspected alterations in antidiuretic hormone (ADH) function.
Which diagnostic test does the nurse anticipate will be requested for this
client?Cranial computed tomography (CT)
, 2
Correct: ADH is a hormone of the posterior pituitary. Brain abscess, tumor, or
subarachnoid hemorrhage could cause alterations in ADH levels. These could be
seen on a CT scan of the brain.
A client with syndrome of inappropriate antidiuretic hormone (SIADH) is admitted
with a serum sodium level of 105 mEq/L. Which request by the health care
provider should the nurse address first?Administer infusion of 150 mL of 3% NaCl
over 3 hours.
Correct: The client with a sodium level of 105 mEq/L is at high risk for seizures and
coma. The priority intervention is to increase the 105 sodium level to a more
normal range. Ideally, 3% NaCl should be infused through a central line or with a
small needle through a large vein to prevent irritation.
After receiving change-of-shift report about the following four clients, which
client should the nurse attend to first?Client with acute adrenal insufficiency who
has a blood glucose of 36 mg/dL
, 3
Correct: A glucose level of 36 mg/dL is considered an emergency. This client needs
to be assessed and treated
A client has been admitted to the medical intensive care unit with a diagnosis of
diabetes insipidus secondary to lithium overdose. Which medication is used to
treat the diabetes insipidus (DI)?Desmopressin (DDAVP)
Correct: Desmopressin (DDAVP) is the drug of choice for treatment of severe DI. It
may be administered orally, nasally, or by intramuscular or intravenous routes
A client has been admitted to the medical-surgical unit with a diagnosis of
diabetes insipidus. The physician has requested desmopressin (DDAVP). How does
DDAVP decrease urine output?Works as an antidiuretic hormone (ADH) in the
kidneys
, 4
Correct: DDAVP is a synthetic form of ADH that binds to kidney receptors and
enhances reabsorption of water, thus reducing urine output.
The client with diabetes insipidus has dry lips and mucous membranes and poor
skin turgor. Which intervention does the nurse provide first?Forces fluids
Correct: Dry lips and mucous membranes and poor skin turgor are indications of
dehydration, which can occur with diabetes insipidus (DI). This is a serious
condition that must be treated rapidly. Encouraging fluids is the initial step,
provided the client is able to tolerate oral intake.
Which laboratory results indicate that fluid restrictions have been effective in
treating syndrome of inappropriate antidiuretic hormone (SIADH)?Increased
serum sodium
Correct: Increased serum sodium due to fluid restriction indicates effective
therapy.
Med surg exam 3 endocrine
Questions With Solutions
The charge nurse on the medical-surgical unit is making client assignments for the
shift. Which client will be the most appropriate to assign to an LPN/LVN?Client
with Cushing's syndrome who requires orthostatic vital signs assessments
Correct: An LPN/LVN will be familiar with Cushing's syndrome and the method for
assessment of orthostatic vital signs
The client has suspected alterations in antidiuretic hormone (ADH) function.
Which diagnostic test does the nurse anticipate will be requested for this
client?Cranial computed tomography (CT)
, 2
Correct: ADH is a hormone of the posterior pituitary. Brain abscess, tumor, or
subarachnoid hemorrhage could cause alterations in ADH levels. These could be
seen on a CT scan of the brain.
A client with syndrome of inappropriate antidiuretic hormone (SIADH) is admitted
with a serum sodium level of 105 mEq/L. Which request by the health care
provider should the nurse address first?Administer infusion of 150 mL of 3% NaCl
over 3 hours.
Correct: The client with a sodium level of 105 mEq/L is at high risk for seizures and
coma. The priority intervention is to increase the 105 sodium level to a more
normal range. Ideally, 3% NaCl should be infused through a central line or with a
small needle through a large vein to prevent irritation.
After receiving change-of-shift report about the following four clients, which
client should the nurse attend to first?Client with acute adrenal insufficiency who
has a blood glucose of 36 mg/dL
, 3
Correct: A glucose level of 36 mg/dL is considered an emergency. This client needs
to be assessed and treated
A client has been admitted to the medical intensive care unit with a diagnosis of
diabetes insipidus secondary to lithium overdose. Which medication is used to
treat the diabetes insipidus (DI)?Desmopressin (DDAVP)
Correct: Desmopressin (DDAVP) is the drug of choice for treatment of severe DI. It
may be administered orally, nasally, or by intramuscular or intravenous routes
A client has been admitted to the medical-surgical unit with a diagnosis of
diabetes insipidus. The physician has requested desmopressin (DDAVP). How does
DDAVP decrease urine output?Works as an antidiuretic hormone (ADH) in the
kidneys
, 4
Correct: DDAVP is a synthetic form of ADH that binds to kidney receptors and
enhances reabsorption of water, thus reducing urine output.
The client with diabetes insipidus has dry lips and mucous membranes and poor
skin turgor. Which intervention does the nurse provide first?Forces fluids
Correct: Dry lips and mucous membranes and poor skin turgor are indications of
dehydration, which can occur with diabetes insipidus (DI). This is a serious
condition that must be treated rapidly. Encouraging fluids is the initial step,
provided the client is able to tolerate oral intake.
Which laboratory results indicate that fluid restrictions have been effective in
treating syndrome of inappropriate antidiuretic hormone (SIADH)?Increased
serum sodium
Correct: Increased serum sodium due to fluid restriction indicates effective
therapy.
