Elaborated Assessment And Management Of Patients With Endocrine Disorders Exam Questions And Answers (Ch. 52)

ELABORATED ASSESSMENT AND MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS EXAM QUESTIONS AND ANSWERS (CH. 52) The nurse obtains a complete family history of a client with a suspected endocrine disorder based on which rationale? 1. An allergy to iodine is inherited. 2. It helps determine the client's general status. 3. Endocrine disorders can be inherited. 4. Diet and drug histories are related to the family history. - CORRECT ANSWER -Correct response: Endocrine disorders can be inherited. Explanation: Some endocrine disorders are inherited or have a tendency to run in families. Therefore, it is essential to take a complete family history. A complete blood count and chemistry profile are performed to determine the client's general status and to rule out disorders. Obtaining information about an allergy to iodine is important because diagnostic testing may involve the use of contrast dyes. However, an allergy to iodine is not related to endocrine disorders. Diet and drug histories, although important information, are not associated with the family history. Accidental removal of one or both parathyroid glands can occur during a thyroidectomy. Which of the following is used to treat tetany? 1. Tapazole 2. Synthroid 3. Propylthiouracil (PTU) 4. Calcium gluconate - CORRECT ANSWER -Correct response: Calcium gluconate Explanation: Sometimes in thyroid surgery, the parathyroid glands are removed, producing a disturbance in calcium metabolism. Tetany is usually treated with IV calcium gluconate. Synthroid is used in the treatment of hypothyroidism. PTU and Tapazole are used in the treatment of hyperthyroidism. A nurse is caring for a client with a kidney disorder. What hormone released by the kidneys initiates the production of angiotensin and aldosterone to increase blood pressure and blood volume? 1. erythropoietin 2. cholecystokinin 3. gastrin 4. rerenin - CORRECT ANSWER -Correct response: renin Explanation: Renin is released from the kidneys and initiates the production of angiotensin and aldosterone to increase blood pressure and blood volume. The kidneys secrete erythropoietin, a substance that promotes the maturation of red blood cells. Cholecystokinin released from cells in the small intestine stimulates contraction of the gallbladder to release bile when dietary fat is ingested. Gastrin is released within the stomach to increase the production of hydrochloric acid. A client with acromegaly is admitted to the hospital with complaints of partial blindness that began suddenly. What does the nurse suspect is occurring with this client? 1. Retinal detachment 2. Pressure on the optic nerve 3. Glaucoma 4. Corneal abrasions - CORRECT ANSWER -Correct response: Pressure on the optic nerve