NUR 146 Endocrine Exam With All Questions And
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A client is admitted to the postsurgical unit after having undergone a thyroidectomy. To
promote comfort and safety, the nurse should position the client in which of the
following ways?
A. Lie on side with one pillow under the head
B. Elevate the head of the bed 30 degrees and do not place any pillows under the head
C. Semi-Fowler with the head supported on two pillows
D. Supine, with a small roll supporting the neck - ANSWER C. Semi-Fowler with the head
supported on two pillows
A client who has undergone surgery for thyroid cancer and has had a significant amount
of the parathyroid tissue removed. What is the most significant question the nurse
should ask this client when assessing for complications?
A. "Do you have tingling sensations or numbness in your muscles?"
B. "Do you feel warm or diaphoretic?
C. "Are you feeling dizzy or lightheaded?"
D. "Are you having any pain that seems to be radiating from your bones?" - ANSWER A.
"Do you feel any muscle twitches or spasms?"
The nurse is caring for a client who has been diagnosed with Addison disease. What is
the most specific sign or symptom related to this disease process?
A. Truncal obesity
B. Hypertension
C. Muscle weakness
D. Moon face - ANSWER C. Muscle weakness
,The nurse is caring for a client diagnosed with Addison disease who will be discharged
from the hospital. The nurse should instruct the client on which of the following topics
related to hormone replacement therapy?
A. The risk for sudden weight gain
B. The need for lifelong steroid replacement
C. The need to adjust the daily steroid dose based on current symptoms
D. The need for monitoring liver function - ANSWER B. The need for lifetime steroid
replacement
A patient is receiving corticosteroid medication. What would be essential information
that the nurse would teach the patient who receives long-term corticosteroid
medication therapy?
A. The diet should be low protein with plenty of fat.
B. The client may experience transient cognitive impairment.
C. The client is at an increased risk for developing infection.
D. The client is at a decreased risk for development of thrombophlebitis and
thromboembolism - ANSWER C. The client is at an increased risk for developing
infection.
A nurse caring for a client with diabetes insipidus is reviewing laboratory results. What
is an expected urinalysis finding?
A. Glucose in the urine
B. Albumin in the urine
C. Very dilute urine
D. WBC's in the urine - ANSWER C. Very dilute urine
The nurse is caring for a client diagnosed with Cushing syndrome and explaining the
dexamethasone suppression test that will be done tomorrow. What does the nurse
explain this test will consist of?
A. Dexamethasone is given orally and plasma cortisol level every hour for 3 hours
,B. IV dexamethasone followed by x-ray of the adrenal glands
C. Oral administration of dexamethasone at 11 PM with a plasma cortisol level at 8 AM
the following morning
D. Intravenous dexamethasone administration, followed by a plasma cortisol level 3
hours after the drug is given - ANSWER C. Oral administration of dexamethasone at 11
PM, and a plasma cortisol level at 8 AM the next morning
The nurse is developing a care plan for a client who has been diagnosed with Cushing
syndrome. The nurse needs to identify the priority nursing diagnosis for this condition.
A. Risk for injury related to weakness
B. Ineffective breathing pattern related to muscle weakness
C. Risk for loneliness related to disturbed body image
D. Autonomic dysreflexia related to neurologic changes - ANSWER A. Risk for injury
related to weakness
The nurse is performing a shift assessment of a client with aldosteronism. What priority
assessment(s) should the nurse include that relate to this condition? Select all that
apply .
A. Urine output
B. Signs or symptoms of venous thromboembolism
C. Peripheral pulses
D. Blood pressure
E. Skin integrity - ANSWER A. Urine output
D. Blood pressure
The home care nurse is providing client teaching with a client receiving corticosteroid
therapy. To maintain consistency with the body's normal secretion of cortisol, at what
time of day should the home care nurse instruct the client to take the corticosteroids?
A. In the evening between 4 PM and 6 PM
B. Before retiring to bed
C. During noon each day
, D. In the morning between 7 AM and 8 AM -ANSWER D. In the morning between 7 AM
and 8 AM
A client presents to the walk-in clinic with the chief complaint of diarrhea and vomiting.
The client has a known history of adrenal insufficiency. Based on the client's history and
current symptoms, the nurse should expect that the client will be instructed to increase
intake of the following:
A. sodium.
B. potassium.
C. simple carbohydrates.
D. calcium - ANSWER A. sodium.
The nurse is caring for a client diagnosed with hyperparathyroidism. What level of
activity would the nurse expect to promote?
A. Bed rest
B. Bedrest with bathroom privileges
C. OOB to chair twice daily
D. Ambulation and activity as tolerated ANSWER D. Ambulation and activity as tolerated
A client has been discharged to the floor following a thyroidectomy for thyroid cancer.
What laboratory finding may be an early indication of parathyroid gland injury or
removal?
A. Hyponatremia
B. Hypophosphatemia
C. Hypocalcemia
D. Hypokalemia - ANSWER C. Hypocalcemia
The nurse is developing the plan of care for a client diagnosed with hyperthyroidism.
What should the nurse include in the client's nutritional plan?
A. A low-calorie diet, high in nutrients
Verified Detailed Answers A+ Graded 100% Pass
Guaranteed
A client is admitted to the postsurgical unit after having undergone a thyroidectomy. To
promote comfort and safety, the nurse should position the client in which of the
following ways?
A. Lie on side with one pillow under the head
B. Elevate the head of the bed 30 degrees and do not place any pillows under the head
C. Semi-Fowler with the head supported on two pillows
D. Supine, with a small roll supporting the neck - ANSWER C. Semi-Fowler with the head
supported on two pillows
A client who has undergone surgery for thyroid cancer and has had a significant amount
of the parathyroid tissue removed. What is the most significant question the nurse
should ask this client when assessing for complications?
A. "Do you have tingling sensations or numbness in your muscles?"
B. "Do you feel warm or diaphoretic?
C. "Are you feeling dizzy or lightheaded?"
D. "Are you having any pain that seems to be radiating from your bones?" - ANSWER A.
"Do you feel any muscle twitches or spasms?"
The nurse is caring for a client who has been diagnosed with Addison disease. What is
the most specific sign or symptom related to this disease process?
A. Truncal obesity
B. Hypertension
C. Muscle weakness
D. Moon face - ANSWER C. Muscle weakness
,The nurse is caring for a client diagnosed with Addison disease who will be discharged
from the hospital. The nurse should instruct the client on which of the following topics
related to hormone replacement therapy?
A. The risk for sudden weight gain
B. The need for lifelong steroid replacement
C. The need to adjust the daily steroid dose based on current symptoms
D. The need for monitoring liver function - ANSWER B. The need for lifetime steroid
replacement
A patient is receiving corticosteroid medication. What would be essential information
that the nurse would teach the patient who receives long-term corticosteroid
medication therapy?
A. The diet should be low protein with plenty of fat.
B. The client may experience transient cognitive impairment.
C. The client is at an increased risk for developing infection.
D. The client is at a decreased risk for development of thrombophlebitis and
thromboembolism - ANSWER C. The client is at an increased risk for developing
infection.
A nurse caring for a client with diabetes insipidus is reviewing laboratory results. What
is an expected urinalysis finding?
A. Glucose in the urine
B. Albumin in the urine
C. Very dilute urine
D. WBC's in the urine - ANSWER C. Very dilute urine
The nurse is caring for a client diagnosed with Cushing syndrome and explaining the
dexamethasone suppression test that will be done tomorrow. What does the nurse
explain this test will consist of?
A. Dexamethasone is given orally and plasma cortisol level every hour for 3 hours
,B. IV dexamethasone followed by x-ray of the adrenal glands
C. Oral administration of dexamethasone at 11 PM with a plasma cortisol level at 8 AM
the following morning
D. Intravenous dexamethasone administration, followed by a plasma cortisol level 3
hours after the drug is given - ANSWER C. Oral administration of dexamethasone at 11
PM, and a plasma cortisol level at 8 AM the next morning
The nurse is developing a care plan for a client who has been diagnosed with Cushing
syndrome. The nurse needs to identify the priority nursing diagnosis for this condition.
A. Risk for injury related to weakness
B. Ineffective breathing pattern related to muscle weakness
C. Risk for loneliness related to disturbed body image
D. Autonomic dysreflexia related to neurologic changes - ANSWER A. Risk for injury
related to weakness
The nurse is performing a shift assessment of a client with aldosteronism. What priority
assessment(s) should the nurse include that relate to this condition? Select all that
apply .
A. Urine output
B. Signs or symptoms of venous thromboembolism
C. Peripheral pulses
D. Blood pressure
E. Skin integrity - ANSWER A. Urine output
D. Blood pressure
The home care nurse is providing client teaching with a client receiving corticosteroid
therapy. To maintain consistency with the body's normal secretion of cortisol, at what
time of day should the home care nurse instruct the client to take the corticosteroids?
A. In the evening between 4 PM and 6 PM
B. Before retiring to bed
C. During noon each day
, D. In the morning between 7 AM and 8 AM -ANSWER D. In the morning between 7 AM
and 8 AM
A client presents to the walk-in clinic with the chief complaint of diarrhea and vomiting.
The client has a known history of adrenal insufficiency. Based on the client's history and
current symptoms, the nurse should expect that the client will be instructed to increase
intake of the following:
A. sodium.
B. potassium.
C. simple carbohydrates.
D. calcium - ANSWER A. sodium.
The nurse is caring for a client diagnosed with hyperparathyroidism. What level of
activity would the nurse expect to promote?
A. Bed rest
B. Bedrest with bathroom privileges
C. OOB to chair twice daily
D. Ambulation and activity as tolerated ANSWER D. Ambulation and activity as tolerated
A client has been discharged to the floor following a thyroidectomy for thyroid cancer.
What laboratory finding may be an early indication of parathyroid gland injury or
removal?
A. Hyponatremia
B. Hypophosphatemia
C. Hypocalcemia
D. Hypokalemia - ANSWER C. Hypocalcemia
The nurse is developing the plan of care for a client diagnosed with hyperthyroidism.
What should the nurse include in the client's nutritional plan?
A. A low-calorie diet, high in nutrients
