ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
The nurse is caring for a client who had a thyroidectomy. Which symptoms will the client exhibit if having
a thyrotoxic crisis?
An increased pulse deficit
A decreased blood pressure
A decreased heart rate and respirations
An increased temperature and pulse rate - ANSWER-An increased temperature and pulse rate
Rationale
Thyrotoxic crisis is severe hyperthyroidism; excessive amounts of thyroxine increase the metabolic rate,
thereby raising the pulse and temperature. During crisis there usually is no increase in the difference
between the apical and the peripheral pulse rates (pulse deficit). The blood pressure will increase to
meet the oxygen demand caused by the increased metabolic rate during crisis. Because of the increased
metabolic rate, the pulse and respiratory rates increase to meet the body's oxygen needs.
A client with hyperthyroidism is treated with radioactive iodine to ablate thyroid tissue. What should the
nurse instruct the client to do after the procedure?
Remain in the house.
Avoid holding an infant.
Save urine in a lead-lined container.
, ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
Refrain from using a bathroom used by others. - ANSWER-Avoid holding an infant.
Rationale
Infants are particularly sensitive to radioactivity; even the small amount emitted after treatment may
affect infants. It is not necessary to avoid leaving the house as long as close proximity to others is
avoided. Saving urine in a lead-lined container is not necessary; the same bathroom may be used by all
members of the family, but the toilet should be flushed twice after use by the client. Refraining from
using a bathroom used by others is not necessary.
A female client who is scheduled for a thyroidectomy is concerned that the surgery will interfere with
her ability to become pregnant. What is the nurse's best response?
"As long as medication is continued, ovulation will occur."
"Hyperthyroidism can cause abortions and fetal anomalies."
"Pregnancy is not advisable for the client with a thyroidectomy."
"Pregnancy affects metabolism and will require decreased thyroid hormone." - ANSWER-"As long as
medication is continued, ovulation will occur."
Rationale
Medication is regulated to maintain the usual blood levels of thyroxine; therefore, ovulation is not
affected, and future pregnancy is possible. The client will no longer be hyperthyroid after surgery
because the overactive tissue is excised; therefore, pregnancy is not contraindicated. Pregnancy is not
, ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
contraindicated after a thyroidectomy because the overactive tissue is excised. Pregnancy is not
contraindicated; however, thyroid hormone therapy may have to be increased during pregnancy.
After recording the blood pressure of a client, the primary health care provider confirms a diagnosis of
pheochromocytoma. What blood pressure may have helped confirm the diagnosis?
90/70 mmHg
80/60 mmHg
120/80 mmHg
190/90 mmHg - ANSWER-190/90 mmHg
The nurse is assessing a client with a suspected thyroid disorder. Which diagnostic studies will be most
appropriate to confirm that the thyroid disorder is autoimmune in origin? Select all that apply.
Free thyroxine
Thyroglobulin antibody
Thyroid peroxidase antibody
Thyroid-stimulating antibody
, ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
Thyroid-stimulating hormone - ANSWER-
A nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of the feet.
Which statement made by the client shows that teaching was effective?
"I should massage my feet and legs with oil or lotion."
"I should apply heat intermittently to my feet and legs."
"I should eat foods high in protein and carbohydrate kilocalories."
"I should control my blood glucose with diet, exercise, and medication." - ANSWER-"I should control my
blood glucose with diet, exercise, and medication."
Rationale
Controlling the diabetes decreases the risk of infection; this is the best prevention. Oil or lotion that is
not completely absorbed may provide a warm, moist environment for bacterial growth. Coexisting
neuropathy may result in injury from heat application. Protein, carbohydrates, and fats must be in an
appropriate balance; high carbohydrate intake can provide too many calories.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis. What is the
primary reason for instruction on exercise?
To decrease insulin sensitivity
To stimulate glucagon production
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
The nurse is caring for a client who had a thyroidectomy. Which symptoms will the client exhibit if having
a thyrotoxic crisis?
An increased pulse deficit
A decreased blood pressure
A decreased heart rate and respirations
An increased temperature and pulse rate - ANSWER-An increased temperature and pulse rate
Rationale
Thyrotoxic crisis is severe hyperthyroidism; excessive amounts of thyroxine increase the metabolic rate,
thereby raising the pulse and temperature. During crisis there usually is no increase in the difference
between the apical and the peripheral pulse rates (pulse deficit). The blood pressure will increase to
meet the oxygen demand caused by the increased metabolic rate during crisis. Because of the increased
metabolic rate, the pulse and respiratory rates increase to meet the body's oxygen needs.
A client with hyperthyroidism is treated with radioactive iodine to ablate thyroid tissue. What should the
nurse instruct the client to do after the procedure?
Remain in the house.
Avoid holding an infant.
Save urine in a lead-lined container.
, ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
Refrain from using a bathroom used by others. - ANSWER-Avoid holding an infant.
Rationale
Infants are particularly sensitive to radioactivity; even the small amount emitted after treatment may
affect infants. It is not necessary to avoid leaving the house as long as close proximity to others is
avoided. Saving urine in a lead-lined container is not necessary; the same bathroom may be used by all
members of the family, but the toilet should be flushed twice after use by the client. Refraining from
using a bathroom used by others is not necessary.
A female client who is scheduled for a thyroidectomy is concerned that the surgery will interfere with
her ability to become pregnant. What is the nurse's best response?
"As long as medication is continued, ovulation will occur."
"Hyperthyroidism can cause abortions and fetal anomalies."
"Pregnancy is not advisable for the client with a thyroidectomy."
"Pregnancy affects metabolism and will require decreased thyroid hormone." - ANSWER-"As long as
medication is continued, ovulation will occur."
Rationale
Medication is regulated to maintain the usual blood levels of thyroxine; therefore, ovulation is not
affected, and future pregnancy is possible. The client will no longer be hyperthyroid after surgery
because the overactive tissue is excised; therefore, pregnancy is not contraindicated. Pregnancy is not
, ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
contraindicated after a thyroidectomy because the overactive tissue is excised. Pregnancy is not
contraindicated; however, thyroid hormone therapy may have to be increased during pregnancy.
After recording the blood pressure of a client, the primary health care provider confirms a diagnosis of
pheochromocytoma. What blood pressure may have helped confirm the diagnosis?
90/70 mmHg
80/60 mmHg
120/80 mmHg
190/90 mmHg - ANSWER-190/90 mmHg
The nurse is assessing a client with a suspected thyroid disorder. Which diagnostic studies will be most
appropriate to confirm that the thyroid disorder is autoimmune in origin? Select all that apply.
Free thyroxine
Thyroglobulin antibody
Thyroid peroxidase antibody
Thyroid-stimulating antibody
, ENDOCRINE (MED/SURG)
2024/2025 COMPLETE WITH VERIFIED
QUESTIONS AND 100% CORRECT ANSWERS
Thyroid-stimulating hormone - ANSWER-
A nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of the feet.
Which statement made by the client shows that teaching was effective?
"I should massage my feet and legs with oil or lotion."
"I should apply heat intermittently to my feet and legs."
"I should eat foods high in protein and carbohydrate kilocalories."
"I should control my blood glucose with diet, exercise, and medication." - ANSWER-"I should control my
blood glucose with diet, exercise, and medication."
Rationale
Controlling the diabetes decreases the risk of infection; this is the best prevention. Oil or lotion that is
not completely absorbed may provide a warm, moist environment for bacterial growth. Coexisting
neuropathy may result in injury from heat application. Protein, carbohydrates, and fats must be in an
appropriate balance; high carbohydrate intake can provide too many calories.
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis. What is the
primary reason for instruction on exercise?
To decrease insulin sensitivity
To stimulate glucagon production
