EXAM #2 ENDOCRINE QUESTIONS
(TEST BANK) COMPLETE ANSWERS
A patient has been taking prednisone for several weeks after experiencing a
hypersensitivity reaction. To
prevent adrenal insufficiency, the nurse should ensure that the patient knows to do
which of the
following?
A) Take the drug concurrent with levothyroxine (Synthroid).
B) Take each dose of prednisone with a dose of calcium chloride.
C) Gradually replace the prednisone with an OTC alternative.
D) Slowly taper down the dose of prednisone, as ordered. - ANSWER-D
Following an addisonian crisis, a patients adrenal function has been gradually
regained. The nurse
should ensure that the patient knows about the need for supplementary
glucocorticoid therapy in which
of the following circumstances?
A) Episodes of high psychosocial stress
B) Periods of dehydration
C) Episodes of physical exertion
D) Administration of a vaccine - ANSWER-A
A 30 year-old female patient has been diagnosed with Cushing syndrome. What
psychosocial nursing
diagnosis should the nurse most likely prioritize when planning the patients care?
A) Decisional conflict related to treatment options
B) Spiritual distress related to changes in cognitive function
C) Disturbed body image related to changes in physical appearance
D) Powerlessness related to disease progression - ANSWER-C
A patient with pheochromocytoma has been admitted for an adrenalectomy to be
performed the
following day. To prevent complications, the nurse should anticipate preoperative
administration of which of the following?
A) IV antibiotics
B) Oral antihypertensives
C) Parenteral nutrition
D) IV corticosteroids - ANSWER-D
*IV administration of corticosteroids (methylprednisolone sodium succinate [Solu-
Medrol]) may begin on
the evening before surgery and continue during the early postoperative period to
prevent adrenal
, insufficiency.*
A patient is undergoing testing for suspected adrenocortical insufficiency. The care
team should ensure
that the patient has been assessed for the most common cause of adrenocortical
insufficiency. What is
the most common cause of this health problem?
A) Therapeutic use of corticosteroids
B) Pheochromocytoma
C) Inadequate secretion of ACTH
D) Adrenal tumor - ANSWER-A
The nurse providing care for a patient with Cushing syndrome has identified the
nursing diagnosis of
risk for injury related to weakness. How should the nurse best reduce this risk?
A) Establish falls prevention measures.
B) Encourage bed rest whenever possible.
C) Encourage the use of assistive devices.
D) Provide constant supervision. - ANSWER-A
A patient with Cushing syndrome has been hospitalized after a fall. The dietician
consulted works with
the patient to improve the patients nutritional intake. What foods should a patient
with Cushing
syndrome eat to optimize health? Select all that apply.
A) Foods high in vitamin D
B) Foods high in calories
C) Foods high in protein
D) Foods high in calcium
E) Foods high in sodium - ANSWER-A,C,D
A patient on corticosteroid therapy needs to be taught that a course of
corticosteroids of 2 weeks
duration can suppress the adrenal cortex for how long?
A) Up to 4 weeks
B) Up to 3 months
C) Up to 9 months
D) Up to 1 year - ANSWER-D
A patient with Cushing syndrome as a result of a pituitary tumor has been admitted
for a transsphenoidal
hypophysectomy. What would be most important for the nurse to monitor before,
during, and after
surgery?
A) Blood glucose
(TEST BANK) COMPLETE ANSWERS
A patient has been taking prednisone for several weeks after experiencing a
hypersensitivity reaction. To
prevent adrenal insufficiency, the nurse should ensure that the patient knows to do
which of the
following?
A) Take the drug concurrent with levothyroxine (Synthroid).
B) Take each dose of prednisone with a dose of calcium chloride.
C) Gradually replace the prednisone with an OTC alternative.
D) Slowly taper down the dose of prednisone, as ordered. - ANSWER-D
Following an addisonian crisis, a patients adrenal function has been gradually
regained. The nurse
should ensure that the patient knows about the need for supplementary
glucocorticoid therapy in which
of the following circumstances?
A) Episodes of high psychosocial stress
B) Periods of dehydration
C) Episodes of physical exertion
D) Administration of a vaccine - ANSWER-A
A 30 year-old female patient has been diagnosed with Cushing syndrome. What
psychosocial nursing
diagnosis should the nurse most likely prioritize when planning the patients care?
A) Decisional conflict related to treatment options
B) Spiritual distress related to changes in cognitive function
C) Disturbed body image related to changes in physical appearance
D) Powerlessness related to disease progression - ANSWER-C
A patient with pheochromocytoma has been admitted for an adrenalectomy to be
performed the
following day. To prevent complications, the nurse should anticipate preoperative
administration of which of the following?
A) IV antibiotics
B) Oral antihypertensives
C) Parenteral nutrition
D) IV corticosteroids - ANSWER-D
*IV administration of corticosteroids (methylprednisolone sodium succinate [Solu-
Medrol]) may begin on
the evening before surgery and continue during the early postoperative period to
prevent adrenal
, insufficiency.*
A patient is undergoing testing for suspected adrenocortical insufficiency. The care
team should ensure
that the patient has been assessed for the most common cause of adrenocortical
insufficiency. What is
the most common cause of this health problem?
A) Therapeutic use of corticosteroids
B) Pheochromocytoma
C) Inadequate secretion of ACTH
D) Adrenal tumor - ANSWER-A
The nurse providing care for a patient with Cushing syndrome has identified the
nursing diagnosis of
risk for injury related to weakness. How should the nurse best reduce this risk?
A) Establish falls prevention measures.
B) Encourage bed rest whenever possible.
C) Encourage the use of assistive devices.
D) Provide constant supervision. - ANSWER-A
A patient with Cushing syndrome has been hospitalized after a fall. The dietician
consulted works with
the patient to improve the patients nutritional intake. What foods should a patient
with Cushing
syndrome eat to optimize health? Select all that apply.
A) Foods high in vitamin D
B) Foods high in calories
C) Foods high in protein
D) Foods high in calcium
E) Foods high in sodium - ANSWER-A,C,D
A patient on corticosteroid therapy needs to be taught that a course of
corticosteroids of 2 weeks
duration can suppress the adrenal cortex for how long?
A) Up to 4 weeks
B) Up to 3 months
C) Up to 9 months
D) Up to 1 year - ANSWER-D
A patient with Cushing syndrome as a result of a pituitary tumor has been admitted
for a transsphenoidal
hypophysectomy. What would be most important for the nurse to monitor before,
during, and after
surgery?
A) Blood glucose
