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CHAPTER 61 Assessment of the Endocrine System exam with verified detailed solutions

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CHAPTER 61 Assessment of the Endocrine System exam with verified detailed solutions

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CHAPTER 61 Assessment of the
Endocrine System exam with verified
detailed solutions

What diagnostic test is used to determine the composition of thyroid nodules in a patient?
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Needle biopsy ||||||




-Chromatographic assay ||||||




-Computed tomography (CT) scan |||||| |||||| ||||||




-Glycosylated hemoglobin (HbA 1C) - Correct answer ✔-Needle biopsy
|||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




Which statement is true about hormones and their receptor sites?
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Hormones need a specific receptor site to work. |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Hormone stores are available for activation until needed.
|||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Hormones need to be plasma-bound to activate the receptor site.
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Hormone activity is dependent only on the function of the receptor site. - Correct answer ✔-
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




Hormones need a specific receptor site to work.
|||||| |||||| |||||| |||||| |||||| |||||| ||||||




The 'fight-or-flight' response is the result of the action of a hormone. Which hormone causes
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




this response?
||||||




-Calcitonin

-Catecholamines

,2


-Thyroid-stimulating hormone (TSH) |||||| ||||||




-Thyrotropin-releasing hormone (TRH) - Correct answer ✔-Catecholamines |||||| |||||| |||||| |||||| |||||| ||||||




What are the actions of oxytocin? Select all that apply.
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Stimulates ovulation ||||||




-Stimulates spermatogenesis ||||||




-Promotes water reabsorption |||||| ||||||




-Stimulates uterine contractions |||||| ||||||




-Promotes ejection of breast milk - Correct answer ✔-Stimulates uterine contractions
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Promotes ejection of breast milk |||||| |||||| |||||| ||||||




Which hormone stimulates uterine contractions and ejection of breast milk?
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Oxytocin

-Prolactin (PRL) ||||||




-Luteinizing hormone (LH) |||||| ||||||




-Follicle-stimulating hormone (FSH) - Correct answer ✔-Oxytocin |||||| |||||| |||||| |||||| |||||| ||||||




The nurse should encourage fluids every 2 hours for older adult patients because of a decrease
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




in which factor?
|||||| |||||| ||||||




-Glucose tolerance ||||||




-General metabolism ||||||




-Ovarian production of estrogen |||||| |||||| ||||||




-Antidiuretic hormone (ADH) production - Correct answer ✔Antidiuretic hormone (ADH) |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




production

, 2




The nurse is instructing a patient who will undergo a suppression test. Which statement by the
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




patient indicates that teaching was effective?
|||||| |||||| |||||| |||||| |||||| ||||||




-'I will be given more hormones as a trigger.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-'I am being tested to see whether my kidneys work at all.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-'I am being tested to see whether my hormone glands are hyperactive.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-'I am being tested to see whether my hormone glands are hypoactive.' - Correct answer ✔-'I
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




am being tested to see whether my hormone glands are hyperactive.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




The nurse is teaching a patient about the correct procedure for a 24-hour urine test for
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




creatinine clearance. Which statement by the patient indicates a need for further teaching?
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-'I won't save the first urine sample.'
|||||| |||||| |||||| |||||| |||||| ||||||




-'I should not eat any protein when I am collecting urine for this test.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-'I should keep the urine container cool in a separate refrigerator or cooler.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-'To end the collection, I must empty my bladder, adding it to the collection.' - Correct answer
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




✔-'I should not eat any protein when I am collecting urine for this test.'
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




What does the nurse teach the patient to prevent thyroid-related problems?
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Avoid saltwater fish in the diet. |||||| |||||| |||||| |||||| ||||||




-Include at least 30 g of protein daily. |||||| |||||| |||||| |||||| |||||| |||||| ||||||




-Use iodized salt when preparing food.
|||||| |||||| |||||| |||||| ||||||




-Include concentrated simple sugars in the diet. - Correct answer ✔-Use iodized salt when
|||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| |||||| ||||||




preparing food. ||||||

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