EDAPT: ALTERED HORMONAL REGULATION
QUESTIONS WITH 100% ACCURATE ANSWERS
The nurse is caring for a client with fluid volume deficit. Which hormone is most likely affecting fluid
balance? - Accurate answers Antidiuretic hormone (ADH)
The nurse is caring for a client with extreme tachycardia, diarrhea, weight loss, hypertension, and
intolerance to heat. Which hormone is most likely affecting the client's metabolic rate? - Accurate
answers Triiodothyronine (T3)
Primary causes of altered hormonal regulation originate __________. Secondary causes of altered
hormonal regulation originate __________. - Accurate answers Within the gland in question
From another organ dysfunction
For each endocrine disorder, specify its likely manifestations. - Accurate answers *Cushing's
Disease:*
Delayed wound healing
Hypertension
*Diabetes Insipidus:*
Polyuria
Polydipsia
*Hypothyroidism:*
Brittle hair and nails
Constipation
The nurse is caring for a client who is prescribed an MRI with contrast to evaluate the pituitary gland.
Which lab value must the nurse review before testing can occur? - Accurate answers Creatinine
level
The nurse suspects alterations of which hormones? Select all that apply. - Accurate answers
Thyroxine
Thyroid-stimulating hormone (TSH)
, Further exploration of Jodie's history reveals that she had a total thyroidectomy 3 months ago and is
taking levothyroxine. Which serum electrolyte should be monitored closely following total
thyroidectomy? - Accurate answers Calcium
Which prescriptions should the nurse anticipate in Jodie's treatment plan? Select all that apply. -
Accurate answers Increasing levothyroxine dosage.
Initiating fall prevention strategies.
Closely monitoring the thyroid-stimulating hormone level.
Select the cues that are suspicious of endocrine dysfunction.
Jack Jermaine (pronouns: he/him/his), age 68, presents to the emergency department (ED) via
ambulance with weakness, excessive urination, weight loss, and insatiable thirst. He appears confused
about the date and time but is oriented to location. - Accurate answers Weakness
Excessive urination
Insatiable thirst
Confused
Based on Mr. Jermaine's symptoms, the nurse should focus on assessing for an alteration of which
hormone? - Accurate answers Antidiuretic hormone (ADH)
Antidiuretic hormone is likely __________, resulting in placing the client at significant risk for
__________.
__________ is the priority client need. - Accurate answers Decreased
Diabetes insipidus
Hypovolemia
Fluid volume replacement
For each prescription, select if the nurse anticipates or does not anticipate it being included in the
healthcare provider's care for Jack. - Accurate answers *Anticipated:*
• Administer desmopressin
• Monitor for signs of water intoxication once treatment begins
• Head MRI with contrast
*Not Anticipated:*
• Administer albuterol via inhaler
QUESTIONS WITH 100% ACCURATE ANSWERS
The nurse is caring for a client with fluid volume deficit. Which hormone is most likely affecting fluid
balance? - Accurate answers Antidiuretic hormone (ADH)
The nurse is caring for a client with extreme tachycardia, diarrhea, weight loss, hypertension, and
intolerance to heat. Which hormone is most likely affecting the client's metabolic rate? - Accurate
answers Triiodothyronine (T3)
Primary causes of altered hormonal regulation originate __________. Secondary causes of altered
hormonal regulation originate __________. - Accurate answers Within the gland in question
From another organ dysfunction
For each endocrine disorder, specify its likely manifestations. - Accurate answers *Cushing's
Disease:*
Delayed wound healing
Hypertension
*Diabetes Insipidus:*
Polyuria
Polydipsia
*Hypothyroidism:*
Brittle hair and nails
Constipation
The nurse is caring for a client who is prescribed an MRI with contrast to evaluate the pituitary gland.
Which lab value must the nurse review before testing can occur? - Accurate answers Creatinine
level
The nurse suspects alterations of which hormones? Select all that apply. - Accurate answers
Thyroxine
Thyroid-stimulating hormone (TSH)
, Further exploration of Jodie's history reveals that she had a total thyroidectomy 3 months ago and is
taking levothyroxine. Which serum electrolyte should be monitored closely following total
thyroidectomy? - Accurate answers Calcium
Which prescriptions should the nurse anticipate in Jodie's treatment plan? Select all that apply. -
Accurate answers Increasing levothyroxine dosage.
Initiating fall prevention strategies.
Closely monitoring the thyroid-stimulating hormone level.
Select the cues that are suspicious of endocrine dysfunction.
Jack Jermaine (pronouns: he/him/his), age 68, presents to the emergency department (ED) via
ambulance with weakness, excessive urination, weight loss, and insatiable thirst. He appears confused
about the date and time but is oriented to location. - Accurate answers Weakness
Excessive urination
Insatiable thirst
Confused
Based on Mr. Jermaine's symptoms, the nurse should focus on assessing for an alteration of which
hormone? - Accurate answers Antidiuretic hormone (ADH)
Antidiuretic hormone is likely __________, resulting in placing the client at significant risk for
__________.
__________ is the priority client need. - Accurate answers Decreased
Diabetes insipidus
Hypovolemia
Fluid volume replacement
For each prescription, select if the nurse anticipates or does not anticipate it being included in the
healthcare provider's care for Jack. - Accurate answers *Anticipated:*
• Administer desmopressin
• Monitor for signs of water intoxication once treatment begins
• Head MRI with contrast
*Not Anticipated:*
• Administer albuterol via inhaler
