INTEGRATEDQUESTIONSAND tj tj
ANSWERS FOR ASSESSMENT AND MANA tj tj tj tj
GEMENTOFPATIENTSWITH ENDOCRINE tj tj tj tj tj
DISORDERS
Cardiac effects of hyperthyroidism include?
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decreased pulse pressure. decrease tj tj tj
d systolic blood pressure. bradycardi
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a.
palpitations. - CORRECT ANSWER -palpitations. Explanation:
tj tj tj tj tj
Cardiac effects may include sinus tachycardia, increased pulse pressure, and palpitations. Systolic blood pre
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ssure is elevated. tj tj
A client who is postpartum is receiving intravenous oxytocin, and the client asks the nurse about the functio
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n of oxytocin in the body. How should the nurse respond?
tj tj tj tj tj tj tj tj tj tj
"It increases blood calcium by stimulating calcium release from the bone and decreases the blood phosphat
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e level."
tj
"It stimulates the production and secretion of thyroid hormones."
tj tj tj tj tj tj tj tj
"It stimulates bone and muscle growth and promotes protein synthesis and fat mobilization."
tj tj tj tj tj tj tj tj tj tj tj tj
"It stimulates the contraction of the pregnant uterus before birth and stimulates the release of breast milk
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
after childbirth." - CORRECT ANSWER -
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"It stimulates the contraction of the pregnant uterus before birth and stimulates the release of breast milk a
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
fter childbirth."
tj
Explanation:
,The nurse should inform the client that oxytocin's function in the body is to stimulate the contraction of the
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
pregnant uterus before birth and to stimulate the release of breast milk after childbirth.
tj tj tj tj tj tj tj tj tj tj tj tj tj
Somatotropin stimulates bone and muscle growth and promotes protein synthesis and fat mobilization. Th
tj tj tj tj tj tj tj tj tj tj tj tj tj
yroid-
stimulating hormone causes production and secretion of thyroid hormones. Parathyroid hormone increas
tj tj tj tj tj tj tj tj tj tj tj
es blood calcium by stimulating calcium release from the bone and decreases the blood phosphate level.
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
Which is a clinical manifestation of diabetes insipidus?
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Low urine output Exc tj tj tj
essive thirst Weight tj tj tj
gain
Excessive activities - CORRECT ANSWER - tj tj tj tj tj
Excessive thirst Explanation: tj tj
Urine output may be as high as 20 L in 24 hours. Thirst is excessive and constant. Activities are limited by the
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
frequent need to drink and void. Weight loss develops.
tj tj tj tj tj tj tj tj
Which diagnostic test is done to determine suspected pituitary tumor?
tj tj tj tj tj tj tj tj tj
computed tomography scan measureme tj tj tj
nt of blood hormone levels radioimmuno
tj tj tj tj tj
assay
radiographs of the abdomen - CORRECT ANSWER - tj tj tj tj tj tj tj
computed tomography scan Explanation: tj tj tj
A computed tomography or magnetic resonance imaging scan is done to detect a suspected pituitary tum
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
or. Radiographs of the chest or abdomen are taken to detect tumors. Radiographs also determine the size
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
of the organ and their location. Measuring blood hormone levels helps determine the functioning of endo
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
crine glands. A radioimmunoassay determines the concentration of a substance in plasma.
tj tj tj tj tj tj tj tj tj tj tj
,A client with severe hypoparathyroidism is experiencing tetany. What medication, prescribed by the physici
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an for emergency use, will the nurse administer to correct the deficit?
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Sodium bicarbonate tj tj
Fludrocortisone Calc tj
ium gluconate tj
Methylprednisolone - CORRECT ANSWER - tj tj tj tj
Calcium gluconate Explanation: tj tj
Tetany and severe hypoparathyroidism are treated immediately by the administration of an IV calcium salt,
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
such as calcium gluconate. The other medications are not effective for the treatment of calcium deficit.
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
A client is being seen in the clinic to receive the results of the lab work to determine thyroid levels. The nur
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
se observes the client's eyes appear to be bulging, and there is swelling around the eyes. What does the nu
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rse know that the correct documentation of this finding is?
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Retinal detachment tj tj
Periorbital swelling tj tj
Bulging eyes tj
Exophthalmos - CORRECT ANSWER - tj tj tj tj
Exophthalmos Explanation: tj
Exophthalmos is an abnormal bulging or protrusion of the eyes and periorbital swelling. These findings are n
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ot consistent with retinal detachment.
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Which of the following would the nurse expect to find in a client with severe hyperthyroidism?
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Tetany
, Exophthalmos Buffal tj
o hump
tj
Striae - CORRECT ANSWER - tj tj tj tj
Exophthalmos Explanation: tj
Exophthalmos that results from enlarged muscle and fatty tissue surrounding the rear and sides of the eyeb
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
all is seen in clients with severe hyperthyroidism. Tetany is the symptom of acute and sudden hypoparathyr
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
oidism. Buffalo hump and striae are the symptoms of Cushing's syndrome.
tj tj tj tj tj tj tj tj tj tj
A client has a decreased level of thyroid hormone being excreted. What will the feedback loop do to maintai
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
n the level of thyroid hormone required to maintain homeostatic stability?
tj tj tj tj tj tj tj tj tj tj
Stimulate more hormones using the negative feedback system Stimula
tj tj tj tj tj tj tj tj
te more hormones using the positive feedback system Produce a new h
tj tj tj tj tj tj tj tj tj tj tj
ormone to try and regulate the thyroid function tj tj tj tj tj tj tj
Be unable to perform in response to low levels of thyroid hormone. - CORRECT ANSWER -
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
Stimulate more hormones using the negative feedback system
tj tj tj tj tj tj tj
Explanation:
Feedback can be either negative or positive. Most hormones are secreted in response to negative feedback;
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
a decrease in levels stimulates the releasing gland.
tj tj tj tj tj tj tj
When preparing teaching plan for a client with an endocrine disorder, the nurse includes information about
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
hormone regulation. Which of the following would the nurse include?
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The gland becomes enlarged leading to a deficiency of the hormone. Most
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disorders result from over- tj tj tj
tj or underproduction of the hormone. The gland slows hormone secretion w
tj tj tj tj tj tj tj tj tj tj
hen the hormone level decreases.
tj tj tj tj
Hormone secretion occurs as a straight-line continuous process. - CORRECT ANSWER -
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Most disorders result from over- or underproduction of the hormone.
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ANSWERS FOR ASSESSMENT AND MANA tj tj tj tj
GEMENTOFPATIENTSWITH ENDOCRINE tj tj tj tj tj
DISORDERS
Cardiac effects of hyperthyroidism include?
tj tj tj tj
decreased pulse pressure. decrease tj tj tj
d systolic blood pressure. bradycardi
tj tj tj tj
a.
palpitations. - CORRECT ANSWER -palpitations. Explanation:
tj tj tj tj tj
Cardiac effects may include sinus tachycardia, increased pulse pressure, and palpitations. Systolic blood pre
tj tj tj tj tj tj tj tj tj tj tj tj tj
ssure is elevated. tj tj
A client who is postpartum is receiving intravenous oxytocin, and the client asks the nurse about the functio
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
n of oxytocin in the body. How should the nurse respond?
tj tj tj tj tj tj tj tj tj tj
"It increases blood calcium by stimulating calcium release from the bone and decreases the blood phosphat
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
e level."
tj
"It stimulates the production and secretion of thyroid hormones."
tj tj tj tj tj tj tj tj
"It stimulates bone and muscle growth and promotes protein synthesis and fat mobilization."
tj tj tj tj tj tj tj tj tj tj tj tj
"It stimulates the contraction of the pregnant uterus before birth and stimulates the release of breast milk
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
after childbirth." - CORRECT ANSWER -
tj tj tj tj tj
"It stimulates the contraction of the pregnant uterus before birth and stimulates the release of breast milk a
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
fter childbirth."
tj
Explanation:
,The nurse should inform the client that oxytocin's function in the body is to stimulate the contraction of the
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
pregnant uterus before birth and to stimulate the release of breast milk after childbirth.
tj tj tj tj tj tj tj tj tj tj tj tj tj
Somatotropin stimulates bone and muscle growth and promotes protein synthesis and fat mobilization. Th
tj tj tj tj tj tj tj tj tj tj tj tj tj
yroid-
stimulating hormone causes production and secretion of thyroid hormones. Parathyroid hormone increas
tj tj tj tj tj tj tj tj tj tj tj
es blood calcium by stimulating calcium release from the bone and decreases the blood phosphate level.
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
Which is a clinical manifestation of diabetes insipidus?
tj tj tj tj tj tj tj
Low urine output Exc tj tj tj
essive thirst Weight tj tj tj
gain
Excessive activities - CORRECT ANSWER - tj tj tj tj tj
Excessive thirst Explanation: tj tj
Urine output may be as high as 20 L in 24 hours. Thirst is excessive and constant. Activities are limited by the
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
frequent need to drink and void. Weight loss develops.
tj tj tj tj tj tj tj tj
Which diagnostic test is done to determine suspected pituitary tumor?
tj tj tj tj tj tj tj tj tj
computed tomography scan measureme tj tj tj
nt of blood hormone levels radioimmuno
tj tj tj tj tj
assay
radiographs of the abdomen - CORRECT ANSWER - tj tj tj tj tj tj tj
computed tomography scan Explanation: tj tj tj
A computed tomography or magnetic resonance imaging scan is done to detect a suspected pituitary tum
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
or. Radiographs of the chest or abdomen are taken to detect tumors. Radiographs also determine the size
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
of the organ and their location. Measuring blood hormone levels helps determine the functioning of endo
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
crine glands. A radioimmunoassay determines the concentration of a substance in plasma.
tj tj tj tj tj tj tj tj tj tj tj
,A client with severe hypoparathyroidism is experiencing tetany. What medication, prescribed by the physici
tj tj tj tj tj tj tj tj tj tj tj tj tj
an for emergency use, will the nurse administer to correct the deficit?
tj tj tj tj tj tj tj tj tj tj tj
Sodium bicarbonate tj tj
Fludrocortisone Calc tj
ium gluconate tj
Methylprednisolone - CORRECT ANSWER - tj tj tj tj
Calcium gluconate Explanation: tj tj
Tetany and severe hypoparathyroidism are treated immediately by the administration of an IV calcium salt,
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
such as calcium gluconate. The other medications are not effective for the treatment of calcium deficit.
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
A client is being seen in the clinic to receive the results of the lab work to determine thyroid levels. The nur
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
se observes the client's eyes appear to be bulging, and there is swelling around the eyes. What does the nu
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
rse know that the correct documentation of this finding is?
tj tj tj tj tj tj tj tj tj
Retinal detachment tj tj
Periorbital swelling tj tj
Bulging eyes tj
Exophthalmos - CORRECT ANSWER - tj tj tj tj
Exophthalmos Explanation: tj
Exophthalmos is an abnormal bulging or protrusion of the eyes and periorbital swelling. These findings are n
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
ot consistent with retinal detachment.
tj tj tj tj
Which of the following would the nurse expect to find in a client with severe hyperthyroidism?
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
Tetany
, Exophthalmos Buffal tj
o hump
tj
Striae - CORRECT ANSWER - tj tj tj tj
Exophthalmos Explanation: tj
Exophthalmos that results from enlarged muscle and fatty tissue surrounding the rear and sides of the eyeb
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
all is seen in clients with severe hyperthyroidism. Tetany is the symptom of acute and sudden hypoparathyr
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
oidism. Buffalo hump and striae are the symptoms of Cushing's syndrome.
tj tj tj tj tj tj tj tj tj tj
A client has a decreased level of thyroid hormone being excreted. What will the feedback loop do to maintai
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
n the level of thyroid hormone required to maintain homeostatic stability?
tj tj tj tj tj tj tj tj tj tj
Stimulate more hormones using the negative feedback system Stimula
tj tj tj tj tj tj tj tj
te more hormones using the positive feedback system Produce a new h
tj tj tj tj tj tj tj tj tj tj tj
ormone to try and regulate the thyroid function tj tj tj tj tj tj tj
Be unable to perform in response to low levels of thyroid hormone. - CORRECT ANSWER -
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
Stimulate more hormones using the negative feedback system
tj tj tj tj tj tj tj
Explanation:
Feedback can be either negative or positive. Most hormones are secreted in response to negative feedback;
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
a decrease in levels stimulates the releasing gland.
tj tj tj tj tj tj tj
When preparing teaching plan for a client with an endocrine disorder, the nurse includes information about
tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj tj
hormone regulation. Which of the following would the nurse include?
tj tj tj tj tj tj tj tj tj
The gland becomes enlarged leading to a deficiency of the hormone. Most
tj tj tj tj tj tj tj tj tj tj tj tj
disorders result from over- tj tj tj
tj or underproduction of the hormone. The gland slows hormone secretion w
tj tj tj tj tj tj tj tj tj tj
hen the hormone level decreases.
tj tj tj tj
Hormone secretion occurs as a straight-line continuous process. - CORRECT ANSWER -
tj tj tj tj tj tj tj tj tj tj tj
Most disorders result from over- or underproduction of the hormone.
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