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Endocrine D2L Quiz Questions And Correct Answers

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ENDOCRINE D2L QUIZ QUESTIONS AND CORRECT ANSWERS

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ENDOCRINE D2L QUIZ QUESTIONS AND
CORRECT ANSWERS
WhichA2ofA2theA2followingA2shouldA2theA2nurseA2askA2aA2femaleA2patientA2duringA2theA2ass
essmentA2ofA2theA2endocrineA2system?

1)A2"DoA2youA2haveA2children?"

2)A2"IsA2yourA2menstrualA2cycleA2regular?"

3)A2"AreA2youA2ableA2toA2provideA2forA2yourA2children?"

4)A2"HowA2oldA2wereA2youA2whenA2yourA2mensesA2firstA2began?"A2-A2Ans--
2)A2"IsA2yourA2menstrualA2cycleA2regular?"

Rationale:A2TheA2patientA2whoA2hasA2aA2changeA2inA2herA2menstrualA2cycleA2mightA2beA2e
xperiencingA2anA2endocrineA2disorderA2suchA2asA2increasedA2androgenA2productionA2orA2
decreasedA2estrogenA2levels.A2HavingA2childrenA2isA2notA2aA2functionA2ofA2theA2endocrine
A2system.A2AskingA2howA2theA2patientA2isA2ableA2toA2provideA2forA2herA2childrenA2providesA
2psychosocialA2information.A2AskingA2whenA2mensesA2firstA2beganA2mightA2provideA2infor
mationA2aboutA2cancerA2riskA2butA2notA2aboutA2endocrineA2function.

AA2patientA2beingA2treatedA2withA2medicationA2forA2aA2seizureA2disorderA2isA2scheduledA2f
orA2aA2serumA2T3A2andA2T4A2level.A2TheA2nurseA2realizesA2thatA2thisA2patient'sA2resultsA2m
ightA2beA2whichA2ofA2theA2following?

1)A2falselyA2reduced

2)A2falselyA2elevated

3)A2normal

4)A2indicativeA2ofA2pendingA2parathyroidA2hormoneA2diseaseA2-A2Ans--
1)A2falselyA2reduced

Rationale:A2TheA2valueA2ofA2T3A2andA2T4A2bloodA2levelsA2mightA2beA2decreasedA2byA2cert
ainA2medicationsA2includingA2phenytoinA2(Dilantin),A2whichA2isA2aA2medicationA2commonly
A2prescribedA2forA2seizureA2disorders.A2MeasurementA2ofA2T3A2andA2T4A2levelsA2isA2notA2i
ndicativeA2ofA2parathyroidA2disease.

AA2femaleA2patientA2comesA2intoA2theA2clinicA2toA2beA2seenA2forA2fatigueA2andA2aA2coldA2th
atA2"won'tA2goA2away,"A2whichA2beganA2whenA2sheA2startedA2aA2newA2jobA2andA2herA2mot
herA2movedA2inA2withA2herA2family.A2TheA2nurseA2realizesA2thatA2thisA2patientA2mightA2beA2
experiencingA2whichA2ofA2theA2following?

, 1)A2aA2dropA2inA2mineralocorticoidA2secretion

2)A2aA2reductionA2inA2norepinephrineA2secretion

3)A2anA2increaseA2inA2glucocorticoidA2secretion

4)A2anA2increaseA2inA2epinephrineA2secretionA2-A2Ans--
3)A2anA2increaseA2inA2glucocorticoidA2secretion

Rationale:A2TheA2glucocorticoidsA2includeA2cortisolA2andA2cortisone.A2TheseA2hormonesA2
affectA2carbohydrateA2metabolismA2andA2areA2releasedA2inA2timesA2ofA2stress.A2AnA2exces
sA2ofA2glucocorticoidsA2inA2theA2bodyA2depressesA2theA2inflammatoryA2responseA2andA2inh
ibitsA2theA2effectivenessA2ofA2theA2immuneA2system.A2AlterationA2inA2epinephrine,A2norepi
nephrine,A2orA2mineralocorticoidsA2wouldA2haveA2anA2influenceA2onA2cardiovascularA2func
tionA2andA2fluidA2andA2electrolyteA2balance,A2butA2wouldA2notA2influenceA2immuneA2respon
seA2asA2muchA2asA2anA2increaseA2inA2glucocorticoidA2secretion.

DuringA2anA2assessmentA2theA2nurseA2notesA2thatA2theA2patient'sA2eyesA2areA2extremelyA2
wideA2openA2andA2bulging.A2TheA2nurseA2realizesA2thatA2thisA2findingA2isA2consistentA2with
A2whichA2ofA2theA2following?


1)A2diabetesA2mellitus

2)A2hypofunctionA2ofA2theA2adrenalA2glands

3)A2hypofunctionA2ofA2theA2anteriorA2pituitaryA2gland

4)A2hyperthyroidismA2-A2Ans--4)A2hyperthyroidism

Rationale:A2ExophthalmosA2orA2protrudingA2eyesA2mayA2beA2seenA2inA2hyperthyroidism.A2
ThisA2isA2notA2aA2findingA2thatA2isA2associatedA2withA2diabetesA2mellitus,A2hypofunctionA2of
A2theA2adrenalA2glands,A2orA2hypofunctionA2ofA2theA2pituitaryA2gland.


WhenA2assessingA2theA2patientA2diagnosedA2withA2hypothyroidism,A2theA2healthA2assess
mentA2interviewA2questionA2thatA2providesA2informationA2wouldA2beA2whichA2ofA2theA2follo
wing?

1)A2DoA2youA2haveA2rough,A2dryA2skin?

2)A2IsA2yourA2skinA2smoothA2orA2flushed?

3)A2DoesA2yourA2skinA2feelA2clammy?

4)A2DoA2youA2haveA2brown,A2shinyA2patchesA2onA2theA2lowerA2extremities?A2-A2Ans--
1)A2DoA2youA2haveA2rough,A2dryA2skin?

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