Chapter 49: Endocrine Problems

MULTIPLE CHOICE

1. Question: A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask?
2. Question: A 42-year-old female patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma.

During preoperative teaching, the nurse instructs the patient about the need to

1. Question: The nurse is planning postoperative care for a patient who is being admitted to the surgical unit form the recovery room after transsphenoidal resection of a pituitary tumor. Which nursing action should be included?
2. Question: The nurse is assessing a 41-year-old African American male patient diagnosed with a pituitary tumor causing panhypopituitarism. Assessment findings consistent with panhypopituitarism include
3. Question: Which information will the nurse include when teaching a 50-year-old male patient about somatropin (Genotropin)?
4. Question: The nurse determines that demeclocycline (Declomycin) is effective for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patients
5. Question: The nurse determines that additional instruction is needed for a 60-year-old patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient says which of the following?
6. Question: A 56-year-old patient who is disoriented and reports a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would expect the initial laboratory results to include a(n)
7. Question: An expected nursing diagnosis for a 30-year-old patient admitted to the hospital with symptoms of diabetes insipidus is
8. Question: Which information will the nurse teach a 48-year-old patient who has been newly diagnosed with Graves disease?
9. Question: A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor and a cramp in the right hand upon returning to the surgical nursing unit. Which collaborative action will the nurse anticipate next?
10. Question: Which nursing action will be included in the plan of care for a 55-year-old patient with Graves disease who has exophthalmos?
11. Question: A 62-year-old patient with hyperthyroidism is to be treated with radioactive iodine (RAI). The nurse instructs the patient
12. Question: Which nursing assessment of a 69-year-old patient is most important to make during initiation of thyroid replacement with levothyroxine (Synthroid)?
13. Question: An 82-year-old patient in a long-term care facility has several medications prescribed. After the patient is newly diagnosed with hypothyroidism, the nurse will need to consult with the health care provider before administering
14. Question: A patient who was admitted with myxedema coma and diagnosed with hypothyroidism is improving and expected to be discharged in 2 days. Which teaching strategy will be best for the nurse to use?
15. Question: A 63-year-old patient with primary hyperparathyroidism has a serum phosphorus level of 1.7 mg/dL (0.55mmol/L) and calcium of 14 mg/dL (3.5 mmol/L). Which nursing action should be included in the plan of care?
16. Question: A patient develops carpopedal spasms and tingling of the lips following a parathyroidectomy. Which action should the nurse take first?
17. Question: A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. The nurse should plan to teach the patient about
18. Question: Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the health care provider before administering levothyroxine (Synthroid)?
19. Question: A 37-year-old patient is being admitted with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?
20. Question: A 44-year-old female patient with Cushing syndrome is admitted for adrenalectomy. Which intervention by the nurse will be most helpful for a nursing diagnosis of disturbed body image related to changes in appearance?
21. Question: Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?
22. Question: A 38-year-old male patient is admitted to the hospital in Addisonian crisis. Which patient statement supports a nursing diagnosis of ineffective self-health management related to lack of knowledge about management of Addisons disease?
23. Question: A 29-year-old woman with systemic lupus erythematosus has been prescribed 2 weeks of high-dose prednisone therapy. Which information about the prednisone is most important for the nurse to include?
24. Question: A 56-year-old female patient has an adrenocortical adenoma, causing hyperaldosteronism. The nurse providing care should
25. Question: The nurse will plan to monitor a patient diagnosed with a pheochromocytoma for
26. Question: After a 22-year-old female patient with a pituitary adenoma has had a hypophysectomy, the nurse will teach about the need for
27. Question: Which intervention will the nurse include in the plan of care for a 52-year-old male patient with syndrome of inappropriate antidiuretic hormone (SIADH)?
28. Question: A patient has just arrived on the unit after a thyroidectomy. Which action should the nurse take first?
29. Question: The nurse is caring for a patient following an adrenalectomy. The highest priority in the immediate postoperative period is to
30. Question: The nurse is caring for a patient admitted with diabetes insipidus (DI). Which information is most important to report to the health care provider?
31. Question: Which prescribed medication should the nurse administer first to a 60-year-old patient admitted to the emergency department in thyroid storm?
32. Question: Which assessment finding for a 33-year-old female patient admitted with Graves disease requires the most rapid intervention by the nurse?
33. Question: A 37-year-old patient has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy. Which information is most important to communicate to the surgeon?
34. Question: Which assessment finding of a 42-year-old patient who had a bilateral adrenalectomy requires the most rapid action by the nurse?
35. Question: A 23-year-old patient is admitted with diabetes insipidus. Which action will be most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
36. Question: Which information is most important for the nurse to communicate rapidly to the health care provider about a patient admitted with possible syndrome of inappropriate antidiuretic hormone (SIADH)?
37. Question: After receiving change-of-shift report about the following four patients, which patient should the nurse assess first?
38. Question: Which question will the nurse in the endocrine clinic ask to help determine a patients risk factors for goiter?
39. Question: Which finding by the nurse when assessing a patient with a large pituitary adenoma is most important to report to the health care provider?
40. Question: Which finding by the nurse when assessing a patient with Hashimotos thyroiditis and a goiter will require the most immediate action?
41. Question: Which information obtained by the nurse in the endocrine clinic about a patient who has been taking prednisone (Deltasone) 40 mg daily for 3 weeks is most important to report to the health care provider?
42. Question: The cardiac telemetry unit charge nurse receives status reports from other nursing units about four patients who need cardiac monitoring. Which patient should be transferred to the cardiac unit first?
43. Question: After obtaining the information shown in the accompanying figure regarding a patient with Addisons disease, which prescribed action will the nurse take first?