Question 1

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Weight gain,fatigue,and lethargy

Accepted Answer

A)  Decreased growth hormone
B)  Increased thyroid hormone
C)  Decreased follicle-stimulating hormone
D)  Decreased thyroid hormone
E)  Increased antidiuretic hormone

Question 2

The immediate postoperative care of a person who had a total thyroidectomy will include: (Select all that apply.)

Accepted Answer

A)  placing the patient in a prone position.
B)  supporting the head with sandbags.
C)  assessing for vital signs every hour.
D)  assessing ability to swallow.
E)  assessing for bleeding.

Question 3

The physician has prescribed methimazole (Tapazole) .When providing education to the patient,which instruction should be included in the teaching?

Accepted Answer

A)  "The medication can be doubled if the previous dose was missed."
B)  "The medication should be taken on a strict schedule."
C)  "The medication could be replaced by a less expensive generic substitute."
D)  "The medication can be safely taken by pregnant women."

Question 4

The nurse is aware that the severe dehydration associated with diabetes insipidus can lead to the serious electrolyte imbalance of:

Accepted Answer

A)  hypercalcemia.
B)  hypernatremia.
C)  hypocalcemia.
D)  hyperkalemia.

Question 5

The nurse planning the hypophysectomy postoperative instructions that will be given to the patient before surgery will include: (Select all that apply.)

Accepted Answer

A)  presence of drip pad under nose.
B)  postponing brushing teeth.
C)  presence of nasal packing for several days.
D)  need to cough and deep breathe.
E)  avoiding bending over.

Question 6

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 6

Accepted Answer

A)  Hypothalamus is activated.
B)  Pituitary releases thyroid-stimulating hormone (TSH) .
C)  Drop in norepinephrine level.
D)  Thyroid releases thyroid hormone.
E)  Satisfaction of norepinephrine level signals hypothalamus in negative feedback.F) Thyrotropin-releasing hormone (TRH)  is secreted.

Question 7

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s) would be consistent with this condition? (Select all that apply.)

Accepted Answer

A)  Decreased serum calcium levels
B)  Decreased serum phosphate levels
C)  Increased calcium levels in the urine
D)  Decreased phosphate levels in the urine
E)  Increased serum calcium levels

Question 8

The nurse lists the classic signs and symptoms of hyperthyroidism,which are: (Select all that apply.)

Accepted Answer

A)  tremulousness.
B)  bradycardia.
C)  exertional dyspnea.
D)  scanty menstruation.
E)  increased thirst and urination.

Question 9

The nurse recognizes a need for instruction when the patient with a simple goiter says:

Accepted Answer

A)  "The lump on my throat is my enlarged thyroid."
B)  "Treatment will stop the enlargement of the goiter."
C)  "I am aware this goiter could develop into cancer."
D)  "I'm glad my treatment will make this thing go away."

Question 10

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-High metabolism rate

Accepted Answer

A)  Decreased growth hormone
B)  Increased thyroid hormone
C)  Decreased follicle-stimulating hormone
D)  Decreased thyroid hormone
E)  Increased antidiuretic hormone

Question 11

On the first postoperative day following a total thyroidectomy,the nurse assesses signs that indicate a developing "thyroid storm," which are: (Select all that apply.)

Accepted Answer

A)  rising temperature (over 101° F) .
B)  pulse dropping below 60.
C)  brief attention span.
D)  apprehension and restlessness.
E)  respirations below 14.

Question 12

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 2

Accepted Answer

A)  Hypothalamus is activated.
B)  Pituitary releases thyroid-stimulating hormone (TSH) .
C)  Drop in norepinephrine level.
D)  Thyroid releases thyroid hormone.
E)  Satisfaction of norepinephrine level signals hypothalamus in negative feedback.F) Thyrotropin-releasing hormone (TRH)  is secreted.

Question 13

During the preoperative thyroidectomy instruction to a patient with Graves' disease,the patient bursts into tears and says,"I am so nervous and can't listen to you.Just get out!" The nurse's best action is to:

Accepted Answer

A)  give the patient written preoperative instructions.
B)  inform the charge nurse or surgeon of this stressful behavior.
C)  remind the patient the preoperative information is important.
D)  inform the oncoming shift of this behavior.

Question 14

The nurse administering potassium iodide for the treatment of goiter will:

Accepted Answer

A)  pour the solution over ice to make it more palatable.
B)  give the well-diluted solution through a straw.
C)  give the solution on an empty stomach.
D)  mix the solution with an antacid to reduce gastric irritation.

Question 15

The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine.Which clinical finding is most consistent with this behavior?

Accepted Answer

A)  Seizures
B)  Extreme diarrhea
C)  Sudden hypertension
D)  Respiratory distress

Question 16

The nurse's major contribution to the care of a patient with Cushing's syndrome is that of __________ and __________.

Accepted Answer

education,support
support,educ...

Question 17

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Pathologic fractures

Accepted Answer

A)  Decreased growth hormone
B)  Increased thyroid hormone
C)  Decreased follicle-stimulating hormone
D)  Decreased thyroid hormone
E)  Increased antidiuretic hormone

Question 18

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 3

Accepted Answer

A)  Hypothalamus is activated.
B)  Pituitary releases thyroid-stimulating hormone (TSH) .
C)  Drop in norepinephrine level.
D)  Thyroid releases thyroid hormone.
E)  Satisfaction of norepinephrine level signals hypothalamus in negative feedback.F) Thyrotropin-releasing hormone (TRH)  is secreted.

Exam 37: Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s) would be consistent with this condition? (Select all that apply.)

Correct Answer
verified

On the first postoperative day following a total thyroidectomy,the nurse assesses signs that indicate a developing "thyroid storm," which are: (Select all that apply.)

Correct Answer
verified

The immediate postoperative care of a person who had a total thyroidectomy will include: (Select all that apply.)

Correct Answer
verified

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -High metabolism rate

Correct Answer
verified

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Weight gain,fatigue,and lethargy

Correct Answer
verified

The nurse's major contribution to the care of a patient with Cushing's syndrome is that of and .

Correct Answer
verified
education,support
support,educ...
View Answer

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 6

Correct Answer
verified

The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine.Which clinical finding is most consistent with this behavior?

Correct Answer
verified

The physician has prescribed methimazole (Tapazole) .When providing education to the patient,which instruction should be included in the teaching?

Correct Answer
verified

The nurse lists the classic signs and symptoms of hyperthyroidism,which are: (Select all that apply.)

Correct Answer
verified

The nurse planning the hypophysectomy postoperative instructions that will be given to the patient before surgery will include: (Select all that apply.)

Correct Answer
verified

During the preoperative thyroidectomy instruction to a patient with Graves' disease,the patient bursts into tears and says,"I am so nervous and can't listen to you.Just get out!" The nurse's best action is to:

Correct Answer
verified

The nurse administering potassium iodide for the treatment of goiter will:

Correct Answer
verified

The nurse is aware that the severe dehydration associated with diabetes insipidus can lead to the serious electrolyte imbalance of:

Correct Answer
verified

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Pathologic fractures

Correct Answer
verified

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 2

Correct Answer
verified

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 3

Correct Answer
verified

The nurse recognizes a need for instruction when the patient with a simple goiter says:

Correct Answer
verified

Exam 37: Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s) would be consistent with this condition? (Select all that apply.)

Correct AnswerverifiedShow Answer

On the first postoperative day following a total thyroidectomy,the nurse assesses signs that indicate a developing "thyroid storm," which are: (Select all that apply.)

Correct AnswerverifiedShow Answer

The immediate postoperative care of a person who had a total thyroidectomy will include: (Select all that apply.)

Correct AnswerverifiedShow Answer

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -High metabolism rate

Correct AnswerverifiedShow Answer

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Weight gain,fatigue,and lethargy

Correct AnswerverifiedShow Answer

The nurse's major contribution to the care of a patient with Cushing's syndrome is that of __________ and __________.

Correct Answerverifiededucation,supportsupport,educ...View AnswerShow Answer

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 6

Correct AnswerverifiedShow Answer

The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine.Which clinical finding is most consistent with this behavior?

Correct AnswerverifiedShow Answer

The physician has prescribed methimazole (Tapazole) .When providing education to the patient,which instruction should be included in the teaching?

Correct AnswerverifiedShow Answer

The nurse lists the classic signs and symptoms of hyperthyroidism,which are: (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse planning the hypophysectomy postoperative instructions that will be given to the patient before surgery will include: (Select all that apply.)

Correct AnswerverifiedShow Answer

During the preoperative thyroidectomy instruction to a patient with Graves' disease,the patient bursts into tears and says,"I am so nervous and can't listen to you.Just get out!" The nurse's best action is to:

Correct AnswerverifiedShow Answer

The nurse administering potassium iodide for the treatment of goiter will:

Correct AnswerverifiedShow Answer

The nurse is aware that the severe dehydration associated with diabetes insipidus can lead to the serious electrolyte imbalance of:

Correct AnswerverifiedShow Answer

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Pathologic fractures

Correct AnswerverifiedShow Answer

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 2

Correct AnswerverifiedShow Answer

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 3

Correct AnswerverifiedShow Answer

The nurse recognizes a need for instruction when the patient with a simple goiter says:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

The nurse's major contribution to the care of a patient with Cushing's syndrome is that of and .

Correct Answer
verified
education,support
support,educ...
View Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified