Question 1

A 37-yr-old patient has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy. Which information about the patient is most important to communicate to the surgeon?

Accepted Answer

A)  Difficult to awaken.
B)  Increasing neck swelling.
C)  Reports 7/10 incisional pain.
D)  Cardiac rate 112 beats/minute.

Question 2

Which finding by the nurse when assessing a patient with Hashimoto's thyroiditis and a goiter will require the most immediate action?

Accepted Answer

A)  New-onset changes in the patient's voice
B)  Elevation in the patient's T3 and T4 levels
C)  Resting apical pulse rate 112 beats/minute
D)  Bruit audible bilaterally over the thyroid gland

Question 3

A patient is admitted with diabetes insipidus. Which action will be appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN) ?

Accepted Answer

A)  Titrate the infusion of 5% dextrose in water.
B)  Administer prescribed subcutaneous DDAVP.
C)  Assess the patient's overall hydration status every 8 hours.
D)  Teach the patient how to use desmopressin (DDAVP)  nasal spray.

Question 4

Which information will the nurse teach a patient who has been newly diagnosed with Graves' disease?

Accepted Answer

A)  Exercise is contraindicated to avoid increasing metabolic rate.
B)  Restriction of iodine intake is needed to reduce thyroid activity.
C)  Antithyroid medications may take several months for full effect.
D)  Surgery will eventually be required to remove the thyroid gland.

Question 5

Which information will the nurse include when teaching a 50-yr-old male patient about somatropin (Genotropin) ?

Accepted Answer

A)  The medication will be needed for 3 to 6 months.
B)  Inject the medication subcutaneously every day.
C)  Blood glucose levels may decrease when taking the medication.
D)  Stop taking the medication if swelling of the hands or feet occurs.

Question 6

An 82-yr-old patient in a long-term care facility is newly diagnosed with hypothyroidism. The nurse will need to consult with the health care provider before administering the prescribed

Accepted Answer

A)  docusate (Colace) .
B)  ibuprofen (Motrin) .
C)  diazepam (Valium) .
D)  cefoxitin (Mefoxin) .

Question 7

Which nursing action will be included in the plan of care for a patient with Graves' disease who has exophthalmos?

Accepted Answer

A)  Place cold packs on the eyes to relieve pain and swelling.
B)  Elevate the head of the patient's bed to reduce periorbital fluid.
C)  Apply alternating eye patches to protect the corneas from irritation.
D)  Teach the patient to blink every few seconds to lubricate the corneas.

Question 8

The nurse determines that additional instruction is needed for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient makes which statement?

Accepted Answer

A)  "I need to shop for foods low in sodium and avoid adding salt to food."
B)  "I should weigh myself daily and report any sudden weight loss or gain."
C)  "I need to limit my fluid intake to no more than 1 quart of liquids a day."
D)  "I should eat foods high in potassium because diuretics cause potassium loss."

Question 9

A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. The nurse should plan to teach the patient about

Accepted Answer

A)  bisphosphonates to reduce bone demineralization.
B)  calcium supplements to normalize serum calcium levels.
C)  increasing fluid intake to decrease risk for nephrolithiasis.
D)  including whole grains in the diet to prevent constipation.

Question 10

A patient who was admitted with myxedema coma and diagnosed with hypothyroidism is improving. Discharge is expected to occur in 2 days. Which teaching strategy is likely to result in effective patient self-management at home?

Accepted Answer

A)  Delay teaching until closer to discharge date.
B)  Provide written reminders of information taught.
C)  Offer multiple options for management of therapies.
D)  Ensure privacy for teaching by asking the family to leave.

Question 11

A 56-yr-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)

Accepted Answer

A)  elevated hematocrit.
B)  decreased serum sodium.
C)  increased serum chloride.
D)  low urine specific gravity.

Question 12

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?

Accepted Answer

A)  Patient with Hashimoto's thyroiditis and a heart rate of 102
B)  Patient with tetany who has a new order for IV calcium chloride
C)  Patient with Cushing syndrome and a blood glucose of 140 mg/dL
D)  Patient with Addison's disease who takes hydrocortisone twice daily

Question 13

A 29-yr-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?

Accepted Answer

A)  "Weigh yourself daily to monitor for weight gain."
B)  "The prednisone dose should be decreased gradually."
C)  "A weight-bearing exercise program will help minimize risk for osteoporosis."
D)  "Call the health care provider if you have mood changes with the prednisone."

Question 14

Which question will the nurse in the endocrine clinic ask to help determine a patient's risk factors for goiter?

Accepted Answer

A)  "How much milk do you drink?"
B)  "What medications are you taking?"
C)  "Are your immunizations up to date?"
D)  "Have you had any recent neck injuries?"

Question 15

A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. During preoperative teaching,the nurse instructs the patient about the need to

Accepted Answer

A)  cough and deep breathe every 2 hours postoperatively.
B)  remain on bed rest for the first 48 hours after the surgery.
C)  avoid brushing teeth for at least 10 days after the surgery.
D)  be positioned flat with sandbags at the head postoperatively.

Question 16

Which finding by the nurse when assessing a patient with a large pituitary adenoma is most important to report to the health care provider?

Accepted Answer

A)  Changes in visual field
B)  Milk leaking from breasts
C)  Blood glucose 150 mg/dL
D)  Nausea and projectile vomiting

Question 17

Which assessment finding for a 33-yr-old female patient admitted with Graves' disease requires the most rapid intervention by the nurse?

Accepted Answer

A)  Heart rate 136 beats/min
B)  Severe bilateral exophthalmos
C)  Temperature 103.8° F (40.4° 
C)  
D)  Blood pressure 166/100 mm Hg

Question 18

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) ?

Accepted Answer

A)  The patient has a recent weight gain of 9 lb.
B)  The patient complains of dyspnea with activity.
C)  The patient has a urine specific gravity of 1.025.
D)  The patient has a serum sodium level of 118 mEq/L.

Question 19

A 44-yr-old female patient with Cushing syndrome is admitted for adrenalectomy. Which intervention by the nurse will be most helpful for the patient problem of disturbed body image related to changes in appearance?

Accepted Answer

A)  Reassure the patient that the physical changes are very common in patients with Cushing syndrome.
B)  Discuss the use of diet and exercise in controlling the weight gain associated with Cushing syndrome.
C)  Teach the patient that the metabolic impact of Cushing syndrome is of more importance than appearance.
D)  Remind the patient that most of the physical changes caused by Cushing syndrome will resolve after surgery.

Question 20

Which intervention will the nurse include in the plan of care for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) ?

Accepted Answer

A)  Encourage fluids to 2 to 3 L/day.
B)  Monitor for increasing peripheral edema.
C)  Offer the patient hard candies to suck on.
D)  Keep head of bed elevated to 30 degrees.

Exam 49: Endocrine Problems

Which question will the nurse in the endocrine clinic ask to help determine a patient's risk factors for goiter?

Correct AnswerverifiedShow Answer

An 82-yr-old patient in a long-term care facility is newly diagnosed with hypothyroidism. The nurse will need to consult with the health care provider before administering the prescribed

Correct AnswerverifiedShow Answer

Which finding by the nurse when assessing a patient with a large pituitary adenoma is most important to report to the health care provider?

Correct AnswerverifiedShow Answer

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) ?

Correct AnswerverifiedShow Answer

Which information will the nurse teach a patient who has been newly diagnosed with Graves' disease?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Which finding by the nurse when assessing a patient with Hashimoto's thyroiditis and a goiter will require the most immediate action?

Correct AnswerverifiedShow Answer

A patient who had radical neck surgery to remove a malignant tumor developed hypoparathyroidism. The nurse should plan to teach the patient about

Correct AnswerverifiedShow Answer

Which information will the nurse include when teaching a 50-yr-old male patient about somatropin (Genotropin) ?

Correct AnswerverifiedShow Answer

A 37-yr-old patient has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy. Which information about the patient is most important to communicate to the surgeon?

Correct AnswerverifiedShow Answer

A 44-yr-old female patient with Cushing syndrome is admitted for adrenalectomy. Which intervention by the nurse will be most helpful for the patient problem of disturbed body image related to changes in appearance?

Correct AnswerverifiedShow Answer

Which intervention will the nurse include in the plan of care for a patient with syndrome of inappropriate antidiuretic hormone (SIADH) ?

Correct AnswerverifiedShow Answer

Which nursing action will be included in the plan of care for a patient with Graves' disease who has exophthalmos?

Correct AnswerverifiedShow Answer

A 29-yr-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?

Correct AnswerverifiedShow Answer

A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. During preoperative teaching,the nurse instructs the patient about the need to

Correct AnswerverifiedShow Answer

Which assessment finding for a 33-yr-old female patient admitted with Graves' disease requires the most rapid intervention by the nurse?

Correct AnswerverifiedShow Answer

The nurse determines that additional instruction is needed for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient makes which statement?

Correct AnswerverifiedShow Answer

A 56-yr-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)

Correct AnswerverifiedShow Answer

A patient is admitted with diabetes insipidus. Which action will be appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN) ?

Correct AnswerverifiedShow Answer

A patient who was admitted with myxedema coma and diagnosed with hypothyroidism is improving. Discharge is expected to occur in 2 days. Which teaching strategy is likely to result in effective patient self-management at home?

Correct AnswerverifiedShow Answer

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