Assessment and Management of Patients with Endocrine Disorders Flashcards
A patient is receiving levothyroxine for prolonged hypothyroidism.
Which will the nurse inform the patient to monitor for closely?
a. Angina
b. Depression
c. Mental confusion
d. Hypoglycemia
a. Angina
A patient comes to the clinic reporting severe thirst and drinking up to
10 L of cold water daily. The nurse observes that the patient’s urine
looks like water. Which diagnostic test does the nurse identify the health
care provider will prescribe for diagnosis?
a. Complete blood count (CBC)
b. Fluid deprivation test
c. Urine specific gravity
d. Thyroid-stimulating hormone (TSH) test
b. Fluid deprivation test
A patient is exhibiting signs of hyperthyroidism. Which clinical
manifestations reported by the patient correlate with this diagnosis?
(Select all that apply.)
a. A pulse rate slower than 90 bpm
b. An elevated systolic blood pressure
c. Muscular fatigability
d. Weight loss
e. Intolerance to cold
b. An elevated systolic blood pressure
c. Muscular fatigability
d. Weight loss
The nurse is caring for a patient with hyperthyroidism who suddenly
develops symptoms related to thyroid storm. Which symptoms does the
nurse identify are indicative of this emergency?
a. Heart rate of 62
b. Blood pressure 90/58 mm Hg
c. Oxygen saturation of 96%
d. Temperature of 102°F
d. Temperature of 102°F
A patient is experiencing a thyroid storm. Which medication will the
nurse administer to reverse the effects of the excess thyroid hormone?
(Select all that apply.)
a. Acetaminophen
b. Iodine
c. Propylthiouracil
d. Synthetic levothyroxine
e. Dexamethasone
a. Acetaminophen
b. Iodine
c. Propylthiouracil
The nurse assesses a patient with an obvious goiter. Which type of
deficiency does the nurse identify as the most likely cause of the goiter?
a. Thyrotropin
b. Iodine
c. Thyroxine
d. Calcitonin
b. Iodine
The nurse is assisting a patient with hyperthyroidism to choose breakfast
items. Which breakfast items are the best choice for the nurse to
recommend?
a. Cereal with milk and bananas
b. Fried eggs and bacon
c. Orange juice and toast
d. Pork sausage and cranberry juice
d. Pork sausage and cranberry juice
A patient is suspected of having a pheochromocytoma and is having
diagnostic tests performed in the hospital. Which symptoms does the
nurse identify as most significant for a patient with this disorder?
a. Blood pressure varying between 120/86 and 240/130 mm Hg
b. Heart rate of 56 to 64 bpm
c. Shivering
d. Reports of nausea
a. Blood pressure varying between 120/86 and 240/130 mm Hg
A patient is diagnosed with overactivity of the adrenal medulla. Which
epinephrine value does the nurse identify as a positive diagnostic
indicator for overactivity of the adrenal medulla?
a. 50 pg/mL
b. 100 pg/mL
c. 100 to 300 pg/mL
d. 450 pg/mL
d. 450 pg/mL
The nurse is caring for a patient with hyperparathyroidism and observes
a calcium level of 16.2 mg/dL. Which action(s) does the nurse prepare to
provide to reduce the calcium level? (Select all that apply.)
a. Administration of calcitonin
b. Administration of calcium carbonate
c. Intravenous isotonic saline solution in large quantities
d. Monitoring the patient for fluid overload
e. Administration of a bronchodilator
a. Administration of calcitonin
c. Intravenous isotonic saline solution in large quantities
d. Monitoring the patient for fluid overload
A patient is prescribed desmopressin for the treatment of diabetes
insipidus. Which therapeutic response does the nurse determine the
patient will experience?
a. A decrease in blood pressure
b. A decrease in blood glucose levels
c. A decrease in urine output
d. A decrease in appetite
c. A decrease in urine output
The nurse auscultates a bruit over the thyroid glands. Which is the
significance of this finding?
a. The patient may have hypothyroidism.
b. The patient may have thyroiditis.
c. The patient may have hyperthyroidism.
d. The patient may have Cushing’s disease.
c. The patient may have hyperthyroidism.
A patient with a history of hypothyroidism is admitted to the intensive
care unit unconscious and with a temperature of 95.2°F. A family
member informs the nurse that the patient has not taken thyroid
medication in over 2 months. Which do these findings indicate to the
nurse?
a. Thyroid storm
b. Myxedema coma
c. Diabetes insipidus
d. Syndrome of inappropriate antidiuretic hormone (SIADH)
b. Myxedema coma
The nurse on the telemetry floor is caring for a patient with long
standing hypothyroidism who has been taking synthetic thyroid hormone
replacement sporadically. Which is a priority that the nurse will monitor
for in this patient?
a. Symptoms of acute coronary syndrome
b. Dietary intake of foods with saturated fats
c. Symptoms of pneumonia
d. Heat intolerance
a. Symptoms of acute coronary syndrome
A patient taking corticosteroids for exacerbation of Crohn’s disease
comes to the clinic and informs the nurse of the desire to stop taking
them because of the increase in acne and moon face. Which education
will the nurse provide regarding these symptoms?
a. The symptoms are permanent side effects of the corticosteroid
therapy.
b. The moon face and acne will resolve when the medication is tapered
off.
c. Those symptoms are not related to the corticosteroid therapy.
d. The dose of the medication must be too high and should be lowered.
b. The moon face and acne will resolve when the medication is tapered
off.
A patient has been taking tricyclic antidepressants for many years for the
treatment of depression. The patient has developed SIADH and has been
admitted to the acute care facility. Which will the nurse carefully
monitor when caring for this patient? (Select all that apply.)
a. Strict intake and output
b. Neurologic function
c. Urine and blood chemistry
d. Liver function tests
e. Signs of dehydration
a. Strict intake and output
b. Neurologic function
c. Urine and blood chemistry
