Ch. 54 Pituitary and Adrenal Gland Conditions Flashcards
Clients who have deficiencies of which hormones will the nurse assess for increased risk of life-threatening consequences?
A. Adrenocorticotropic hormone (ACTH) and thyroid-stimulating hormone (TSH)
B. Growth hormone (GH) and melanocyte-stimulating hormone (MSH)
C. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
D. Prolactin and prolactin inhibiting hormone (PIH)
A. Adrenocorticotropic hormone (ACTH) and thyroid-stimulating hormone (TSH)
Which question will the nurse ask a male client suspected to have a gonadotropin deficiency?
A. “Do you have hobbies that involve exposure to chemicals?”
B. “Are you experiencing any pain during sexual intercourse?”
C. “Have you had trouble sleeping lately?”
D. “How often do you need to shave your face?”
D. “How often do you need to shave your face?”
The nurse is caring for a client on bromocriptine therapy to manage hyperpituitarism. Which symptom requires the nurse to immediately contact the health care provider?
A. Dizziness
B. Headache
C. Constipation
D. Mild abdominal cramping
A. Dizziness
The nurse is caring for a client who had a transsphenoidal hypophysectomy yesterday. Which finding requires the nurse to notify the primary health care provider immediately?
A. Nasal drainage that tests negative for glucose
B. Dry lips and oral mucosa on examination
C. Client report of a headache and stiff neck
D. Urine specific gravity of 1.016
C. Client report of a headache and stiff neck
Which primary health care provider order will the nurse perform first for a client with syndrome of inappropriate antidiuretic hormone (SIADH) who has a serum sodium level of 105 mEq/L?
A. Measuring serial weights at the same daily with the client wearing the same amount of clothing
B. Administering an infusion of 150 mL hypertonic saline over the next 3 hours
C. Inserting an indwelling catheter and monitoring urine output
D. Drawing blood for hemoglobin and hematocrit levels
B. Administering an infusion of 150 mL hypertonic saline over the next 3 hours
Which assessment finding in a client with diagnosis of diabetes insipidus indicates to the nurse that desmopressin therapy is effective?
A. Blood glucose level of 110 mg/dL
B. Potassium level of 3.9 mEq/L
C. Respiratory rate of 20 breaths/min
D. Urine output of 30 to 50 mL/hr
D. Urine output of 30 to 50 mL/hr
Which assessment finding in a client with hyperaldosteronism indicates to the nurse that the condition is increasing in severity?
A. pH is now 7.43
B. Temperature is now elevated
C. Urine output for the past 24 hours has increased
D. Numbness and tingling reported around the mouth
D. Numbness and tingling reported around the mouth
In collaboration with the registered dietitian nutritionist, which dietary alterations will the nurse teach a client with Cushing disease to make?
A. High protein, high carbohydrate, and low potassium
B. Low carbohydrate, high calorie, and low sodium
C. Low protein, high carbohydrate, and low calcium
D. High carbohydrate, low potassium and fluid restriction
B. Low carbohydrate, high calorie, and low sodium
The nurse is caring for a client with Cushing syndrome who throws a water pitcher and screams,
“I hate feeling this way!” Which nursing response is appropriate?
A. “I will have your primary health care provider order a psychiatric consult.”
B. “You are likely feeling this way because of your high hormone levels.”
C. “I think you are experiencing this because you are scared of a chronic disease.”
D. “You must learn to control your feelings and this sensation will pass soon.”
B. “You are likely feeling this way because of your high hormone levels.”
The nurse has just received report on a group of clients. Which client will the nurse see first?
A. Client with acute adrenal insufficiency who has a blood glucose of 36 mg/dL
B. Client with hyperaldosteronism who has a serum potassium of 3.0 mEq/L
C. Client with diabetes insipidus who has a dose of desmopressin due
D. Client with pituitary adenoma who is reporting a severe headache
A. Client with acute adrenal insufficiency who has a blood glucose of 36 mg/dL
Which action immediately after a hypophysectomy will the nurse instruct a client to avoid? Select all that apply.
A. Talking
B. Coughing
C. Deep breathing
D. Using dental floss
E. Bending at the wais
B, E
The nurse is caring for a client with diabetes insipidus. Which assessment finding requires immediate nursing intervention? Select all that apply.
A. Acute confusion
B. Hypotension
C. Persistent headache
D. Decreased urine output
E. Weight gain of more than 2.2 lb in 24 hours
A, D, E
