Chapter 38,39,40 Flashcards
The nurse is reviewing information with a patient about the normal anatomy and physiology of the endocrine system. Which factor is inaccurate?
All endocrine glands function independently of each other.
The nurse is researching information for a patient newly diagnosed with diabetes mellitus. The nurse wants to present the responses by hormones other than insulin. Which information does the nurse avoid?
GH and growth hormone-inhibiting hormone (GHIH) are secreted to maintain blood glucose levels and metabolism rates are normal.
An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate?
“Aging causes the basal metabolic rate to change, and it’s often normal to have less energy.”
After reviewing the patient’s medical record, the nurse plans to perform a physical examination. Which finding will change the usual process of physical examination?
The patient has elevated thyroid hormones.
DO NOT PALPATE
The HCP prescribes a 24-hour urine specimen for cortisol. The patient is incontinent. Which method will the nurse use to collect the specimen?
Obtain an order for an indwelling catheter for the duration of the test.
The nurse is providing care for a patient diagnosed with posterior pituitary tumor resulting in oversecretion of hormones. Which manifestation of this disorder will the nurse expect?
Notable increase in blood pressure
The nurse is providing care for a patient diagnosed with type 2 diabetes mellitus. Which information will the nurse give the patient about the response of the pancreas to
hypoglycemia?
Pancreatic alpha cells are stimulated to release glucagon.
The nurse is assisting with care to a patient who underwent surgery for removal of the thyroid gland. Which symptom contradicts a possible complication of the surgery?
Hyperactive bowel sounds
The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting with the physical examination of a patient in the HCP’s office. Which physical examination does the LPN/LVN perform?
Observe for abnormal physical characteristics
A client is identified with a thyroid disorder resulting in hormone deficiency. The HCP prescribes a stimulation test. Which process does the nurse expect for the test?
A substance will be injected into the patient.
A patient is diagnosed with adrenal gland dysfunction and is scheduled for a 24-hour urine test. Which action by the nurse in regard to the test is incorrect?
The first morning urine sample is retained for testing.
The nurse is preparing a patient to undergo a suppression test to verify adrenal cortex dysfunction. Which reply will the nurse make when the client asks about the expected test procedure?
“You will be injected with a steroid hormone that should suppress cortisol release.”
The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer. Which instruction does the nurse give the patient prior to the testing?
Use the bathroom before the scanning part of the test is performed.
The nurse receives information that an assigned patient is scheduled for an ultrasound of an endocrine gland. Which instruction does the nurse give the patient?
Wear clothing with an elastic waistband.
A patient has returned to the unit after a needle biopsy of the thyroid gland to rule out cancer. Which observation is expected by the nurse following the procedure?
Pain level of 2 on a 0-to-10 scale
The nurse is aware that a 12-year-old male client is at the fifth percentile on the growth chart for height. Which medical intervention does the nurse expect the HCP to prescribe?
Administration of GH therapy for added height
The nurse is aware that the pancreas is the only gland that is both endocrine and exocrine. Which secretion is related to the endocrine function of the pancreas?
Insulin
The nurse is aware that the adrenal cortex secretes a variety of hormones. Which is an incorrect function of glucocorticoids?
In females, they counterbalance estrogen effects.
A patient is prescribed a dose of epinephrine. Which effects does the nurse expect the patient to exhibit after receiving this medication? (Select all that apply.)
Decreases peristalsis
Increases heart rate and force of contraction
Stimulates the liver to convert glycogen to glucose
Stimulates vasoconstriction in skin and most viscera
A patient is experiencing an increased level of corticotropin-releasing hormone (CRH). What should the nurse consider is occurring with this patient? (Select all that apply.)
Body stressed
Presence of an injury
Low blood glucose level
While collecting data, the nurse suspects that a patient is experiencing Cushing syndrome. Which findings does the nurse use to come to this conclusion? (Select all that apply.
Mood swings
Buffalo hump
Water weight gain
Round “moon” face
Chapter 39
A patient is scheduled for diagnostic tests for hypothyroidism. Which symptoms does the nurse expect to observe in a patient with this disorder?
Dry skin and slowed heart rate
The nurse is monitoring a patient admitted for testing of diabetes insipidus. Which observation by the nurse is unexpected?
Elevated blood glucose levels
A patient who is 1 day postoperative thyroidectomy reports feeling numb around the mouth and is experiencing random muscle twitches. Which IV medication does the nurse anticipate being prescribed by the health care provider (HCP)?
Calcium gluconate
The nurse is providing care for a patient with syndrome of inappropriate antidiuretic hormone (SIADH). Which additional diagnosis does the nurse need to identify as a
contributor to the patient’s disorder?
Mental health disorder
The nurse is monitoring a patient 6 hours after a thyroidectomy for cancer. Vital signs are temperature 104°F, pulse 144 beats/min, respirations 24/min, and blood pressure 184/108mm Hg. Which prescription does the nurse anticipate from the HCP?
Beta blockers and a cooling blanket
The nurse is gathering information from a patient in a HCP’s office. The patient reports difficulty speaking and swallowing and, recently, frequent headaches. Which additional manifestation does the nurse observe that indicates a possible glandular dysfunction?
Large fleshy hands
