chapter 51 Endocrine disorders

Question 1

A chemical messenger, which travels throughout the bloodstream to its target organ, is known as a(n):

Answer 1

Hormone

Question 2

The “master gland,” which exerts control over the other glands, is the:

Answer 2

Pituitary gland

Question 3

The disorder caused by secretion of insufficient amounts of antidiuretic hormone (ADH) is called:

Answer 3

Diabetes insipidus

Question 4

You are caring for a patient who has undergone a thyroidectomy. Which of the following signs or symptoms should be reported?

Answer 4

Numbness in the fingers in the patient . A heart rate of 160 will need to be reported immediately. Noticeable arm twitching when you took the patients blood pressure.

Question 5

Appropriate nursing care for the patient with hypothyroidism would include which of the following?

a) Encourage the patient to take her medications when she feels that her thyroid levels are low.
b) encourage a low fiber diet
c) keep the patients room at a cool temp.
d) encourage fluids

Answer 5

Encourage fluids

Question 6

Which of the following is a characteristic of hyperparathyroidism?

a) Decreased alkaline phosphatase levels
b) Increased serum calcium
c) Decreased parathormone levels
d) Increased serum phosphorous levels

Answer 6

increased serum calcium

Question 7

Which of the following is a feature of Cushing syndrome?

a) Adrenal hypofunction
b )Increased susceptibility to infection
c) Hyperkalemia
d) Decreased secretion of glucocorticoids, mineralocorticoids, and sex hormone

Answer 7

Increased susceptibility to infection

Question 8

You are caring for a patient with Addison’s disease. Which of the following signs and laboratory values would you expect?

a) hypertension
b) postural hypotension
c) increased serum sodium
d) decreased serum potassium

Answer 8

postural hyptension

Question 9

Select the following true statement(s) about diabetes mellitus, type 2.

a) It is thought to be an autoimmune disease.
b) The main problem in this disease seems to be abnormal resistance to insulin action.
c) It was formerly called “juvenile diabetes.”
d) The patients with this type of diabetes usually are required to take insulin injections from the moment of diagnosis.

Answer 9

the main problem is this disease seems to be abnormal resistance to insulin action.

Question 10

In caring for a patient with diabetes mellitus who is experiencing an acute hyperglycemic reaction (diabetic ketoacidosis), which of the following interventions would be appropriate?

a) blood glucose levels checked every 4 hours.
b) intake and output measurement every shift
c) IV of 0.9% NaCl at KVO (keep vein open) rate
d) Insulin IV via infusion pump

Answer 10

insulin IV via infusion pump