Chapter 65 Flashcards
A client has a hormone deficiency. Which deficiency is the highest priority?
a. Growth hormone
b. Luteinizing hormone
c. Thyroid-stimulating hormone
d. Follicle-stimulating hormone
C: A deficiency of thyroid-stimulating hormone (TSH) is the most life-threatening deficiency of the hormones listed in this question. TSH is needed to ensure proper synthesis and secretion of the thyroid hormones, whose functions are essential for life.
An adult client has been diagnosed with a deficiency of gonadotropin and growth hormone. Which fact reported in the client’s history could have contributed to this problem?
a. Mother with adult-onset diabetes mellitus
b. Experienced head trauma 5 years ago
c. Severe allergy to shellfish and iodine
d. Has used oral contraceptives for 5 years
B: Gonadotropin and growth hormone are anterior pituitary hormones. Head trauma is a common cause of anterior pituitary hypofunction. The other factors do not increase the risk of this condition.
Which safety measure does the nurse use for the adult client who has growth hormone deficiency?
a. Avoid intramuscular medications.
b. Place the client in protective isolation.
c. Use a lift sheet to reposition the client.
d. Assist the client to change positions slowly.
C: In adults, growth hormone is necessary to maintain bone density and strength. Adults with growth hormone deficiency have thin, fragile bones. Avoiding IM medications, using protective isolation, and assisting the client as he or she moves from sitting to standing will not serve as safety measures when the client is deficient in growth hormone.
The male client with hypopituitarism asks the nurse how long he will have to take testosterone hormone replacement therapy. Which is the nurse’s best answer?
a. “When your blood levels of testosterone are normal, the therapy is no longer needed.”
b. “When your beard thickens and your voice deepens, the dose is decreased, but treatment will continue forever.”
c. “When your sperm count is high enough to demonstrate fertility, you will no longer need this therapy.”
d. “When you start to have undesirable side effects, the dose is decreased to the lowest possible level, and treatment is continued until you are 50 years old.”
B: Testosterone therapy is initiated with high-dose testosterone derivatives and is continued until virilization is achieved. The dose is then decreased, but therapy continues throughout life.
When performing personal care on a middle-aged woman, the nurse observes that the client has very little pubic and axillary hair. Which is the nurse’s best action?
a. Ask the client if she has less pubic hair now than 5 years ago.
b. Ask the client the date of her last menstrual period.
c. Examine the client’s scalp hair for texture and thickness.
d. Draw blood for hormonal immune assays.
A: Although pubic hair thickness varies from person to person, loss of pubic hair is associated with gonadotropin deficiency. The nurse needs to determine whether this manifestation is normal for this client. A middle-aged woman may be postmenopausal, which would not give the nurse helpful information. Examining the client’s scalp also would not yield helpful information. Diagnostic studies should not be undertaken without further assessment.
A client thought to have a problem with the pituitary gland is given a stimulation test using insulin. A short time later, blood analysis reveals elevated levels of growth hormone (GH) and adrenocorticotropic hormone (ACTH). Which is the nurse’s interpretation of this finding?
a. Pituitary hypofunction
b. Pituitary hyperfunction
c. Pituitary-induced diabetes mellitus
d. A normal pituitary response to insulin
D: Some tests for pituitary function involve administering agents that are known to stimulate the secretion of specific pituitary hormones and then measuring the response. Such tests are termed stimulation tests. For example, the presence of insulin in those with normal pituitary function causes increased release of GH and ACTH. The stimulation test for GH or ACTH assessment involves injecting the client with regular insulin (0.05 to 1 U/kg of body weight) and checking circulating levels of GH and ACTH.
A client has documented acromegaly. During a physical assessment before surgery for a knee replacement, the nurse discovers that she has a moderately enlarged liver. Which is the nurse’s best action?
a. Counsel the client on the health risks of alcoholism.
b. Assess for jaundice of the skin and eyes.
c. Document the finding and monitor the client.
d. Draw blood for liver function studies.
C: Clients with acromegaly or gigantism commonly have organomegaly of the heart and liver. Other than documenting the finding and monitoring the client, these actions would be inappropriate because the finding is commonly associated with acromegaly.
A client just diagnosed with acromegaly is scheduled for a hypophysectomy. Which statement made by the client indicates a need for clarification regarding this treatment?
a. “I will drink whenever I feel thirsty after surgery.”
b. “I’m glad no visible incision will result from this surgery.”
c. “I hope I can go back to wearing size 8 shoes instead of size 12.”
d. “I will wear slip-on shoes after surgery so I don’t have to bend over.”
C: Although removal of the tissue that is oversecreting hormones can relieve many symptoms of hyperpituitarism, skeletal changes and organ enlargement are not reversible. It will be appropriate for the client to drink as needed postoperatively and avoid bending over, reassured that the incision will not be visible.
A client who had a trans-sphenoidal hypophysectomy 2 days ago now has nuchal rigidity. Which is the nurse’s priority action?
a. Have the client do active range-of-motion exercises for the neck.
b. Document the finding and monitor the client.
c. Take the client’s temperature and other vital signs.
d. Assess using a pain scale and administer pain medication.
C: Nuchal rigidity is a major manifestation of meningitis, a potential postoperative complication associated with this surgery. Meningitis is an infection; usually the client will also have a fever and tachycardia. Range-of-motion exercises are inappropriate because meningitis is a possibility. Although pain medication may be a palliative measure, it is not the most appropriate initial action. Documentation should be done after all assessments are completed and should not be the only action.
A client is going home after an endoscopic transnasal hypophysectomy. Which statement by the client indicates an adequate understanding of discharge instructions?
a. “I will wear dark glasses whenever I am outdoors.”
b. “I will keep food on upper shelves so I do not have to bend over.”
c. “I will wash the incision line every day with peroxide and redress it immediately.”
d. “I will remember to cough and deep breathe every 2 hours while I am awake.”
B: After this surgery, the client must take care to avoid activities that can increase intracranial pressure. The client should avoid bending from the waist and should not bear down, cough, or lie flat. With this approach, there is no incision to clean and dress.
A client with suspected syndrome of inappropriate antidiuretic hormone (SIADH) has a serum sodium of 114 mEq/L. Which action by the nurse is best?
a. Consult with the registered dietitian about increased dietary sodium.
b. Restrict the client’s fluid intake to 900 mL/24 hr.
c. Handle the client gently by using turn sheets for repositioning.
d. Instruct the nursing assistants to measure intake and output.
B: With SIADH, clients often have dilutional hyponatremia. The client needs a fluid restriction, sometimes to as little as 500 to 600 mL/24 hr. The client should be on intake and output (I&O); however, this will monitor only the client’s intake, so it is not the best answer. Reducing intake will help increase the client’s sodium. Adding sodium to the client’s diet will not help if he or she is retaining fluid and diluting the sodium. The client is not at increased risk for fracture, so gentle handling is not an issue.
Which safety measure is most important for the nurse to institute for a client who has Cushing’s disease?
a. Pad the siderails of the client’s bed.
b. Assist the client to change positions slowly.
c. Use a lift sheet to change the client’s position.
d. Keep suctioning equipment at the client’s bedside.
C: Cushing’s syndrome or disease greatly increases the serum levels of cortisol, which contributes to excessive bone demineralization and increases the risk for pathologic bone fracture. The client should not require suctioning. Padding the siderails and assisting the client to change position may be effective, but these measures will not protect him or her as much as using a lift sheet.
Which dietary alterations does the nurse make for a client with Cushing’s disease?
a. High carbohydrate, low potassium
b. Low carbohydrate, low sodium
c. Low protein, low calcium
d. High carbohydrate, low potassium
B: The client with Cushing’s disease has weight gain, muscle loss, hyperglycemia, and sodium retention. Dietary modifications need to include reduction of total calories and carbohydrates to prevent or reduce the degree of hyperglycemia. Sodium retention causes water retention and hypertension. Clients are encouraged to restrict their sodium intake moderately. Clients often have bone density loss and need more calcium.
A client who has been taking high-dose corticosteroid therapy for 1 month to treat a severe inflammatory condition, which has now resolved, asks the nurse why she needs to continue taking corticosteroids. Which is the nurse’s best response?
a. “It is possible for the inflammation to recur if you stop the drugs.”
b. “Once you start corticosteroids, you have to be weaned off them.”
c. “You must decrease the dose slowly so your hormones will begin to work again.”
d. “The drug suppresses your immune system, which needs to be built back up.”
B: One of the most common causes of adrenal insufficiency, a life-threatening problem, is the sudden cessation of long-term, high-dose corticosteroid therapy. This therapy suppresses the hypothalamic-pituitary-adrenal axis and must be withdrawn gradually to allow for pituitary production of adrenocorticotropic hormone (ACTH) and adrenal production of cortisol.
A client has received vasopressin (DDAVP) for diabetes insipidus. Which assessment finding indicates a therapeutic response to this therapy?
a. Urine output is increased; specific gravity is increased.
b. Urine output is increased; specific gravity is decreased.
c. Urine output is decreased; specific gravity is increased.
d. Urine output is decreased; specific gravity is decreased.
C: Diabetes insipidus causes urine output to be greatly increased, with a low urine osmolarity, as evidenced by a low specific gravity. Effective treatment results in decreased urine output that is more concentrated, as evidenced by an increased specific gravity