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Exam 19: Nursing Care of Patients with Endocrine Disorders

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Question 21

Multiple Choice

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The nurse has given the patient instructions regarding the symptoms of hyperparathyroidism. Which of these statements if made by the patient would indicate that the patient has the correct understanding of instructions? "I need to tell my healthcare provider if I experience Select all that apply.

A) abdominal pain."
B) palpitations."
C) morning headaches."
D) diarrhea."
E) twitching muscles."

F) A) and E)
G) C) and E)

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Question 22

Multiple Choice

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The nurse is planning a teaching session for a patient with a new diagnosis of adrenoleukodystrophy. Which of these outcomes should receive priority in the plan? The patient will

A) explain why genetic counseling is included in the plan of care.
B) discuss the role of autoimmunity in the development of the disorder.
C) identify the role of anticoagulants in the development of the disorder.
D) identify the surgical site for transsphenoidal entry on a diagram.

E) A) and C)
F) A) and B)

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Question 23

Multiple Choice

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The nurse is teaching a group of nursing students about risk factors for Cushing's syndrome. The nurse knows further teaching is required when the students identify which of the following patients as being at risk for Cushing's syndrome? The patient who

The nurse is assessing a patient's understanding of teaching regarding the diagnosis of hyperparathyroidism. The nurse knows further teaching is needed when the patient states, "The primary healthcare provider can determine I have hyperparathyroidism when

Which of these measures, if included in the care plan for a patient who has hypoparathyroidism, would be most effective in addressing the most prevalent electrolyte abnormality associated with this health alteration? Select all that apply.

The nurse is caring for a patient with elevated serum T3 and T4 levels who receives a new prescription for methimazole (Tapazole) . Which of these patient statements indicates the patient needs further instruction regarding this medication?

The nurse is caring for a patient with a potential diagnosis of Cushing's syndrome and a prescription for a 24-hour urine collection. The patient asks the nurse why a 24-hour collection is needed rather than a one-time urine collection. The nurse correctly answers that 24-hour urine tests are more accurate in this situation because of which of the following?

The nurse is assessing a patient with hyperparathyroidism who recently received a new prescription for Lanoxin (digoxin) . Which of these manifestations would indicate the patient is experiencing an adverse effect related to the use of this medication?

A patient says to the nurse, "I didn't realize this steroid medicine would make me lose weight in my legs." The nurse realizes that this patient is reporting signs of which of the following?

A nurse should recognize that a patient who has a diagnosis of Cushing's syndrome is at risk for developing which of the following? Select all that apply.

The nurse is teaching a patient who has a diagnosis of hypothyroidism about the importance of dietary fiber. The nurse realizes the patient understands teaching when the patient states which of the following? Select all that apply. Select all that apply.

The nurse is screening a group of patients for risk factors related to thyroid cancer. The nurse realizes that which of the following patients is at the highest risk for developing thyroid cancer?

When assessing a patient who has chronic hyperfunction of the adrenal cortex the nurse should determine whether the patient has which of these manifestations?

Which of these explanations regarding the postoperative period is the priority for a nurse to give to a patient who is scheduled to have a thyroidectomy?

A nurse should recognize that a patient with untreated hypothyroidism is at risk for developing which of the following? Select all that apply.

A patient whose thyroid gland produces an insufficient amount of thyroid hormone tells the nurse, "I watch what I eat but my cholesterol continues to go up." An appropriate response for the nurse to make to this patient is which of the following?

The nurse is caring for a patient who experienced a closed head injury six days ago. The patient's urine output over the previous 24 hours was 10,000 mL. Total intake for the same period was 1,200 mL. Urine specific gravity is 1.010 g/mL. The patient receives the following prescriptions. Which order will the nurse clarify with the primary healthcare provider?

A nurse is teaching a patient about alterations of the parathyroid glands. Which of these patient comments is a reliable indicator that the patient has the correct understanding of the effect of hyperparathyroidism on the patient's body? Select all that apply. Select all that apply.

The nurse is teaching a group of nursing students about the relationship between thyroid hormone and iodine. The nurse knows further teaching is required when the students state, "Patients may experience iodine deficiency and hypothyroidism if they

During the assessment of a patient with an alteration in thyroid function the nurse notes smooth fine hair, and warm dry skin. Which of these questions would be most important for the nurse to ask this patient?