Deck 39: Drugs for Pituitary, Thyroid, and Adrenal Disorders

Question 1

The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statement(s)? Select all that apply. Select all that apply.

A) "The hypothalamus secretes releasing hormones."
B) "The hypothalamus is considered the master gland."
C) "Hormones released by the endocrine system influence every organ in the body."
D) "The pituitary gland secretes TSH (thyroid stimulating hormone)."
E) "The endocrine system is a major controller of homeostasis."

Answer 1

"The hypothalamus secretes releasing hormones."
"Hormones released by the endocrine system influence every organ in the body."
"The pituitary gland secretes TSH (thyroid stimulating hormone)."
"The endocrine system is a major controller of homeostasis."

Question 2

The elderly client has hypothyroidism. Which assessment finding would the nurse report to the physician immediately?

A) tachycardia
B) atrial fibrillation
C) severe diarrhea
D) vivid visual hallucinations

Answer 2

atrial fibrillation

Question 3

The client has been diagnosed with Cushing's syndrome. What will the best assessment by the nurse reveal?

A) Low blood pressure and hypoglycemia.
B) Thickened skin with bruising.
C) Upper body obesity and thinning of the arms and legs.
D) General loss of hair on the body.

Answer 3

Upper body obesity and thinning of the arms and legs.

Question 4

The nurse plans to administer intranasal desmopressin (DDAVP) to the client. What will the best plan of the nurse include?

A) Be sure to have fresh water at the bedside.
B) Instruct the client to blow his nose following administration.
C) Rotation of nares must be documented on the medication administration record (MAR).
D) Withhold other medications so absorption of desmopressin (DDAVP) will not be affected.

Question 5

The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do medication education. What will the best plan of the nurse include?

A) Assess for decreased appetite.
B) Assess weekly serum blood levels.
C) Assess for altered sleep patterns.
D) Monitor daily weights.

Question 6

The client receives glucocorticoid therapy. What will the best assessment of the nurse reveal?

A) hypertension
B) weight loss
C) hypothermia
D) hypotension

Question 7

The nursing instructor teaches the student nurses about negative feedback as a feature of calcium homeostasis in the endocrine system. Identify the steps, in order, of this mechanism. Select all that apply.

A) The parathyroid glands shut off PTH (parathyroid hormone) secretion.
B) PTH (parathyroid hormone) increases serum calcium.
C) PTH (parathyroid hormone) is released.
D) Serum calcium levels fall.

Question 8

The client receives aminogluthethimide (Cytadren) therapy. What evaluation criteria will the nurse report to the physician?

A) The client exhibits hypertension.
B) The client reports a decrease in stress level.
C) The client has been on the therapy for four months.
D) The complete blood count (CBC) is within normal limits.

Question 9

The nurse teaches the client about glucocorticoid therapy. The nurse evaluates that additional teaching is required when the client makes which statement?

A) "I will eat a diet that is high in protein."
B) "I will monitor my blood sugar on a regular basis."
C) "I should take my medication after I have eaten."
D) "I can take the medication at any time as long as I don't forget it."

Question 10

The client is very distraught that her son is of very short stature. What is the best plan by the nurse?

A) Tell the client that treatment with growth hormone might help, and refer her to an endocrinologist.
B) Tell the client that treatment with growth hormone might result in acromegaly.
C) Tell the client that treatment with growth hormone can add six inches of height to her son.
D) Tell the client that treatment for short stature is too expensive for many to afford.

Question 11

The client has been diagnosed with diabetes insipidus. What will the best plan of the nurse include?

A) Assess for fluid retention.
B) Assess for hyperglycemia.
C) Assess for increased urine production.
D) Assess for hyponatremia.

Question 12

The client receives hydrocortisone therapy. The nurse will primarily assess for which electrolyte disturbance?

A) hypernatremia and hyperglycemia
B) hypoglycemia and hyponatremia
C) hypernatremia and hyperkalemia
D) decreased plasma osmolality

Question 13

The client has diabetes insipidus and receives vasopressin (Pressyn AR). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

A) "This medication increases water reabsorption in my kidneys."
B) "This medication is a potent vasodilator; my blood pressure can fall."
C) "This medication promotes diuresis in my body; my blood pressure can fall."
D) "This medication suppresses hormone secretion from my posterior pituitary gland."

Question 14

The client has hyperthyroidism. The nurse teaches the client to avoid which food selections?

A) high -calorie foods
B) soy sauce
C) caffeine -free soda
D) milk products

Question 15

The client receives treatment with radioactive iodine (Iodotope) therapy. What will the best evaluation by the nurse reveal?

A) The client does not have to distance herself from others.
B) The client will most likely require thyroid replacement therapy.
C) The client could safely become pregnant while receiving this treatment.
D) The client will only temporarily accomplish the euthyroid state.