Question 1

A patient has symptoms of adrenocorticoid insufficiency and is having diagnostic testing with administration of cosyntropin (Cortrosyn). The nurse would evaluate that this test shows secondary adrenocortical insufficiency if which result occurs?

Accepted Answer

Cosyntropin is a synthetic form of ACTH. In secondary adrenocortical insufficiency, the adrenal glands are capable of producing cortisol, but they are not stimulated due to a lack of ACTH from the pituitary. If cortisol levels rise after cosyntropin injection, it indicates that the adrenal glands are functioning and the issue is with ACTH production, confirming secondary insufficiency.

Question 2

A patient has been prescribed long-term corticosteroid therapy. Which preventative information does the nurse provide?

Accepted Answer

The answer of A patient has been prescribed long-term corticosteroid...

Question 3

A client has been prescribed propylthiouracil (PTU). What medication education should the nurse provide?

Accepted Answer

Propylthiouracil (PTU) may take several days or weeks to show effects (A). It is recommended to take PTU with meals to reduce gastrointestinal upset (B). PTU is contraindicated in pregnancy due to potential harm to the fetus (C). A rash is a possible side effect of PTU (D). However, PTU is not recommended during breastfeeding due to potential adverse effects on the infant (E is incorrect).

Question 4

A client has been taking propylthiouracil (PTU) for several weeks. Which client statements would the nurse interpret as indicating that the drug is having its desired effects?

Accepted Answer

Propylthiouracil (PTU) is used to treat hyperthyroidism. Desired effects include improved sleep (A), reduced anxiety (C), and a normal heart rate (D), as these symptoms are associated with hyperthyroidism.

Question 5

A patient has been prescribed corticosteroid therapy for the treatment of severe osteoarthritis. The nurse evaluates that teaching about this drug is understood if the patient makes which statement?

Accepted Answer

The answer of A patient has been prescribed corticosteroid therapy...

Question 6

A client has been taking thyroid hormone replacement for several years. On today's clinic visit, the nurse remarks that the client has lost 20 pounds. The client states, "I was getting fat, so I started taking an extra thyroid pill every day or so." How should the nurse respond?

Accepted Answer

Taking extra thyroid medication can lead to hyperthyroidism and other health issues. It's important to follow the prescribed dosage.

Question 7

A client will be prescribed an oral corticosteroid for treatment of a rash. The prescriber says, "In order to avoid adverse effects, I am prescribing the smallest amount possible." What other prescribing regimens could the nurse suggest to achieve this same effect?

Accepted Answer

The answer of A client will be prescribed an oral...

Question 8

A patient with hyperthyroidism presented with thyroid storm and high temperature. The nurse evaluates that measures to lower the temperature should be changed when which assessment is made?

Accepted Answer

Shivering can increase metabolic rate and heat production, potentially worsening hyperthermia. Measures to lower temperature should be adjusted to prevent shivering.

Question 9

A client diagnosed with an inoperable tumor of the adrenal gland is prescribed mitotane (Lysodren). The nurse would attribute which assessment finding as indicating an adverse reaction to the drug?

Accepted Answer

The answer of A client diagnosed with an inoperable tumor...

Question 10

A patient was admitted with Addison's disease. Assessment now reveals nausea, vomiting, and confusion. The nurse anticipates which urgent intervention?

Accepted Answer

The symptoms of nausea, vomiting, and confusion in a patient with Addison's disease suggest an adrenal crisis, which requires urgent administration of intravenous hydrocortisone to replace deficient cortisol levels.

Quiz 44: Drugs for Pituitary, Thyroid, and Adrenal Disorders

A patient has symptoms of adrenocorticoid insufficiency and is having diagnostic testing with administration of cosyntropin (Cortrosyn) . The nurse would evaluate that this test shows secondary adrenocortical insufficiency if which result occurs?