Question 1

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Weight gain,fatigue,and lethargy

Accepted Answer

Decreased thyroid hormone can cause weight gain, fatigue, and lethargy as it plays a role in regulating metabolism.

Answer: A
 Decreased growth hormone can cause fatigue and lethargy as it is important for growth and repair of tissues. However, it is unlikely to cause weight gain.

Answer: C and E
 Decreased follicle-stimulating hormone and increased antidiuretic hormone would not typically cause weight gain or lethargy, but could potentially cause fatigue.

Question 2

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Menstrual irregularities

Accepted Answer

Menstrual irregularities can be caused by decreased levels of follicle-stimulating hormone, which is responsible for the development of ovarian follicles and the regulation of the menstrual cycle.

Answer: D 
 Decreased levels of thyroid hormone can also cause menstrual irregularities, as thyroid hormone plays a role in regulating the menstrual cycle.

Note: Increased levels of antidiuretic hormone can cause water retention and hyponatremia, but do not typically cause menstrual irregularities. Increased levels of thyroid hormone can lead to hyperthyroidism, which can cause a number of symptoms including weight loss, anxiety, and tremors, but does not typically cause menstrual irregularities. Increased levels of growth hormone are seen in acromegaly, a condition characterized by enlargement of the bones and soft tissues, but this does not typically cause menstrual irregularities.

Question 3

The immediate postoperative care of a person who had a total thyroidectomy will include: (Select all that apply.)

Accepted Answer

The immediate postoperative care of a person who had a total thyroidectomy would include placing the patient in high Fowler's position,supporting the head with sandbags,assessing for vital signs every 15 minutes,assessing the ability to swallow,and assessing for bleeding.

Question 4

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 5

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 5

The nurse lists the classic signs and symptoms of hyperthyroidism,which are: (Select all that apply.)

Accepted Answer

All the options except for bradycardia are classic signs of the condition (tachycardia is).In addition,there is ankle edema,diarrhea,decreased libido,difficulty concentrating,and exophthalmos.

Question 6

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Hyponatremia,edema

Accepted Answer

Hyponatremia and edema are signs of increased antidiuretic hormone (ADH), which causes water retention in the body. ADH is produced in the hypothalamus and released by the posterior pituitary gland in response to low blood volume or high blood osmolality.

Question 7

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 6

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 8

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 3

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 9

The nurse's major contribution to the care of a patient with Cushing's syndrome is that of __________ and __________.

Accepted Answer

The answer of The nurse's major contribution to the care...

Question 10

The nurse planning care for a patient with diabetes insipidus will include: (Select all that apply.)

Accepted Answer

Diabetes insipidus patients are constipated and frail from weight loss.

Question 11

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 1

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 12

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Pathologic fractures

Accepted Answer

The answer of Matching
The nurse associates the pathophysiology to the...

Question 13

Matching
The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-High metabolism rate

Accepted Answer

Increased thyroid hormone levels cause an increase in metabolism rate, leading to symptoms such as weight loss, increased appetite, heat intolerance, and hyperactivity.

Answer: D
 Decreased thyroid hormone levels cause a decrease in metabolism rate, leading to symptoms such as weight gain, decreased appetite, cold intolerance, and fatigue.

Question 14

A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH).The nurse plans interventions for: (Select all that apply.)

Accepted Answer

There is no threat of GI hemorrhage with SIADH.

Question 15

On the first postoperative day following a total thyroidectomy,the nurse assesses signs that indicate a developing "thyroid storm," which are: (Select all that apply.)

Accepted Answer

Rising temperature,pulse,and respirations are the first signs.

Question 16

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 4

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 17

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s)would be consistent with this condition? (Select all that apply.)

Accepted Answer

The laboratory findings of the patient with hyperparathyroidism include increased serum calcium levels,decreased serum phosphate levels,and increased calcium and phosphate in the urine.

Question 18

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step: 2

Accepted Answer

The answer of The nurse traces the closed loop of...

Quiz 37: Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Weight gain,fatigue,and lethargy

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Menstrual irregularities

The immediate postoperative care of a person who had a total thyroidectomy will include: (Select all that apply.)

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 5

The nurse lists the classic signs and symptoms of hyperthyroidism,which are: (Select all that apply.)

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Hyponatremia,edema

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 6

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 3

The nurse's major contribution to the care of a patient with Cushing's syndrome is that of and .

The nurse planning care for a patient with diabetes insipidus will include: (Select all that apply.)

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 1

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Pathologic fractures

Matching The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -High metabolism rate

A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) .The nurse plans interventions for: (Select all that apply.)

On the first postoperative day following a total thyroidectomy,the nurse assesses signs that indicate a developing "thyroid storm," which are: (Select all that apply.)

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 4

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s) would be consistent with this condition? (Select all that apply.)

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step: 2