Question 1

Which nursing intervention is indicated for a client who has myxedema?
A)Take frequent baths or showers.
B)Encourage an increasingly vigorous exercise program.
C)Teach the client to monitor intake and output.
D)Provide a high-fiber diet.

Accepted Answer

Hypothyroidism,deficient production of thyroid hormone,occurs most commonly in women who are between 30 and 60 years of age.Hypothyroidism has several forms,of which the most common is myxedema.Nursing care focuses on ongoing client assessment,helping clients regain normal activity levels without fatigue,and teaching clients about dietary management,such as avoiding foods that interfere with thyroid hormone replacement and increasing fiber and fluid intake.

Question 2

After surgical removal of a pituitary tumor,the client will require which of these therapies?
A)corrective lenses
B)hormone replacement
C)optic nerve evaluation
D)strict bed rest

Accepted Answer

Medical management focuses on lifetime thyroid hormone replacement therapy.

Question 3

For a client who has a subtotal thyroidectomy,which nursing intervention is essential?
A)monitoring potassium and sodium levels
B)encouraging voice rest for 48 hours
C)placing the client in reverse Trendelenburg position
D)placing a tracheotomy tray at the client's bedside

Accepted Answer

Nursing interventions for clients having subtotal thyroidectomy include keeping the bed in semi-Fowler's position with head and shoulders supported by pillows.Keep suctioning equipment at bedside,monitor vital signs,and assess dressing,sides,and back of neck for drainage or bleeding.

Question 4

Which nursing diagnosis is MOST appropriate for a client who has hyperthyroidism?
A)Anxiety related to complications of hyperthyroidism
B)Risk for injury related to potential for hypertensive crisis
C)Imbalanced nutrition,less than body requirements
D)Impaired swallowing related to goiter

Accepted Answer

An increased thyroid hormone production leads to an increase in the client's metabolic rate,resulting in weight loss despite appetite,fatigue,poor tolerance to heat,and profuse perspirations.In addition,restlessness,nervousness,irritability,difficulty concentrating,and mood swings are present.

Question 5

The client is experiencing an increased thyroid hormone production.The nurse would monitor for which effect on a client's metabolic rate and subsequent symptoms?
A)rate decrease with weight gain and decreased appetite
B)rate decrease with weight loss and increased appetite
C)rate increase with weight loss and increased appetite
D)rate increase with weight gain and decreased appetite

Accepted Answer

An increased thyroid hormone production would lead to an increase in the client's metabolic rate,resulting in weight loss despite appetite,fatigue,poor tolerance to heat,and profuse perspirations.In addition,restlessness,nervousness,irritability,difficulty concentrating,and mood swings are present.

Question 6

When caring for a client,which assessment would the nurse use to correlate with a diagnosis of hypoparathyroidism?
A)Chvostek's sign
B)Homans' sign
C)tetany
D)Trousseau's sign

Accepted Answer

Trousseau's sign is a response to a blood-pressure cuff being inflated above the client's systolic pressure and left in place for 3 minutes.It would confirm a diagnosis of hypoparathyroidism.

Question 7

A client is receiving radioactive iodine for the treatment of hyperthyroidism.Which precaution should the nurse initiate?
A)Avoid close contact with the adult family members.
B)Use disposable eating utensils.
C)Restrict fluids for the 2 days before and after administration.
D)Institute airborne precautions.

Accepted Answer

Nursing interventions for a client receiving radioactive iodine should include encouraging fluids,flushing toilet twice after each use for at least 2 days,having client use disposable eating utensils,and avoiding close contact with pregnant females and children.The client should avoid pregnancy for 6 months following treatment.

Question 8

Which symptom would be present in the client who has syndrome of inappropriate antidiuretic hormone (SIADH)?
A)dilute urine
B)hypernatremia
C)weight gain
D)hyperreflexia

Accepted Answer

Manifestations of syndrome of inappropriate antidiuretic hormone (SIADH)include hyponatremia,water retention,weight gain,concentrated urine,muscle cramps,and weakness.

Question 9

The nurse is caring for a client with an autoimmune disease characterized by the production of antibodies that destroy essential enzymes needed for the production of T 3 and T 4.This nurse is aware that this client is experiencing:
A)Hashimoto's thyroiditis
B)hyperthyroidism
C)hypothyroidism
D)cretinism

Accepted Answer

Hashimoto's thyroiditis is an autoimmune disease characterized by the production of antibodies that destroy essential enzymes needed for the production of T 3 and T 4.This disease occurs more often in females than in males,between the ages of 30 and 50,and shows a marked hereditary pattern.

Question 10

Which nursing intervention is essential for the client who has Cushing's syndrome?
A)providing a private room with reverse or protective isolation as indicated
B)encouraging discussion about changed body image
C)instructing the client how to reduce stress
D)teaching the client about low-protein,high-carbohydrate foods

Accepted Answer

Nursing care focuses on assessing the client,assisting the client to cope with feelings related to change in body image,and teaching the client the importance of avoiding infections or seeking early treatment for them if they develop.Complications of Cushing's syndrome include osteoporosis and pathological bone fractures,suppressed inflammatory response,and hypertension.The client should be placed in a private room with reverse or protective isolation as indicated.

Question 11

What is the MOST common cause of hypopituitarism?
A)congenital defect
B)metabolic disorder
C)trauma causing damage to the pituitary gland
D)tumor

Accepted Answer

Pituitary tumors more often affect the anterior pituitary rather than the posterior pituitary and are the most common cause of hypopituitarism.

Question 12

The client receiving propylthiouracil should be taught to report signs and symptoms of infection immediately because of which of the following?
A)Depression of thyroid function increases risk of infection.
B)Hyperthyroidism predisposes the client to immune system breakdown.
C)Iodine preparations inhibit blood clotting.
D)Propylthiouracil can cause agranulocytosis.

Accepted Answer

Propylthiouracil (PTU)is used frequently,especially for thyroid storm.The client should be instructed to avoid foods high in iodine,including over-the-counter medications.It can cause agranulocytosis,so it is important to report signs and symptoms of infection.

Question 13

A client newly diagnosed with type 2 diabetes mellitus has a nursing diagnosis of Knowledge deficit: diabetes,medical regimen,diet,exercise,and self-care management skills.Which nursing goal is appropriate for this client?
A)to maintain current weight
B)to maintain vital signs within normal limits
C)to use the food pyramid for meal planning
D)to relate the importance of an exercise program

Accepted Answer

The goals of exercise and nutrition therapy are to maintain as near-normal a blood glucose level as possible,achieve optimal serum lipid levels,provide adequate calories to maintain or attain a reasonable weight,to prevent complications of diabetes,and to improve overall health.Oral hypoglycemic agents are used to treat persons with type 2 diabetes that is not controlled with diet and exercise.These agents are meant to supplement diet and exercise,not replace them.

Question 14

Which nursing intervention would be included in the care of a client who has hyperparathyroidism?
A)Encourage the client to alternate rest and activity periods.
B)Place the client in a room with reverse ventilation.
C)Encourage the client to increase ambulation each day.
D)Encourage the family to seek hospice care for the client.

Accepted Answer

Nursing interventions for a client with hyperparathyroidism should include encouraging the client to alternate rest and activity periods to decrease the metabolic demands on the body.

Question 15

The MOST appropriate nursing goal for a client with hypoparathyroidism would be:
A)to prevent infections
B)to maintain adequate calcium intake
C)to monitor fluid intake
D)to verbalize feelings about changed appearance

Accepted Answer

Nursing goals for a client with hypoparathyroidism would include to exhibit no signs of tetany,to prevent injury related to hypocalcemia,and to maintain adequate calcium intake.

Question 16

A client has a pituitary tumor that is placing pressure on the optic nerve and causing altered vision.Which nursing intervention is MOST important?
A)encouraging bed rest
B)insisting that a family member remain in the room with the client at all times
C)providing a safe,clutter-free environment.
D)keeping the room well-lit at all times

Accepted Answer

Nursing interventions for a client with disturbed sensory perception include providing information about adaptive devices and resources for visual changes,and providing a safe clutter-free environment.It is important to make sure the bed is in the low position and the call signal is in reach of the client.

Question 17

A client is to start thyroid replacement therapy.The nurse should include which instructions for the client?
A)Eat plenty of shellfish,saltwater fish,and iodized salt.
B)Avoid drinking coffee or tea with meals.
C)Store the medication in a cool,dark place.
D)Take the prescribed medication in the morning.

Accepted Answer

Medical management focuses on lifetime thyroid hormone replacement therapy taken in the mornings.

Question 18

The nurse is caring for a client experiencing an excess secretion of growth hormone.The nurse is aware that this is characterized in which condition?
A)acromegaly
B)Addison's disease
C)Cushing's syndrome
D)Hashimoto's disease

Accepted Answer

Excess secretion of growth hormone in adults results in acromegaly.

Question 19

The nurse should teach the client to monitor for which complication of diabetic neuropathy?
A)arthrosclerosis
B)diabetic retinopathy
C)injury and undetected foot injury
D)kidney failure

Accepted Answer

The incidence of neuropathy increases with age and duration of the disease.Decreased sensations in the lower extremities and decreased pain and temperature sensations coupled with decreased circulation places the client at risk for undetected foot injury.

Question 20

Which nursing diagnosis would be MOST appropriate for the client with diabetes insipidus?
A)Body image disturbance related to physical changes
B)Fluid volume deficit related to polyuria
C)Risk for infection related to chronic steroid therapy
D)Altered nutrition,less than body requirements,related to imbalance between insulin,diet,and activity

Accepted Answer

Manifestations of diabetes insipidus include extreme polyuria,extreme thirst,preferring cold beverages,dizziness,weakness,bed wetting,nocturia,and fatigue.Complications if untreated are hypovolemia,circulatory collapse,unconsciousness,and central nervous system conditions.

Quiz 43: Endocrine System

Which nursing intervention is indicated for a client who has myxedema?

After surgical removal of a pituitary tumor,the client will require which of these therapies?

For a client who has a subtotal thyroidectomy,which nursing intervention is essential?

Which nursing diagnosis is MOST appropriate for a client who has hyperthyroidism?

The client is experiencing an increased thyroid hormone production.The nurse would monitor for which effect on a client's metabolic rate and subsequent symptoms?

When caring for a client,which assessment would the nurse use to correlate with a diagnosis of hypoparathyroidism?

A client is receiving radioactive iodine for the treatment of hyperthyroidism.Which precaution should the nurse initiate?

Which symptom would be present in the client who has syndrome of inappropriate antidiuretic hormone (SIADH) ?

The nurse is caring for a client with an autoimmune disease characterized by the production of antibodies that destroy essential enzymes needed for the production of T 3 and T 4.This nurse is aware that this client is experiencing:

Which nursing intervention is essential for the client who has Cushing's syndrome?

What is the MOST common cause of hypopituitarism?

The client receiving propylthiouracil should be taught to report signs and symptoms of infection immediately because of which of the following?

A client newly diagnosed with type 2 diabetes mellitus has a nursing diagnosis of Knowledge deficit: diabetes,medical regimen,diet,exercise,and self-care management skills.Which nursing goal is appropriate for this client?

Which nursing intervention would be included in the care of a client who has hyperparathyroidism?

The MOST appropriate nursing goal for a client with hypoparathyroidism would be:

A client has a pituitary tumor that is placing pressure on the optic nerve and causing altered vision.Which nursing intervention is MOST important?

A client is to start thyroid replacement therapy.The nurse should include which instructions for the client?

The nurse is caring for a client experiencing an excess secretion of growth hormone.The nurse is aware that this is characterized in which condition?

The nurse should teach the client to monitor for which complication of diabetic neuropathy?

Which nursing diagnosis would be MOST appropriate for the client with diabetes insipidus?