The nurse caring for a patient who recently underwent removal of a pituitary adenoma via the transphenoidal approach knows that which of the following
... [Show More] routine post-operative interventions will be contraindicated for this patient:
A.Turn every 2 hours
B.Cough and deep breath
C.Ambulation
D.HOB 30 degrees - correct answer Answer: B
The nurse caring for a patient who recently underwent removal of a pituitary adenoma via the transphenoidal approach knows that a common complication with this surgery is a headache. In order to prevent this complication the nurse will:
A.Provide pain medication routinely
B.Keep the patient in the supine position
C.Assess VS every 2 hours
D.Keep the patient's HOB at 30 degrees - correct answer Answer. D
The nurse caring for a patient admitted with an ADH secreting lung cancer would anticipate which lab finding:
A. Serum sodium 150
B. Serum osmolality elevated
C. Urine specific gravity 1.002
D. Serum sodium 125 - correct answer D
Common nonspecific manifestations that may alert the nurse to endocrine dysfunction include:
A. Goiter and alopecia
B. Exophthalmos and tremors
C. Weight loss, fatigue, depression
D. Polyuria, polydipsia, and polyphagia - correct answer C
A patient with diabetes insipidus is treated with DDAVP. The nurse determines that the drug is not having an adequate therapeutic effect when the patient experiences:
A. Headache and weight gain
B. Nasal irritation and nausea
C. A urine specific gravity of 1.002 (1.003-1.030)
D. Oral intake greater than urinary output - correct answer Answer: C
The nurse caring for a patient admitted with SIADH can anticipate which of the following physician orders:
A.0.45% NS at 100 ml/hr
B.D5W at 100 ml/hr
C.Fluid restriction of 1000 ml/day
D.DDAVP IVP - correct answer Answer: C
A nurse is caring for a patient after hypophysectomy. The nurse notices clear nasal drainage from the patient's nostril. The initial nursing action would be to:
A. Lower the head of the bed
B. Test the drainage for glucose
C. Obtain a culture of the drainage
D. Continue to observe the drainage - correct answer Answer: B
When obtaining subjective data from a patient during assessment of the endocrine system, the nurse asks specifically about:
A. Energy level
B. Intake of vitamin C
C. Employment history
D. Frequency of sexual intercourse - correct answer Answer: A
A potential adverse effect of palpating the thyroid gland is:
A. Carotid artery obstruction
B. Damage to the cricoid cartilage
C. Release of excessive thyroid hormone
D. Hoarseness from pressure on the laryngeal nerve - correct answer Answer: C
The normal response to increased serum osmolality is the release of:
A. Aldosterone from the adrenal cortex, which stimulates
sodium excretion by the kidney.
B. ADH from the posterior pituitary gland, which stimulates
the kidney to reabsorb water.
C. Mineralocorticoids from the adrenal gland, which stimulates
the kidney to excrete potassium.
D. Calcitonin from the thyroid gland, which increases bone
resorption and decreases serum calcium levels. - correct answer Answer: B
Following a hypophysectomy for acromegaly, postoperative nursing care should focus on:
A. Frequent monitoring of serum and urine osmolarity
B. Parenteral administration of a GH-receptor antagonist
C. Keeping the patient in a recumbent position at all times
D. Patient education regarding the need for lifelong ACTH, TSH,
FSH, LH hormone replacement - correct answer A
The health care provider prescribes Levothyroxine for a patient with
hypothyroidism. Following teaching regarding this medication, the nurse determines that further teaching is needed when the patient says:
A. "I can expect the medication dose may need to be increased"
B. "I can expect to return to normal function with the use of this drug"
C. "I will only need to take this medication until my symptoms are
improved"
D. I will report any chest pain or difficulty breathing to the doctor
right away" - correct answer Answer: C
Following thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops:
A. Muscle weakness and weight loss
B. Hyperthermia and severe tachycardia
C. Hypertension and difficulty swallowing
D. Laryngeal stridor and tingling in the hands and feet - correct answer Answer: D
Manifestations of endocrine problems in the older adult that are commonly attributed to the aging process are: (Select all that apply)
A. tremors
B. fatigue
C. fluid retention
D. mental impairment - correct answer Answer: B and D
The nurse is caring for a patient with Grave's disease and assessment reveals exophthalmos. Which of the following interventions are indicated to prevent injury to the eye: (Select all that apply)
A. Elevate HOB
B. Apply eye patches during sleep
C. Have patient blink frequently
D. Lubricating eyedrops - correct answer A and D
Important Nursing interventions when caring for a patient with Cushing syndrome include (select all that apply)
A. restricting protein intake.
B. monitoring blood glucose levels.
C. administering medication in equal doses.
D. protecting patient from exposure to infection. - correct answer B and D
The nurse teaches the patient that the best time to take corticosteroids for replacement purposes is
A. once a day at bedtime.
B. every other day on awakening.
C. on arising and in the late afternoon.
D. at consistent intervals every 6-8 hours. - correct answer C [Show Less]