HESI MEDSURG Exam QuizletA young adult patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would
... [Show More] expect the laboratory test results to show
a. increased urinary cortisol.
b. decreased serum thyroxine.
c. elevated serum aldosterone levels.
d. low urinary catecholamines excretion.
Which statement by a 50-yr-old female patient indicates to the nurse that further assessment of thyroid function may be necessary?
a. "I notice my breasts are tender lately."
b. "I am so thirsty that I drink all day long."
c. "I get up several times at night to urinate." d. "I feel a lump in my throat when I swallow."
A patient seen in the emergency department for severe headache and acute confusion has a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?
a. Urinary 17-ketosteroids b. Antidiuretic hormone level
c. Growth hormone stimulation test
d. Adrenocorticotropic hormone level
Which question from a nurse during a patient interview will provide focused information about a possible thyroid disorder?
a. "What methods do you use to help cope with stress?"
b. "Have you experienced any blurring or double vision?" c. "Have you had a recent unplanned weight gain or loss?"
d. "Do you have to get up at night to empty your bladder?"
A patient will be scheduled in the outpatient clinic for blood cortisol testing. Which instruction will the nurse provide?
a. "Avoid adding any salt to your foods for 24 hours before the test."
b. "You will need to lie down for 30 minutes before the blood is drawn." c. "Come to the laboratory to have the blood drawn early in the morning."
d. "Do not have anything to eat or drink before the blood test is obtained."
A 61-yr-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for levels.
a. calcitonin
b. catecholamine
c. thyroid hormone
d. parathyroid hormone
During the nurse's physical examination of a young adult, the patient's thyroid gland cannot be felt. The most appropriate action by the nurse is to
a. palpate the patient's neck more deeply.
b. document that the thyroid was nonpalpable.
c. notify the health care provider immediately.
d. teach the patient about thyroid hormone testing.
Which laboratory value should the nurse review to determine whether a patient's hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?
a. Thyroxine (T4) level
b. Triiodothyronine (T3) level
c. Thyroid-stimulating hormone (TSH) level
d. Thyrotropin-releasing hormone (TRH) level
The nurse reviews a patient's glycosylated hemoglobin (A1C) results to evaluate
a. fasting preprandial glucose levels.
b. glucose levels 2 hours after a meal. c. glucose control over the past 90 days.
d. hypoglycemic episodes in the past 3 months.
A patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, for hypertension. The nurse will monitor for
a. increased serum sodium.
b. decreased urinary output. c. elevated serum potassium.
d. evidence of fluid overload.
A patient has been newly diagnosed with type 2 diabetes mellitus. Which information about the patient will be most useful to the nurse who is helping the patient develop strategies for successful adaptation to this disease?
a. Ideal weight b. Value system
c. Activity level
d. Visual changes
An 18-yr-old male patient with small stature is scheduled for a growth hormone stimulation test. In preparation for the test, the nurse will obtain
a. ice in a basin.
b. glargine insulin.
c. a cardiac monitor.
d. 50% dextrose solution.
The nurse will plan to teach a patient to minimize physical and emotional stress while the patient is undergoing
a. a water deprivation test. [Show Less]