Question 1

A nurse is caring for a patient diagnosed with Addison disease.Which signs and symptoms should lead the nurse to suspect an adrenal crisis?

Accepted Answer

A)  Hypertension and abdominal pain 
B)  Confusion and tachycardia 
C)  Bradycardia and nausea 
D)  Widening pulse pressure and shortness of breath 
A)  Hypertension and abdominal pain 
B)  Confusion and tachycardia 
C)  Bradycardia and nausea 
D)  Widening pulse pressure and shortness of breath B

Question 2

What should preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy include that the patient should do postoperatively?

Accepted Answer

A)  Avoid sneezing. 
B)  Drink through a straw. 
C)  Cough forcefully. 
D)  Wash mouth out with peroxide. 
A)  Avoid sneezing. 
B)  Drink through a straw. 
C)  Cough forcefully. 
D)  Wash mouth out with peroxide. A

Question 3

Which findings are expected when assessing a patient with Cushing syndrome?

Accepted Answer

A)  Edema of the trunk, extremities, and face 
B)  Wasting of the abdomen with thick, calloused skin 
C)  Excess adipose tissue in the trunk, slender extremities, and moon face 
D)  High levels of potassium and low levels of sodium, weakness, and wasting 
A)  Edema of the trunk, extremities, and face 
B)  Wasting of the abdomen with thick, calloused skin 
C)  Excess adipose tissue in the trunk, slender extremities, and moon face 
D)  High levels of potassium and low levels of sodium, weakness, and wasting C

Question 4

What symptoms should a nurse expect a patient with the diagnosis of SIADH to report during an intake interview? (Select all that apply.)

Accepted Answer

A)  Headache 
B)  Hypotension 
C)  Weight gain 
D)  Muscle cramps 
E)  Weakness 
A)  Headache 
B)  Hypotension 
C)  Weight gain 
D)  Muscle cramps 
E)  Weakness

Question 5

A 14-year-old adolescent male patient has been diagnosed with Addison disease.Which effect of Addison disease should this patient be aware of?

Accepted Answer

A)  He will not develop pubic hair. 
B)  He will grow a heavy beard. 
C)  He will become bald at an early age. 
D)  He will have enlarged joints. 
A)  He will not develop pubic hair. 
B)  He will grow a heavy beard. 
C)  He will become bald at an early age. 
D)  He will have enlarged joints.

Question 6

Two days after a hypophysectomy a patient complains of a headache and nuchal rigidity.What action should the nurse take based on these assessments?

Accepted Answer

A)  Medicate with the prescribed analgesic. 
B)  Report suspected meningitis to the head nurse. 
C)  Closely monitor the patient's blood pressure. 
D)  Elevate the head of the bed to 45 degrees. 
A)  Medicate with the prescribed analgesic. 
B)  Report suspected meningitis to the head nurse. 
C)  Closely monitor the patient's blood pressure. 
D)  Elevate the head of the bed to 45 degrees.

Question 7

A nurse is assessing a patient with Simmonds cachexia.What symptom should the nurse anticipate the patient will exhibit?

Accepted Answer

A)  High body temperature 
B)  Ruddy complexion 
C)  Silky body hair 
D)  Muscle wasting 
A)  High body temperature 
B)  Ruddy complexion 
C)  Silky body hair 
D)  Muscle wasting

Question 8

Which statement by a patient diagnosed with Cushing syndrome leads a nurse to conclude that teaching has been effective?

Accepted Answer

A)  "I know I should add salt to everything I eat." 
B)  "I make a point to avoid excessive exposure to sun." 
C)  "I avoid being exposed to anyone with an infection." 
D)  "I am careful to wear well-fitting shoes." 
A)  "I know I should add salt to everything I eat." 
B)  "I make a point to avoid excessive exposure to sun." 
C)  "I avoid being exposed to anyone with an infection." 
D)  "I am careful to wear well-fitting shoes."

Question 9

What should a nurse include when caring for a patient after a hypophysectomy, during which the entire pituitary was removed?

Accepted Answer

A)  Maintaining strict intake and output fluids 
B)  Keeping the patient flat in bed for the first 24 hours 
C)  Withholding analgesics to assess the level of consciousness 
D)  Providing mouth care with thorough cleansing of the oral cavity 
A)  Maintaining strict intake and output fluids 
B)  Keeping the patient flat in bed for the first 24 hours 
C)  Withholding analgesics to assess the level of consciousness 
D)  Providing mouth care with thorough cleansing of the oral cavity

Question 10

A nurse noting a peaked T wave on the electrocardiogram (ECG)of a patient with Addison disease recognizes this complex as suggestive of ______.

Accepted Answer

The answer of A nurse noting a peaked T wave...

Question 11

An 18-year-old girl is diagnosed with adenoma of the pituitary gland.What signs of this diagnosis should the nurse assess? (Select all that apply.)

Accepted Answer

A)  Cessation of menses 
B)  Milk production 
C)  Excess body hair 
D)  Excessive urine output 
E)  Weight loss 
A)  Cessation of menses 
B)  Milk production 
C)  Excess body hair 
D)  Excessive urine output 
E)  Weight loss

Question 12

A patient with long-term asthma develops Cushing syndrome.What is the cause of this condition?

Accepted Answer

A)  Taking corticosteroids for many years 
B)  Abruptly withdrawing cortisone therapy 
C)  Lacking ACTH, related to the pituitary gland 
D)  Poorly functioning adrenal glands 
A)  Taking corticosteroids for many years 
B)  Abruptly withdrawing cortisone therapy 
C)  Lacking ACTH, related to the pituitary gland 
D)  Poorly functioning adrenal glands

Question 13

A nurse is caring for a patient with diabetes insipidus (DI).Which signs should the nurse report that indicate a change in condition?

Accepted Answer

A)  Dropping blood pressure 
B)  Light clear urine 
C)  Moist mucous membranes 
D)  Excessive thirst 
E)  Large urine output 
A)  Dropping blood pressure 
B)  Light clear urine 
C)  Moist mucous membranes 
D)  Excessive thirst 
E)  Large urine output

Question 14

What can bring on an addisonian crisis?

Accepted Answer

A)  Sudden atmospheric temperature change 
B)  Hyperglycemia 
C)  Infection 
D)  Change of altitude 
A)  Sudden atmospheric temperature change 
B)  Hyperglycemia 
C)  Infection 
D)  Change of altitude

Question 15

What should a nurse include when planning education to a patient with Addison disease?

Accepted Answer

A)  Discontinue hormonal replacement therapy if the patient becomes nauseated or has diarrhea. 
B)  Decrease medication if the patient is under stress or is being treated for an infection. 
C)  Wear a medical alert tag and carry emergency dexamethasone. 
D)  Begin a vigorous exercise program to overcome weakness and muscle wasting. 
A)  Discontinue hormonal replacement therapy if the patient becomes nauseated or has diarrhea. 
B)  Decrease medication if the patient is under stress or is being treated for an infection. 
C)  Wear a medical alert tag and carry emergency dexamethasone. 
D)  Begin a vigorous exercise program to overcome weakness and muscle wasting.

Question 16

A nurse prepares a family for the altered appearance of the patient returning from stereotactic radiosurgery to see a(n)______ in place.

Accepted Answer

The answer of A nurse prepares a family for the...

Question 17

A patient with hypopituitarism must take medications for the rest of his or her life.What should the patient teaching plan include?

Accepted Answer

A)  "Constipation must be prevented because straining increases intracranial pressure." 
B)  "You must become familiar with the signs and symptoms of inadequate or excessive hormone replacement." 
C)  "It is not necessary to wear a medical alert bracelet or necklace." 
D)  "Your self-image is important.Take positive steps to improve your appearance." 
A)  "Constipation must be prevented because straining increases intracranial pressure." 
B)  "You must become familiar with the signs and symptoms of inadequate or excessive hormone replacement." 
C)  "It is not necessary to wear a medical alert bracelet or necklace." 
D)  "Your self-image is important.Take positive steps to improve your appearance."

Question 18

What are the classic symptoms of diabetes insipidus (DI)?

Accepted Answer

A)  Diuresis, dehydration, and thirst 
B)  Dizziness, hypertension, and excitability 
C)  Stress incontinence, vomiting, and edema 
D)  Bradycardia, insomnia, and muscle cramps 
A)  Diuresis, dehydration, and thirst 
B)  Dizziness, hypertension, and excitability 
C)  Stress incontinence, vomiting, and edema 
D)  Bradycardia, insomnia, and muscle cramps

Question 19

A nurse making a care plan for a 10-year-old boy with hyperpituitarism identifies an altered body image.What should the nurse relate this nursing diagnosis to?

Accepted Answer

A)  Lack of facial hair 
B)  Excessive height 
C)  Small genitalia 
D)  Skin eruptions on the face 
A)  Lack of facial hair 
B)  Excessive height 
C)  Small genitalia 
D)  Skin eruptions on the face

Question 20

A patient states that he is confused because the physician told him that his diabetes insipidus (DI)is nephrogenic.What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?

Accepted Answer

A)  Nephrogenic DI will eventually resolve without medication. 
B)  Nephrogenic DI requires the nasal spray lypressin. 
C)  Nephrogenic DI does not respond to ADH. 
D)  Nephrogenic DI will require dialysis. 
A)  Nephrogenic DI will eventually resolve without medication. 
B)  Nephrogenic DI requires the nasal spray lypressin. 
C)  Nephrogenic DI does not respond to ADH. 
D)  Nephrogenic DI will require dialysis.

Exam 48: Pituitary and Adrenal Disorders

A nurse is caring for a patient diagnosed with Addison disease.Which signs and symptoms should lead the nurse to suspect an adrenal crisis?

What should preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy include that the patient should do postoperatively?

Which findings are expected when assessing a patient with Cushing syndrome?

What symptoms should a nurse expect a patient with the diagnosis of SIADH to report during an intake interview? (Select all that apply.)

A 14-year-old adolescent male patient has been diagnosed with Addison disease.Which effect of Addison disease should this patient be aware of?

Two days after a hypophysectomy a patient complains of a headache and nuchal rigidity.What action should the nurse take based on these assessments?

A nurse is assessing a patient with Simmonds cachexia.What symptom should the nurse anticipate the patient will exhibit?

Which statement by a patient diagnosed with Cushing syndrome leads a nurse to conclude that teaching has been effective?

What should a nurse include when caring for a patient after a hypophysectomy, during which the entire pituitary was removed?

A nurse noting a peaked T wave on the electrocardiogram (ECG)of a patient with Addison disease recognizes this complex as suggestive of ______.

An 18-year-old girl is diagnosed with adenoma of the pituitary gland.What signs of this diagnosis should the nurse assess? (Select all that apply.)

A patient with long-term asthma develops Cushing syndrome.What is the cause of this condition?

A nurse is caring for a patient with diabetes insipidus (DI).Which signs should the nurse report that indicate a change in condition?

What can bring on an addisonian crisis?

What should a nurse include when planning education to a patient with Addison disease?

A nurse prepares a family for the altered appearance of the patient returning from stereotactic radiosurgery to see a(n)______ in place.

A patient with hypopituitarism must take medications for the rest of his or her life.What should the patient teaching plan include?

What are the classic symptoms of diabetes insipidus (DI)?

A nurse making a care plan for a 10-year-old boy with hyperpituitarism identifies an altered body image.What should the nurse relate this nursing diagnosis to?

A patient states that he is confused because the physician told him that his diabetes insipidus (DI)is nephrogenic.What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders