Exam 39: Nursing Care of Patients With Endocrine Disorders

The nurse is reviewing information with a patient about endocrine gland disorders. The patient asks, "I have pituitary insufficiency, what is happening?" Which information from the nurse is incorrect?

The nurse determines that treatment has been effective for a patient with diabetes insipidus. Which laboratory value did the nurse use to come to this conclusion?

The nurse is providing care for a patient diagnosed with complications related to Cushing syndrome. Which situation indicates a need for a change in nursing intervention?

A patient arrives at the emergency department and states, "I was outside shoveling snow and suddenly started to feel really bad." The patient's medical history indicates treatment for hypothyroidism for the past 10 years. Which possible condition causes the nurse the greatest concern?

The nurse is contributing to the plan of care for an adult patient diagnosed with growth hormone (GH) deficiency. Which nursing intervention is appropriate for this patient?

The nurse is monitoring a patient 6 hours after a thyroidectomy for cancer. Vital signs are temperature 104°F, pulse 144 beats/min, respirations 24/min, and blood pressure 184/108 mm Hg. Which prescription does the nurse anticipate from the HCP?

The nurse is assisting with discharge of a patient with Addison disease following an adrenal crisis. Which instruction is most important for the nurse to reinforce?

A patient diagnosed with SIADH is scheduled for surgery in a few days. Which does the nurse expect to be prescribed for this patient to help manage the symptoms until surgery? (Select all that apply.)

The nurse is providing care for a patient scheduled to receive radioactive iodine as treatment for thyroid cancer. Which care intervention for this patient is inappropriate?

The nurse is reinforcing teaching to a patient who is diagnosed with genetically related hypoparathyroidism. Which comment by the patient indicates that patient teaching is successful?

The nurse is gathering information from a patient in a HCP's office. The patient reports difficulty speaking and swallowing and, recently, frequent headaches. Which additional manifestation does the nurse observe that indicates a possible glandular dysfunction?

The nurse is providing care for a patient who is postoperative for a transsphenoidal surgery for the removal of a pituitary tumor. Which nursing care is inappropriate in the postsurgical period?

The nurse is monitoring a patient admitted for testing of diabetes insipidus. Which observation by the nurse is unexpected?

A patient is scheduled for diagnostic tests for hypothyroidism. Which symptoms does the nurse expect to observe in a patient with this disorder?

The LPN/LVN is monitoring a patient with a goiter who is scheduled for surgery. Physical inspection reveals only slight swelling in the anterior base of the neck. Which manifestation will prompt the LPN/LVN to notify the registered nurse (RN)?

The nurse is attending to patients in an assisted-living facility. For which reason is the nurse aware that the recognition of hyperthyroidism is difficult in older patients?

The nurse is monitoring the effects of a water deprivation test on a patient suspected of diabetes insipidus related to pituitary dysfunction. Which test result supports the diagnosis?

The nurse is providing care for a patient with syndrome of inappropriate antidiuretic hormone (SIADH). Which additional diagnosis does the nurse need to identify as a contributor to the patient's disorder?

A patient with suspected hyperthyroidism is scheduled for a radioactive iodine uptake test. Which symptoms of hyperthyroidism does the nurse note on the medical record? (Select all that apply.)

The nurse is gathering data from a patient who voices concerns about feeling dizzy upon standing, fatigue, and recent weight loss. Which additional information will most likely cause the nurse to suspect a problem with adrenal insufficiency?