Exam 62: Care of Patients with Pituitary and Adrenal Gland Problems

A nurse cares for a client after a pituitary gland stimulation test using insulin.The client's post-stimulation laboratory results indicate elevated levels of growth hormone (GH)and adrenocorticotropic hormone (ACTH).How should the nurse interpret these results?

A nurse plans care for a client with a growth hormone deficiency.Which action should the nurse include in this client's plan of care?

A nurse teaches a client with a cortisol deficiency who is prescribed prednisone (Deltasone).Which statement should the nurse include in this client's instructions?

An emergency nurse cares for a client who is experiencing an acute adrenal crisis.Which action should the nurse take first?

A client with hyperaldosteronism is being treated with spironolactone (Aldactone)before surgery.Which precautions does the nurse teach this client?

A nurse cares for a client with chronic hypercortisolism.Which action should the nurse take?

A nurse plans care for a client with Cushing's disease.Which action should the nurse include in this client's plan of care to prevent injury?

A nurse assesses a client who potentially has hyperaldosteronism.Which serum laboratory values should the nurse associate with this disorder? (Select all that apply.)

A nurse assesses clients for potential endocrine dysfunction.Which client is at greatest risk for a deficiency of gonadotropin and growth hormone?

A nurse cares for a male client with hypopituitarism who is prescribed testosterone hormone replacement therapy.The client asks,"How long will I need to take this medication?" How should the nurse respond?

A nurse assesses clients with potential endocrine disorders.Which clients are at high risk for hypopituitarism? (Select all that apply.)

A nurse assesses a client with Cushing's disease.Which assessment findings should the nurse correlate with this disorder? (Select all that apply.)

A nurse assesses clients with potential endocrine disorders.Which clients are at high risk for adrenal insufficiency? (Select all that apply.)

After teaching a client who is recovering from an endoscopic trans-nasal hypophysectomy,the nurse assesses the client's understanding.Which statement made by the client indicates a correct understanding of the teaching?

A nurse cares for a client who is prescribed vasopressin (DDAVP)for diabetes insipidus.Which assessment findings indicate a therapeutic response to this therapy? (Select all that apply.)

A nurse is caring for a client who was prescribed high-dose corticosteroid therapy for 1 month to treat a severe inflammatory condition.The client's symptoms have now resolved and the client asks,"When can I stop taking these medications?" How should the nurse respond?

After teaching a client with acromegaly who is scheduled for a hypophysectomy,the nurse assesses the client's understanding.Which statement made by the client indicates a need for additional teaching?

A nurse cares for a client who is recovering from a hypophysectomy.Which action should the nurse take first?

A nurse assesses a client with anterior pituitary hyperfunction.Which clinical manifestations should the nurse expect? (Select all that apply.)

A nurse assesses a client who is recovering from a transsphenoidal hypophysectomy.The nurse notes nuchal rigidity.Which action should the nurse take first?