Exam 48: Nursing Assessment: Endocrine System

The nurse is interviewing a patient who has a possible thyroid disorder. Which question will provide the most useful information?

A patient is admitted with a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?

After the nurse manager at the endocrine clinic has completed the orientation of a new RN, which action by the new RN who is caring for a patient with a goiter and possible hyperthyroidism indicates the charge nurse needs to do more teaching?

A patient is scheduled for a growth hormone stimulation test. In preparation for the test, the nurse will obtain a

When a patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, the nurse will monitor for

The nurse will plan patient care that will decrease the patient's physical and emotional stress when the patient is undergoing

When a patient in the outpatient clinic has an order for blood cortisol testing, which instruction will the nurse provide for the patient?

During a physical examination, the nurse finds that a patient's thyroid gland cannot be palpated. The most appropriate action by the nurse is to

When the nurse is obtaining the health history, which statement by a patient indicates further assessment of thyroid function may be necessary?

Which information about a patient with newly diagnosed diabetes mellitus will be most useful to the nurse in developing strategies for successful adaptation to this disease?

When reviewing the laboratory results for a patient's total calcium level, which information will the nurse need to consider?

When a patient has clinical manifestations of hypothyroidism, which laboratory value should the nurse review to determine whether the hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?

When working with a patient who has diabetes mellitus, the nurse reviews the results of testing for glycosylated hemoglobin ( HbA1C ) to evaluate for

When caring for a patient having a water deprivation test, which finding is most important for the nurse to communicate to the health care provider?

A patient with a possible pituitary adenoma is scheduled for a computed tomography (CT) scan with contrast media. Which patient information is most important for the nurse to communicate to the health care provider before the test?

When evaluating the laboratory results for a patient with increased secretion of the anterior pituitary hormones, the nurse would expect to find

When the nurse is caring for a patient who was admitted with tetany, which laboratory value should be monitored?

Which information about a patient who is scheduled for an oral glucose tolerance test should be reported to the health care provider before starting the test?

A patient 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

A patient is scheduled for a 24-hour urine collection for 17-ketosteroids. The nurse will need to